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Home My WebLink AboutMiscellaneous - 220 BOXFORD STREET 4/30/2018 (2) I 22013OXFORD STREET z Q 210/104.1)-0057-0000.0 J ' 1 I Liberty Mutual. Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,MA 01923 Tel:(800)566-0323 March 10,2015 Town of North Andover Attn:Building Inspector . 120 Main Street North Andover,MA 01845 Re: Property Address: 220 Boxford St,North Andover,Ma 01845 Policy Number:H3S21811550440 Underwriting Company:LM General Insurance Company Claim Number: 031626218-0001 Date of Loss:2/26/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 313, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, � 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws Ch. 139 3A &B or Mass. General Laws Ch. 143 9 or Mass. P � � General Laws,Ch. 111, § 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 -d Date...... .:..22-...�� a O� MO o7M 1ti 3: �•t;�``-,•�.°O� TOWN OF NORTH ANDOVER A PERMIT FOR WIRING �ss�cMus� Phis certifies that .......... � .....L... ..................................... . . + has permission to perform ........ e� 1......5 y ..... .T... ......... wiring in the building of..... ..... 2 a ......... . � ..... E .. ........................... . f,�, %......... ,North Andover,Mass. Fee...... f�. Lic.No�/.......��g ..............�i ......f. ............E:........ . ELECTRICAL INSPEMR Check # ( 7 3� 6530 Pemiit No. 19 Department of Fire Services Occupancy and Fee Checked- BOARD heckedBOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblank) 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=TION) Date: City or Town of: -- To the Inspector of Wires: By thus application the undersigne gi es notice of his or her tention o perform the electrical work described below. Location(Street&Number) d /' _ Owner or Tenant L( Telephone No. pS Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No �� (Check Appropriate Box) Purpose of Building Utility Authorization No. '— Existing Service Priv Amps 2 /.o Volts Overhead Undgrd ❑ No.-of Meters 1 New Service Amps / Volts YOverhead ❑ Undgrd ❑ No. of Meters Number of-Feeders and Ampacity Location and Nature of Proposed Electrical-WorK: '=y�= "Olt Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA , � No.of Luminaire Outlets No.of Hot Tubs Generators KV Above No.o mergency ig g No.of Luminaires Swimming Pool rnd. rnd. F1BatteryUnits No. of Receptacle OutletsNo.of Oil Burners FIRE ALARMS IN/of Zones No.of Switches No.of Gas Burners No.of Detection a d Initiatin D ices No.of Ranges No.of Air Cond. Tons TotNo.of Alertin evices No.of Waste Bis secs Heat Pump Nu ......_er T'ons. .......... KW No.of Self- ontained Totals: Detectio - ertin _Devices -1 No.of Dishwa ers S ace/Are eatin KW Local Municipal ❑ Other P g Connection No. of Dr s Heating Appliances KW Security Systems:* r Y No.of Devices or-Equivalent No.of W terKW No.of No. of Data Wiring: eaters Signs Ballasts No.of Devices or Equivalent No. a Bathtubs No.of Motors Hydromassage Total HP Telecommunications Wiring: Y g /'Z No.of Devices or E"uivalent OTHER: _ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Va1uof Electrical Work: �� ~� (When required by`municipal policy.) Work to Start.e—,j&�, e,V,,,e 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 coves -is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [n— OND ❑ OTHER ❑ (Specify:) I certify, under the pans andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: LIC.NO.: - Licensee: Zo Signature4 LIC.NO.: 2'3 (If applicable, ent "exem 11in the license number line.) Bus.Tel.No.�; o cFS/- Address: l e_ x / '✓ �9 C9/ p Alt.Tel.No *Security System Contractor License required for this ork;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,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent [PERMIT FEE: $ Signature Telephone No. -�1 �f Commercial: Sewer Ejection Pump: $25.00 ELECTRICAL PERMIT FEES a)including photovoltaic& Signs: $25.00 each ballast (Effective March 12, 2003) generating Equip Per KVA $1.00 Smoke&Heat Detectors& � r x YLINI T. RM b)un-interruptible power systems, Initiating Devices: Rlsp � L 42 00 per KVA $1.00 Residential: $1.00 each COITiR $50 OQ c)batteries over 100 amp.hours,per Commercial: $60,00 up to 10 ,. Q SE C, LE ON cell $1.00 devices over 10$1.00 each OUTSIDE OF . IL.DING Heat Devices: $1.00 each Space Heattds: Air Conditioners: $40. each Heat Pumps: $40.00 each area heating$1.00 each Alarm Systems Security: r fire Hydro-Massage Bathtubs/Hot Sub-1` el: $25.00 systems see smoke/heat detect ) Tubs: $20.00 each Swi ming Pools: Residential: $40.00 Lighting Fixtures $1.00 each R idential: Commercial: up to 10 Devices Lighting Outlets: $1.00 eache Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) dground: $50.00 $1.00 each $20 each Commercial Pool: $100.00 Carnival Equipment: $50.00 eachMotors: (per hp or fractional part V. Switches: $1.00 each CeilingFans: $1.00 each ereof) $2.00 Temporary Service: O' Gas Burners: Must have Utility Authorization Number Commercial New Construction or Residential$25.00 Alterations: Resi ential$20.00 each £ Comm cial$20.00 each Commercial $100.00 $100.00 per 1,000 Sq.Ft. o� Construction Space OfficeF nishings: per circifit$10 Transformers: elocatab Partitions/Cu icles a)capacitors,Per KVA $1.00 Commercial Service Change/ ) b ducts,conduit&conductors Repair: Outlets & ture: $1106 each ) ,►� Must have Utility Authorization number Ovens Built Counter Top Units: (Associated w/Padmount Transformers)$25 $100 (first 100 amperes or fraction,one $10.00 each // c) each manhole$10.00 meter) Panel Change/Cicuit Breaker: d) each handhold$5.00 a) each additional 100 amperes Residential: $2p,10 e)per KVA$1.00 capacity or fraction. $30.00 Commercial.-/$25.00 0 primary feeders, $25.00 each(over b) each additional meter$25.00600 volts,non-utility owned) Phone Jac See g)vaults and equip. $25.00 each Commercial Temporary Service: data/telecotunications $100.00 Ran es 915.00 each Washers: $15.00 each Must bave Utility Authorization tN'umberWaste Disposals: $5.00 each Commercial Repair and/or Receptacle Outlets: $1.00 eac Water Heaters: $30.00 each Recessed Fixtures: $1.00 each Maintenance Permit: (Blanket Regins ection Fee: $25.00 -- - Permit)up to 2 Electricians$150.00 *For Multi-Family & per air of Electricians over 2$50.00epair to Service Residential: $20.00 Large Commercial Project Data/Telecommunication: ` Residential New Construction see Wiring Inspector for r Residential: $1.00 per port � l3 (Dwelling): $220.00 Commercial: $30.00 u to 10 V pricing: devices over 10-$1.00 each r2 (with service up to 200 amps) path l�ennedy(978) 623-83!16 Must have Utility Authorization Number Dishwashers&Disposals: for services over 200 amps see below ftice flours S ani to 1.0 ani) $5.00 Each a) for each 100 amps capacity or Dryers: $15.00 Each / fraction add$20.00 i action Schedule: Emergency Lighting(Batt`efy Units) b) each additional meter$10.00 $ 1.00 each unit / c) each additional panel/sub panel 1 R UGH Feeders or Sub-feeders $25.00 1 FI': AL each 100 amp capacity of fraction 1 � thereof 'y Residential Additions/Alterations: (if applicable) ) Residential: $5.00 each ( $220.00 maximum Commercial: $15.00 each 'Z� Residential Service Change or ADDIT _OVAL Underground Service: INSPECTIONS x$25.00 (if Gas/Oil Burners: $40.00 Residential: $20.00 each Must have utility Authorization!Number applicable)\ Commercial$20.00 each a)one meter,up to 100 amp capacity $40.00 (revised 07/05) b) each additional 100 amp capacity or fraction$20.00 &ORTil 0 q TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,SSACHU This certifies that ..... ...................................................?............ . ........... has permission to perform .....F,.` .................................................. wiring in the building of.. ........................................... .......... ......... ............... .North Andover,Mass. Fee ............ L i c.No ...... ...................... ELECTRICAL NSP"I R Check # 2 -7 7 6 6u' ' 6 Commonwealth of Massachusetts 01,liciA I se 011IN PC] 1 0. Department of Fire Services OCCLlpanc, and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 905] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All :cork to lie performed in accordance ceilll the'.%ISSaClILISCIA'S ['lCCtl'iCdI Cotte(MEC). 527(AIR 12.00 WLLISE PRL\TLV[XK OR TYPEALL INFORHITION) Date: City or Town of: ANDCA -,r- Tn dle h7SjVC10t' 01'1f"i1'e8. 13Y this application the undersigned ,lIves notice ot'his or her intention to pei-forill the clecti-ical work described below. Z, Location (Street& Number) Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a buildiqg permit? Yes F1 No rq (Check Appropriate Box) L ,_4� Purpose of BuildingAUtility Authorization No.k� Existing Service_ Amps Volts Overhead El Undgrd ❑ No. of Meters New Service Amps Volts OverheadEj Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: =Nn6-�k\-A.;T, Com plelion(?//hc fi)II(Ill big able Inav he W01 VCd by the hispc"'tor Win! No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA %bove In No. of Emergency Lighting No.of Luminaires Swimming Pool , r - D gi-nd. Ji� grud. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones No.of Detection and No.of Switches No. of Gas Burners Initiating Devices No. of Ranges No.of Air Cond. Total 1 No.of Alerting Devices Tons Noof Waste Disposers Heat Pump NumberV li:No.of Self-Contained . Totals: Detection/,k lerting Devices Municipal No. of Dishwashers Space/Area Heating KW 0 Other Local 0 N Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Cices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters —Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Deviecs or Equivalent OTHER: oras file il., Estimated Value ol'Electrical Work: Ok lien required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC RUIC 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perl'on-nance of electrical work may issue11111C.S:, the licensee provicles proof of liabilityinsuranceincluding,",.oinpIvtcd operation'covel-aqcot.its SLII-S(Mltial CtIlliUlClit. Fhc W-tirlCtthat such Cmel',we i:, in I'M-cc, ;Illkl has c:"Ilibite(I 1,1-oot ot-.,arae to the permit office. (.III::(X0NE: INSI RAN(1 r-1 130ND 0 ()FIll"'R 17 (Specify:) / -ertq5,, wider/he paj pains anelpenoffies qfperjurr, 'hal ifie infiff,"I'diol,on 'hiv mplicalion rs Irite dirld cowplefe. FIRNII NAME: 'n LIC. \,0.5cz-� Licensee: 2 Address: Cqi 311s. Tel. No.: T? 3VC�f Alt. Tel. No.: "SeCt.11-ity System Contractor 1JLL:ll1;C NLILlil-ed fol-this work; frappiCLible.enter the license 111.1niber 11CIV OW'NER'S INSURANCE WAIVER: I ani aware that the Licensee nal have the liability illSLll-0llCC required by law. 13y llly:;'1-1llZltLirc below, I IICI-Lby WaIVC this N(JUil'UnLilt. 1 ;1111 ill(check enc)❑ owner Owner/Agent igaature jlhoac 'I.). fIT rp�-F,. r—P 7TR I/ e �. Date.... ...:........... NORTH °ft"`°:•�"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SS�cHusf� i . This certifies that-:.:...... �... .........7.... . ............................. has permission to perform ` ..:............ .............................................................. t wiring in the building of....... .... -'- :a:'..{ ; ................................................. J ::............P ......... ..... .....,North Andover,Mass. at �� `1- Fee... :. ............. Lic.No. _ ..........*.. .......................... ELECTRICAL INSPECTOR Check ti 5fl12 00 The Commonwealth of Massachusetts Office Use Only Permit No. y-a/f rl Department of Public Safety Occupancy 8 Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (Wave 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) Date To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 9 ao(;s Owner or Tenant Ag, (z- Owner's Address S A/7�& Is this permit in conjunction with a building permit: Yes ❑ No E! (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps 1 Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot Tubs No.of Transformers KVA No.of Lighting Fixtures Swimming Pool Aid ❑ and ❑ Generators KVA No.of Eme No.of Receptacle Outlets No.of Oil Burners Battery Unitsency Lighting No.of Switch Outlets No.of Gas burners FIRE ALARMS No.of Zones Total No.of Detection and No.of Ranges No.of Air Cond. tons Initiating Devices Heat Total Total No.of Disposals No.of Pumps Tons KW No.of Sounding Devices No.of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No.of Dryers Heating Devices KW Local❑ Connection❑Other a No.of No.of Low Voltage No.of Water Heaters KW Signs Ballasts Wiring No.Hydro Massage Tubs No.of Motors Total HP s OTHER: _ INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed/Operations Coverage or its substantial equivalent. YES 0--NO ❑ I have submitted valid proof of same to this office. YES NO ❑. If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE O BOND D-15THER❑ (Please Specify) fW A->i h —Tf �'� l o 3 Estimated Value of Electrical Work$ (Expiration Date) / Work to Start Signed under the penalties of perjury. FIRM NAME �Q �` " 1 / r/��Y'C- �E L L 4,oeli' (0-0 / L-(/0 LIC.NO. Licensee Signature LIC. NO. Bus.Tel.No. Address / � 1 ] i / t4,.�f� ( f3 i�(2 i'l !Rfi� Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) i, MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Prior Type) Mass. Date 225— Permit # t1 Building Location_ZZO &�Fokb �r Owner's Name 96, E2 Type of Occupancy Residential New ❑ Renovation ❑ Replacement DQ Plans Submitted: Yes No ❑ FIXTURES z rN v, J N o z :: w 0 W W Y J of t U a N 7 O ¢ � O — — r0 ,-� Q N a m n m s } a F N . Z ¢ a s a 3 x tS d ¢ w o O w a N ¢ a w N oCC J z o o O J LL S F h ¢ y w = a r 3 3 0 z x Y a F- a a w LL w }� F > F- O N N 7 N H z O 00 N z z w F O U T rl x _ _ a a o a J J a ¢ ¢ a a 0 a +� � Q4 3 Y J M 0 0 i[ a1 O 33 33 r�i SUB—BSMT. BASEMENT I 1ST FLOOR W 2ND FLOOR A 9110 FLOOR D T 4TH FLOOR Il T 5TH FLOOR RI S 6TH FLOOR E 7TH FLOOR C 9 8TH FLOOR T D Installing Company Name Heritage Htg, &P.1g. Co. Inc. Check one: Certificate Address 35 Pleasant Street _ IX Corporation 714 Stoneham, Ma 02180 n Partnership Business Telephone 781 -438 7776 F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 13 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. Check one: Owner ❑ Agent ❑ Sionatrire of Owner or Owner's 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 the permit issued for this appplication will be in compliance with all pertinent provisions of the Massachusetts Slate Plumbing Cod and��jnChh7) 142 of the General Lav6s. By — G \��1 ` Signature of Licensed Plumber Title_ City/Town Type of License: Master I_X Journeyman APPROVED(OFFICE USE ONLY) License Number 8322 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR 4 r .+ Date. . . . . . . . . . . N° 43 ) 7 NORTH TOWN OF NORTH ANDOVER 1 41 PERMIT FOR PLUMBING SSACNUS� This certifies that . . :... . . . ..... !'. . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . � . . . . . . . . . . . . . . . . . . . plumbing in the buildings of�f. . :�.-�.-. :�.-.a._.., . . . . . . . . . . . . . . . . . . �� r u- at.:f.=. . . '-: . .t. . . . . . . . . . . . . . . . . . . . . . . .... North Andover, Mass. Fee . . . . . .Lic. No, C No ! k �? NSP . . . . . . . / / PLUMBN OECTOR �6v WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Location No. Date •'-�— I ,&ORT" TOWN OF NORTH ANDOVER Ottt�•o ,•,'YO ? �� , • p A Certificate of Occupancy $ Building/Frame Permit�F e $ ri 41V0 CH+�►.t, L CHusEt Foundation Permit Fee , N Other Permit Fee $ gyp�! Sewer Connecfi6 Be Water Connection Fekk, $ TOTAL Q// j Building Inspector Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. j/AGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. I LOCATION f)X ,� PURPOSE OF BUILDING n r 1 + '�r� OWNER'S NAME ` NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR '• GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW /p J SIZE OF FOOTING X /V IS BUILDING ADDITION &U MATERIAL OF CHIMNEY IS BUILDING ALTERATION f r v IS BUILDING ON SOLID OR FILLED LAND 1 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER V BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER V(:) IS BUILDING CONNECTED TO NATURAL GAS LINE IU C) INSTRUCTIONS 3 PROPERTY INFORMATION L D COST SEE BOTH SIDES EST. BLDG. C08T PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. +� PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS i PUNS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR I d/ /QATE FILED (� C BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PLANNING BOARD PERMIT GRANTED UwNER TEL.# a � CONTR.TEL.# .lF-It' 19 (� CONTR.LIC.# BOARD OF SELECTMEN BUILDIWO INSPECTOR i BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY —TORIES — THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ DRY—WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/2 1/ FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIV D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR 1 POOR ADEQUATE I-I NONE a 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COILS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING k NORTH Town Of ` �cE�r, > > Andover 0 .� ' y No. 52wo L ANTor dower, Mass., 10 19 COCHIC HE WICK DRATED p`?YL 4% CJ MR N f BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT.... . .. .... ...... ••�..rk.ov•#••••.••••••••••••........................•• Foundation DING INSPECTOR BUILDING �Or� has permission to Ta .......................... ... buildings on ...... .� .......asxA0.�.p5� Rough to be occupied as........, `.I.... V.., ... ... ....Aoov.#A..' ... f ...�iR �.f ... Chimney � provided that the person accepting this permit shall in every respect conform C e orm to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough . .. ....... . ...... .. Service • BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. „-,.,- r-1h1A1 C41t nRnrMnrw r:niTRV PFRNniT _ "o OFFICES OF: . : Town of acm Is 120 Main Street APPEALS ., NORTH ANDOVER North Ancic)vcr, BUILDING Mi15Ri1('IUIS(•IISOIti45 � C:ONSLIZVA'1'1UN S'"`" °` DIVISION ((ili)68S-477!-,OI7 � HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT i KAREN H.P. NELSON, UII1EC"1.011 i I In accordance with the provisions 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 c 11I, S 150A. 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. i Location ac r—orLl� No. '3l 7 Date 43" .1-3 N°RT" TOWN OF NORTH ANDOVER � s ,jaiiawdk p Certificate of Occupancy $ * _ Building/Frame Permit Fee $ �`^ J ss„c„„SE Foundation Permit Fee $ Other Permit Fee $ SSmer Connection Fee $ `Vater Connection Fee $ . f'K TOTAL $ / Building Inspector 6373 Div. Public Works PERIfIT NO. -34.7 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 -1AAP 440. LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK PAGE ZONE I SUB DIV. LOT NO. ' ✓LOCATION tJ r_J PURPOSE OF BUILDING s_&ffAep--X,,Cb-r L.,>j S 70 OWNER'S NAME / NO. OF STORIES JTC Id OWNER'S ADDRESS - BASEMENT OR SLAB ` ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1 IST 2ND 3RD UILDER'S NAME Alo SPAN DISTANCE TO NEAREST BUILDING / DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW nO SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION / IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIRIAMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST e/ PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED CU / BOARD OF HEALTH SIGNATURE OF OWN OR AUTHORIZED AGENT FEE 1 � PERMIT GRANTED OWNER TEL. PLANNING BOARD #�� CONTR.TEL.# L 19 L - CONTR.LIC.# J�4r— f BOARD OF SELECTMEN G 7 3 BUII.DINO INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I S'OkIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OF _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _ 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIN'D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 6 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR ADEQUATE 17 NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY - WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE — FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. d COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G t a UNIT HEATERS 7 NO. OF ROOMS GAS OIL 3rd NO HEATING B'M'T 2nd _ ELECTRIC 1st 1 i NORTH Town 0f r Andover 361 i. �o �,w ort dover, Mass., N US19� A0RA TED PP�`\y � S ` � BOARD OF HEALTH Food/Kitchen PERMIT ,TO ILD Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... �.►.k... .... ►. .. ..... .....^.'••�•r—••�••t•. 4b...•••••••••••••• Foundation has permission WSW....A.00 ...... buildings on..��.... .. ...... ....l0.6....�........ Rough • to be occupied as Sib ....w . • It ,�r► ,>�+�s••F�w Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC Ro ghECTRICAL INSPECTOR .................. ............. `........... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT _ _ Date. NORTH TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION jSSACMUSEt This certifies that . . �,/. .! ' '. . .(,l ,�`- . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . in the buildings of . . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . at ��% . . ./ �. !.�.!'.:i. . �. . . . . . . . .,,North Andover, Mass. Fee. ?O. . . . . Lic. No..? . . . . . . . . GAS INSPECTOR f Check# > �- 4275 Iv1(�1�5 u,j) [)r uv( Ll ::a (�3- 1001 - ui MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) 10 571K AL1 , Mass. Date 1 F� — Permit # !JR e Building Location a;ZO i Owner's Name Type of Occupancy Newel— Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ N W � N =< o w 4 V tn O Z_ fA W i' tZ ¢o CC ~O G1 11 W Cr OCD o W W O F- 111111A I d ¢ N cc C7 V W x Z -K N O > W r W yr N W = ¢ N W W F- O F` S Z 1- 2 _ -4 Z 1.. 1- W N m Z O 2 W 0 to x Z Q W C < W > W Z. < CC < Q O O W ¢ O W F- ¢ 'x O t9 Y U. 0 2, 1010 J V CC > G a F- O SUB—HSMT. BASEMENT 1ST FLOOR 2ND FLOOR r 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 14 0 SOUTH MAIN STREET ® Corporation 1 0 3 C MIDDLETON, MA 01949 ❑ Partnership Business Telephone 978-774-2760 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter WILLIAM R. HARRIS INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent I which meets the requirements of MGL Ch. 142. Yes ) No ❑• If you have checked yes, please Indicate the type coverage by checking the appropriate box. 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of OwneF or Owner's Agent 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 thepermit i for this app(ica n will be in pliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Laws. lvlj,,4ll ey T of License: Plumber nature o cense 9 um er or as titer Title Gasfitter 3785 aster Ucense Number City/Town Journeyman O C -E ONLYI + Department of Fire Services PemritNo. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (]eaveblank r I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 O (PLEASE PRINT IN INK OR TYPE ALL IN 0 ATION) Date: City or Town of: To the Inspector of Wires: By this application the undersign gi es notice of his or he ' tention o perform the electrical work described below. Location (Street&Number) Owner or Tenant Q( Telephone Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No E�-- (Check Appropriate Box) Purpose of Buildings `�jy <<_� ,�y /fj� Utility Authorization No. Existing Service Amps .ZZ, / /w Volts Overhead Undgrd ❑ No.,of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number ofFeeders and Ampacity MLocation and"NatuYe of Pry osed:l±lecYiT W6rC y �,�� - ,Ln� `, � J Completion ofthefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KV No.of Luminaires swimmingPool Above ❑ I - ❑ o.o Emergency Li r g rnd. rnd. Batter Units No. of Receptacle Outlets .No.of Oil Burners FIRE ALARMS N of Zones O No.of SwitchesZ /No.of Gas Burners No.of Detection a d Initiatinjz DeXices g Tons No.of Ranges No.of Air Cond. Total No.of Alertin evices No.of Waste Dis sers Heat Pum Nu er Tons KW No.of Self- ontained _.. ._. ..... .. __ Totals: ._ _ Detecto ertin Devices_ ..... .._ Municipal No.of Dishwa ers . Space/Are eating KW Local El Other Connection No. of Dry s Heating Appliances KW Sec of DeviSysten s or Equivalent No.of W ter KW No.of No.of Data Wiring: eaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs Na.of Motors / Total HP/•Z Tel No.o 'Devices or E uiv ecommunications Wiring: ent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. .., -`When re uired Dy Municipal olic -- ----- - Estimated Valiie-of Electrical;�oik. - �J ( q P P Y•) Work to Start:,,,,jj� 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 covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, tinder the pans and penalties ofperjury,that the information on this'application is true and complete. FIRM NAME: LIC.NO.:., Licensee: �, I,:S;7ez� Signature LIC.NO.:6,�` O� (If applicable, ent exem "in the license number line.) Bus.Tel. Address: , c m /mac "�� kf:n�l %%� Alt.Tel.No-;;g/ *Security System Contractor License required for this<vork; if applicable,enter the license number here: COWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. S� o i u