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Miscellaneous - 227 HICKORY HILL ROAD 4/30/2018
r 227 HICKORY HILL ROAD � _ e � �,l�n'�y�.��y 2101062.__0 0130 0000.0 •'�'�-� i�d� �!/ I i Date. //.!. ...^. . .. . - pORTM TpWN OF RTH ANDOVER • PERMIT OR GAS INSTALLATION .r 9SSACMUSEt This certifies that . . .t 1.: �. . C`":All- . . . . . . . . . . . . . . . . . . . . . LA— has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . Keo � in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. at a .7. . . .Y/ !c Y./�t. . . . . . . . North Andover, Mass. 1'A � Fee. . .. . . . . Lic. No.. . . . . . . . . . . . . ; �?--: . ,� .. . . . . . . . r / GAS INSPECT R Check# 5877 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 2 NORTH ANDOVER,MASSACHUSETTS Building Locations 2" ��`� Permit# ^� ?' Amount$ 3p eer's Name �� New❑ Renovation ❑ Replacement Er Plans Submitted z O W F Q a z 7_ O z w rz ww v w x w [�- x V F z F z w c7 w w x W q� F F" �. i Z d W > O 7 O 2 a O x w 3 o CQ7 Ov z > o a0 H O SUB -BASEM ENT B A S E M ENT IST . FLOOR 2ND . FLOOR 3RD . FLOOR 4 T H . F L O OR 5 T H . F L O O R 6 T H . F L O O R 7 T H . F L O O R .8T H . F L O O R ELL LL (Print or type) ~l_ c Check one: Certificate Installing Company Name /0'`� f J �� `� ❑ Corp. Address •jr! fg�)u �� ❑ Partner. `L't u, 4 pec © v Business I e ep one Cj 7 jo k-� ,�Z� 0-rirm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ®--� No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy IT 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 Owner 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts ate G Code and hapter 14 of the Geeral Laws. �/ C i tel/ Signature of Licensed umber Or Gas Fitter By. Plumber � ?4/,Title City/Town ❑ Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman j -yr . ........ ...........e. .No 333E Dat ` HOR7F, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACMUS� This certifies that ..1...::::::......--.-~ has permission to perform ........:.... " ......r r '� .....�,......................................................... wiring in the building of......... %' ` .� , ...7. ..... .f`=........../... ... .. .... ..... North Andover,Mass. Fee; . ..... ...... Lic.No.�^fT..:. -�t, k.e .............:..=:.._.........�:.......... ............... •. / ELECTRICAL INSPECTOR Check # �C� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer DEPARTM,EWOFPUBLICSAFETY LNo. BOARDOFMEPREVEN770NREGMT1011ISS27CM?12..(Xl ` { ancy&Fees Checked a i kAPPLICATIONFORPERW TO PEWORMELE=CAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL.INFORMATION) Date 9T (y t j Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. i Location(Street&Number) P L<- Owner or Tenant (EA 0 "D J&;V1 i I Owner's Address -5A-V A G _ i Is this permit in conjunction with a building permit: Yes[�No © (Check Appropriate Box) Purpose of Building s c--L Utility Authorization No. j Existing Service Amps / Volts Overhead 0 Underground M No.of Meters New Service AmpsVolts Overhead Q Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work L,-A No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA unawound No.of Receptacle Outlets �r No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets b No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices a No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Others Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER li�aartoeCo R»�+t�tbtheragtmalla�c#1V1as5ad�Garaail�us Iha%eaametLiaj7dybm==PblityatdudagCcnVkle crilsskstmMe*uvalatt YES NO Iha%esthntWdvandpafofsanetoth O&-1- YES F7rNO Ifycuba%cdwdWYES,pksearlicatetbC4WOfMCrdWbydtakztglbe BOND p onim p E*rddMD* J° I�dvahredEbc brat Wdk$ F� WotkiDSlart `t Z-A o t hgxcfi tD,*ReWmWd Rough <..a--w— Fatal . Sigwdo i*u... - FIRM —`L 64-C- c e limy NTo. `� �1—t� /tel fit O��i J✓ LimwNo ✓ L? Y U S r Busi xssTdTNh AILTdNh OWNER'S WAIVER;I.amawatethlftl medoessntlmetheil -cwaage"s leWadatasmgLm dbyNbmdxseasGmrJLavws aod�atmy taemthsptmz$�p6t iatVMtsthisM*Zanat (Please check one) Owner Agent Telephone No. PERMIT FEE Location }` No, �� Date �oRTM TOWN OF NORTH ANDOVER Fs .. D Certificate of Occupancy $ ,s..... Ett' Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � J Check # Clv-7 / i r Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERNOT NUMBER: Q DATE ISSUED: SIGNATURE: Building Commissionemn for dBuilafngs Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 130 N .A nays(� AA O 1 FqS— Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: IQ l SJ" K e I IB11 5•C igq.76 PRD Zoning District Proposed Use Lot Area(sf) Frontage ft -T 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide". Required Provided Required Provided -Z,f 4.7 Water Supply M.G.L.C.40.§54),•- 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public V Private ' ❑ Zone Outside Flood Zone Municipal On Site Disposal System ❑ p SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Ka n Keop 7 N'l K�I N.A4 q � o/ CLQ Name(Prinb Address for Service: U 1 igna r � elephone Z. 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction {Supervisor: �` � $S `(: , I( \D- lj,AiOlP.� /A License Number Address > a ••� S Expiration at� ��i lure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ -Th d Company Name 167 6 7 q i Clil 7t l 1(l AV Registration Number rEa Address O Expiration Date Sin a Tele hone SECTION 4-WORX{ERS 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 rmit. Signed affidavit Attached Yes......A No.......❑ SECTION 5 Description of Proposed Work Lheck at1 applicable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: FR (,,00S% SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to beOFY IMP Completed by 2ennit applicant I, _, w, _ 1. Building (a) Building Permit Fee ` $® 3 Z $ Multiplier f� 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee(a)X (u) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) S Zo Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, //� /� I J as Owner/Authorized Agent of subject property Hereby aNe 7-1 a J-" d Y M�� C� to act on My ell 1 matters e to wor a rued by this building permit application. Sim iI r f Owner Date SECTJbN / 7b OWNER/AUTHORIZEDtAGENT DECLARATION I,�Yw s!?as D - ?_dl,to ru'�o as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief A0 QS U, -76u►W I Print Name Si ure of Owner/A ent Date NO. OF STORIES SIZE i BASEMENT OR SLAB P I6-R Pas r SIZE OF FLOOR T M BERS I s (� 2ND 3RD SPAN 13/ /2 MIENSIONS OF SRLS 2 X G DMIENSIONS OF POSTS (O A DIMENSIONS OF GIRDERS ,3)Z f HEIGHT OF FOUNDATION p o s-rs t ' THICKNESS SIZE OF FOOTING 12" Cd �jc R%M4 5 p/Uo X y sz Dip , MATERIAL OF CHIMNEY (�1 IS BUILDING ON SOLID OR FILLED LAND S,J, 41 IS BUILDING CONNECTED TO NATURAL GAS LINE FORM - U -. LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or-landowner from compliance with any applicable requirements. 10002■0000x00■i'....................../22x2000'■■asp 22200 x 200 x02 an 2 an 000000000• APPLICANT 711 n;as .y. Gci o a4 r 1 o PHONE_'77F-6 7-ZE? 17F-KrZ,-y37S ASSESSORS MAP NUMBER LOT NUMBER --L3 d SUBDIVISION �il�D - !(l/ LOT NUMBER r� STREET /7'`J C&f f<Cov STREET NUMBER 2� OFFICIAL USE ONLY �.......... io REC NS F TOWN AGENTS 101: 0 ■0 ■ ■. xx0000■ a;. .. ...,+.' ........ DATE APPROVED. � C CUN ATIONADMINISTRATOR DATE REJECTED j CONN ENTS 1 V` DATE APPROVED Olt f (j TOWN P DATE REJECTED CON,QAENTS DATE APPROVED FOOD INSPECT'-iR-HEALTH DATE REJECTED DATE APPROVED v , SEPTIC II CTO -HEALTH DATE REJECTED CONOV ENrS PUBLIC WORKS—sewE R/WATER CONNECTIONS DRIVEWAY PERMIT. DATE APPROVED FIRE DEPARTMENT DATE REJECTED COVIN ENTS RECEIVED BY BUILDING INSPECTOR DATE i q i i 1 1 � erIg FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. a.Massa.mono..i....was.............anon Una..'■■..Anon..ago.....ass NNW MEMO Now■ APPLICANT 7i&A 10, 4;J ho aA I GAO PHONE r!7�-6Fs -Z63 J ASSESSORS MAP NUMBER - LOTN"tJMBER 3 d ' SUBDIVISION_� v� . l(/. / LOT NUMBER STREET STREET NUMBER ................. ..................�.......■......................A........ OFFICIAL USE ONLY ........................................................................... RECOM2v ENDATIONS OF TOWN AGENTS .....:.........................■■.............................■r■..,........... DATE APPROVED. CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECT-)R-HEALTH DATE REJECTED DATE APPROVED SEPTIC SiBPECTO -HEALTH DATE REJECTED COMMENTS PUBLIC WORKS—5cw a R/WATER CONNECTIONS Al DRIVEWA,Y/PE ;7?1 DATE PROVED IRE DEPARTMENT DATE REJECTED CON,RvcNTS RECEIVED BY BUILDING INSPECTOR DATE Aug-10-01 12: 58P P-01 a v 'FAA .,a 1 .v, L,. r-asau V v t:r µoorri., . Building Department 27 Charles Street North Andover,Massachusetts 01845 100 (978) 688-9545 Fax (978) 688-9542 SYR 04+rro rI..(5 �'rACHt]S�,t DLBR.IS DISPOSAL FORM In accordance with the provisions of MGL c 44 s 54, and.a condition of Building permit-# the debris resulting from the work shall be disposed of in a property licensed solid waste disposal facility as deFned by MGL c 11, s 156k The debris will be disposed of in/at: Facility location ature of Applicant Date ---- _ Aug-10-01 12: 59P P_02 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavil Please Print Name_.. �)�G)'fG� �� � 1 Location: l b'S� (1't Ci U),// city Phone am a homeowner pe orating all workfnyself. {�1 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. Coml2w-w name: Address City: Phone# Insurance Co. Policy# Company name: Address Cid' Phone At: insurance Co. Poiicv# Failure to secure Coverage as required under Section 25A or MGL 152 can lead to the imposition of Criminal penalties of a Ane up to$1,500.00 and/or one years'imprtsonmertt a6 well a9 Ctvil penalties in the form STOP WORK ORDER and a Ane d(E100.00)a day against me. I understand that a Copy of this sleemem may be forwarded to the of Investigations of the OW for coverage ver fication. I do herby certify unser the pains and penallies of perjury the e i MW provided above is true and correct Signature _ Date _. Print name �� / s - ? —�,•_�i�d�i� �Gv!C -- Phone#2����7`1�d�� Official use only tto not write in this area to be completed by City or town official' Building Dept ❑Check N immediate resoorne AS requffw Building Dept [:j Licensing Board Selectman's Office Convict person-_..._ (-3 Health Depatiment Other FORM WORKMAN'S COMPENSATION DEPARTMENT OF PUBLIC SAFETY License: HOISTING ENGINEER LICENSE r Number-.HE 065667 Birthdate:,04/0511960 04/05/2002 Tr.no: 19273 Restricted To: 2B THOMAS D ZAHORUIKO h 185 HICKORY HILL RD N ANDOVER, MA 01845 Acting Commissioner ,o, ✓�e iooa��xo�r2eueaccsa o�i<j�4vac�zcc6eCla �y\ Board of Building Regulations and Standards ,I HOME IMPROVEMENT CONTRACTOR Registration: 107679 Expiration: 8/5/02 Type: INDIVIDUAL THOMAS DAVID ZAHORUIKO Thomas Zahoruiko 185 Hickory Hill Road � ,p North Andover,MA 01845 Administrator ✓die �anvmoo�.�uea�x a�✓v/.aa::��� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ' a Number: CS 055417 Birthdate: 04/05/1960 M Expires: 04/05/2002 Tr.no: 21877 Restricted To:-:?00` THOMAS D ZAHORUIKO 185 HICKORY HILL RD """A %� N ANDOVER, MA 01845 Administrator MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 .0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 8-10-2001 DATE OF PLANS: 8/10/01 TITLE: Keough Addition PROJECT INFORMATION: 227 Hickory Hill Road North Andover, MA 01845 COMPANY INFORMATION: Tara Leigh Development LLC 185 Hickory Hill Road North Andover, MA 01845 COMPLIANCE: PASSES Required UA = 86 Your Home = 72 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA --------------------------------------------------------------7---------------- CEILINGS 310 38 . 0 0 .0 9 WALLS : Wood Frame, 24" O.C. 414 19 .0 3 .0 22 GLAZING: Windows or Doors 81 0 .350 28 FLOORS : Over Outside Air 280 19 .0 13 HVAC EFFICIENCY: Boiler, 90 .0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the co ing load if appropriate has been determined using the applicable Stan d Design Conditions found in the Code. The HVAC equipment selected to t or cool the building shall be no greater than 125% of the desig 1 ad as specified in sections 780CMR 1310 and J4 .4 Builder/Designer Date r MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Keough Addition DATE: 8-10-2001 Bldg. Dept . Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 24" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value: 0 .35 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location FLOORS: [ ] 1 . Over Outside Air, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Boiler, 90 .0 AFUE or higher Make and Model Number THERMOSTATS: [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0.511 clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 .0 . DUCT CONSTRUCTION: [ �] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : ( ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- i TARA LEIGH DEVELOPMENT, LLC 185 Hickory Hill Road,North Andover,MA 01845 978-687-2635 fax 978-689-2310 Constr. Spvsr. # 055417 HIC# 107679 Fed. ID #04-3516982 Agreement for Construction Services April 27, 2001 Parties, Contact Addresses, Telephone Numbers: Client: Sean and Karen Keough Contractor: Tara Leigh Development, LLC 227 Hickory Hill Rd. 185 Hickory Hill Road North Andover, MA 01845 North Andover,MA 01845 978-794-3025 978-687-2635 Location of Work: 227 Hickory Hill Rd.,N. Andover, MA Description of Work to be Completed: Room addition+-20'x14'; see attached Scope of Work/Plans Attachments: Scope of Work Plans Limited Warranty Proposed Work Schedule: Proposed Start Date September 3, 2001 Proposed Completion Date October 31, 2001 Payment Schedule: At Time of Agreement 20% $7,164.00 Completed Frame 20% $7,164.00 Roof, Windows Complete 20% $7,164.00 Siding,Rough Mechanicals, Insulation,Drywall 20% $7,164.00 Completed 20% $7,164.00 Total as Proposed 100% $35,820.00 1 TARA LEIGH DEVELOPMENT,LLC 185 Hickory Hill Road,North Andover,MA 01845 978-687-2635 fax 978-689-2310 Permits: By this Agreement, Client acknowledges its authority and authorizes the Contractor to apply for and acquire all necessary construction-related permits(From time to time there are additional permits and approvals required prior to building permits, which have not been provided for in this Agreement. These may include Special Permits, Conservation Commission Conditions, Planning Board Approval, or Zoning Variances, among others, and these are not included, if necessary). Unless specified in attached Scope of Work, costs of permits, as well as any costs for application or documentation required to apply will be passed through to Client, over and above the terms of this Agreement, for reimbursement. Client acknowledges that no work can begin until all necessary permits are in hand, and that Contractor will use good and reasonable efforts to acquire the necessary permits,but Contractor does not control the timely issuance of said permits. Client agrees to endorse all applications as required to facilitate permitting. All work and schedules, as well as that of any subcontractors,will be subject to all applicable permits being available on a timely basis, and will be performed by licensed and insured professionals whenever required. General Conditions&Definitions: 1. This Agreement constitutes the entire agreement. 2. Any changes are to be documented in writing and signed by all parties. Any changes will be paid for at the time of the change request,prior to the changed work being undertaken. TLD, LLC reserves the right to not accept specific requests for changes if and when acceptance of those change requests adversely affects integrity of work product or schedule. 3. Additional work will be billed at the rate of$42.00 per hour for licensed labor, $28.00 per hour for common labor unless otherwise agreed. 4. Work sites will be left in equivalent condition to those existing prior to contracted work; unless specifically agreed, no existing site conditions will be improved. 5. Any specific work hours which are restricted by local statute, agreement or association, and which adversely affect contractors' normal work schedule will cause completion time to be extended accordingly. 6. Completion time will be extended due to any delayed inspection services, beyond those specified by the current Massachusetts State Building Code. 7. Contract will be considered Substantially Complete when all work has been initially completed;repairs and warranty are beyond the scope of Substantial Completion and final payment will not be withheld due to repairs and warranty items. 8. Non-payment or delayed payment according to the Payment Schedule will result in work stoppage for the duration of any payment delays, and completion time extended accordingly. 9. Late payment will result in a finance charge applied to the entire balance due at an annual rate of 18%. 10. Only those work items specified in the"Scope of Work"and"Plans"are included in this contract, and this specifically excludes any items not specified, such as upgrades to electric service, water service, furnace/boiler, or other unspecified systems. 2 TARA LEIGH DEVELOPMENT,LLC 185 Hickory Hill Road,North Andover, MA 01845 978-687-2635 fax 978-689-2310 Scope of Work Construct a room addition+-20'x14' per attached plans and specifications, including all demolition, cleanup, disposal, site stabilization and redressing. All materials and specifications to match as closely as possible/available with the existing structure, including 2x6 wall frame, plywood sheathing, Andersen windows, plaster finish, stain-grade trim/doors R-19 walls,R-30 ceiling, R-19 floor, Electrical to include wiring for CATV, telephone,wiring for ceiling fan. Heat to be extended from existing circuits. Wall paint color choice, (2) coats, standard finishes. Allowances: Carpet $20.00 per yard materials and labor other? 3 TARA LEIGH DEVELOPMENT,LLC 185 Hickory Hill Road,North Andover, MA 01845 978-687-2635 fax 978-689-2310 Additional Conditions for Residential/Home Improvement Contracts ONLY: 1. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 2. All home improvement contractors and subcontractors shall be registered, and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration One Ashburton Place,Room 1301 Boston, MA 02108 Tel. (617) 727-8598 3. Client is entitled to a three-day right of cancellation under MGL c.93, ss48;MGL c. 140D, ss 10 or MGL c. 255D ssl4, as may be applicable. 4. Client is entitled to owner's rights and warranties under the provisions of 780 CMR R6 and MGL c. 142A. 5. Unless otherwise specified or notified,there is no lien or security interest given on the residence as a consequence of this contract. 6. Any and all necessary construction-related permits are necessary for work to commence. 7. It is the obligation of the contractor to obtain such permits as the owner's agent. 8. Any owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guaranty Fund. 9.The contractor and homeowner hereby Y agree ee in advance that in the event 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 Regulations and the consumer shall be required to submit to such arbitration as provided in MGL. c. 142A. Owner Contractor This Agreement is available to contract only at the time of presentation. Agreed this day of , 2001, by: Client Contractor 4 N®RTH ED ® ® - ®ver 0 ,va..v...r ti`s{�' ��� �•• No. 94? - 11L OP:1 0� dover, Mass., %S RATED P? C7 H 4 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System p BUILDING INSPECTOR THIS CERTIFIES THAT........X .. .104...... ..... Sjk*.P V . A 5f.. � A••• Foundation has permission to erect....��. .. a........ buildings on ....�?.�..�.... ... .•I.�,.kary Rough to be occupied as........jr,�.�•.. 0 �. � 1 y 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 r sting to the Inspectio Alteration and Construction of Buildings in the Town of North Andover. /� a3�. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids t is Permit. Rough PERMIT EXPIRES IN 6 MONTHS IS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR Rough 116...... .................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. MORTGAGE INSPECTION Appleton Land Surveying, Inc. SURVEYING 4 ENGINEERING ' LAND PLANNING 234 ESSEX STREET LAWRENCE. MPSSACHUSErrS 01840 (508)686-4924 (508)686-7488 MORTGAGOR h(!n ADDRESS SOF PRINCIPAL /BUILDING 1 I1 227�C,CO,2 5��c C ,�Oi4D G ¢� J / NOTE THIS MORTGAGE INSPECTION was prepared specifically for mortgage purposes and is not to be relied upon as a survey. A.L.S.I. accepts no �21 5 responsibility for damages resulting from said reliance by anyone other than the said mortgagee and its assigns in connection with its proposed mortgage �i/•7�0 3` financing to said mortgagor. L The information on this mortgage inspection is the QOQ o_ exclusive property of A.LS.I.. Unauthorized use, reproduction or modification of this material is strictly prohibited, and may be subject to legal action unless prior written consent from A.L.S.I. is obtained. ,Polci CERTIFICATION TO: This mortgage inspection was prepared in accordance G�� with the Technical Standards for Mortgage Loan In- - �u,� Association spections as adopted by the Massachusetts of Land Surveyors and Civil Engineers, Inca .5 ------ 1 STATE THAT IN MY PROFESSIONAL OPINION the principal structure/s and accessory structure/s with the dimensional setback requirements of the /3 zoning ordinances, and that there are no encroachments ofmajor i shownements either way across property lines except j Notes: j ® Dwelling is not located within a Flood Hazard Zone sem. ❑ Dwelling is located within Flood Hazard Zone '';mss=: ❑ Information is insufficient to determine Flood Hazard r Flood Hazard determined from F.E.MA Flood Insurance rate map. 2 ta. Deed Reference: Bk. �� ' Pg. Scale: .2 y9 � Cert No. Date of Inspection: Plon Reference: PI. No. /ZZB7 Date of Plan: �"iB"� uevEyrff 1 ' KEOUvH AADiT1DN LZ7 ,TRtg7 tLgVAT1Ot'! N.AtiDuvffR MA c I Ii / LxIST IN6 ROOFUWE I Al j 6. _ P0.OFOSED ADDITow . . .. � y u� _ 1S7 or. u _10 6 . � tLE� LUR LEFT ELI VvAt�oA -- L2lzevv i i F L-oo? PLAN I OWLLxID6e VUr - 2x12 RIW r a ;y 2xB CO lA� 15 lb Fr1T . - --- - --- - - — - 3� 61?v�Na -- g"6Aw-Dgo h-crT -- -.. 2x IO%ox tfo DPR i couT so FST wc, N = S M x 6' �O 1 (� _ 31s"?LY 50 4,IT ! .. ... .. _ I - I MC K FAME LiF2 �H TYP, Location(�-2 �� No. Vol V Date of 40 pTN TOWN OF NORTH ANDOVER e? s�t_ _'••• °off __.,...-_. n Certificate of Occupancy $ i y Building/Frame Permit Fee $ bis',.•°''<�' Foundation Permit Fee $ s�CHust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ �j //__ Z Building Inspector ,i 3213 06/23/99 14:07 25.00 PAID Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA n1AP No. p O6�, _p�d _ LOT NO. 2. RECORD OF O%VNERSHD' [DATE BOOK PAGE i '!_ONE SUB DIV. LOT N0. LOCATION PURPOSE OF BUILDING Ao C O\\'NER'SNAnIE ` / O NO.OF STORIES SIZE I OWNER'S ADDRESS G y BASEM ENT OR SLAB ARCIIITECTS NAME SIZE OF FLOOR TIMBERS I 1 2 U 3RD BUILDER'SNAME r�r(Gv� i_ SPAN' - DISTANCE TO NEAREST BUILDING •�-V DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM IAT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATERIAL OF CHIMNEY j IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER a IS BUILDING CONNECTED TO NATURAL GAS LINE INSTLICTIONS 3. PROPERTY INFORMATION LAND COST EST.BLD PAGE I FILL OUT SECTIONS I-3 EST.BLDG.COST P&SQ. FT. EST.BLDG.COST PER ROOM EI.E.-TRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED.AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED OWNERS TEL# 7 -�, CONTR.TEL# 97,F J 72 629' `( CONTR.LIC# - SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE $ �� ff P ERMIT GRANTED Revised 5/5/99 ,IN1 tAORTH �F D town of - �� No. =?& 4/ - dover oC��Q dower, Mass.,- ADRATED p` �� BOARD OF HEALTH PERM100m Food/Kitchen Septic System C BUILDING INSPECTOR THIS CERTIFIES THAT..fid�.1qN............. �eAew... . ..........,��® . .. ......................................... ..................... ® Foundation has permi sion to erect............ buildings on ...... ............................................. .. Rough ® IRS Cle #9 04 1 0 Adm I tobe occupied as............................................................................... .............................. ..... ../ ................................ 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 Vdf • S e PERMIT LAT il'.LXP1.RES IN U MONTHS V THS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough ` ® • .. • ...... Service...p BUILDING INSPECTOR Final _ Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts - ( Department of Industrial Accidents - 600 Washington Street �. Boston, Mass. 02111 Workers' Compensation Insurance Affidavit nameCSV\ location: AG/ / e�blo,,,c S/0' - 4CIE3 phone C] I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this fob. comoary raffle addrers: ciri• phone�- insurance co: I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comgznv name: ad dresa: sitvr Rhnnr#• inauntncs co, Doli # _..:_.. company.name: addre-9: - eirn phone#• in�arance co. c•J ` Failure to secure coverage as required under Scction 25A of;NIGL 152 can lead to the imposition of criminal penaidcc of a fine up to S1-400.00 and/or one years' imprisonment as well as civil penalties in the furm of a STOP WORK ORDER and a Fine ofS100.00 a day against ma I understand that a copy of this statement may be forwarded to the Office of lnvestiga(ions of rhe DIA for coverage verification. do hereby cern rider the pa s and p !lies of perjury that the information provided above is true and c�uorrrect/9(? Signature -/�- Date 6 /, Print name L vLC- Phone# 7/ l� 32:2 62-9 ( - Ccon(act use only do not write in this area to be completed by city or town official own: permiUlicense 1 w r7 Building Department (:]Licensing Board if immediate response is required GSdectmen's Office (�—Health Department person: phone q; C other (macs 3/95 PIA) Town of North Andover NORTH OFFICE OF of "'. ey°O. �� L COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845ySS�C HUCcj4 W]LLIAM J. SCOTT Director (978) 638-9531 Fax (973) 688-95d2 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 1 licensed solid waste disposal facility as defined by MGL c 11, S 150 A. The debris will be disposed of in: (Location of Facility) Sig, ature 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 'J t' +i BOARD Or ATPEALS 6H-9541 BLiLDING 685-9545 CONSERVATION 688-9530 HE.;LTH 688-95-10 PLANNING 68S-9535 r Offsets as, shom are approximate e7 1-3 .34 S 1 , _ o �o w� � IIS 5"-;Op 177 VJoprj �.� . . �F�►- ' N � o 3S I, D Zone X outside the COO year flood plaid. i TO THE ( FA4&IL_�-( AND ITS 717LE INSURERS. ) MORTGAGE INSPECTION PLAN 1 CERTIFY THAT THE BUILDINGS ANOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS 1 1LqCA�^^�� 1.E (FRONT, SIDE, Jt REAR SETBACK ONLY) OF -�J Q N dJ�. 7 . WHEN CONSTRUOTEb. OR /ARE EXEMPT FROM VIOLA71ON EN''FORCEMENT ACTION UNDER MASS. G.L - TITLE VII. CHAPTER 40A. SEOTION 7, UNLESS OTHERWISE NOTED. MASSACHUSETTS I FURTHER CERTIFY THAT THIS PROPERTY ISZaNCz X LOCATED IN THE ESTABLISHED FLOOD HAZARD ARE11'OOMMUNITY PANEL NO.: Zr?-00:jE3 moo SG DATE:.6-?--#93 DEED -THIS COMPANY ISNOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO Tit RECORDED BOOK DATE OF THE LATEST DEED OF RECORD. PAGE WHENEVER BUILDINGS ARE SIIONM LESS THAN ONE FOOT FROM THE PROPERTY UNE IT IS ADVISED THAT MORE PRECISE SURVEY BE MADE TO VERIFY T}I.ESE MEASUREMENTS. CERT. N0, TMS CERTIFICATION IS BASED ON THE LOCATION 6V.SURVEY OF OTFIERS, AND DOES NOT PUN BK. PACE T A PROPERTY 6URVEY. VERIFICATION OF SVR AND OFFSETS. AS SHOWN, MAY BE ACCOMPUSHED ONLY BY AN AOWRATE, IN NTt J VE;V� PLAN X27 DATED THIS CERTIFICATION TO BE USE D F0,•; GAGE PU 1�. S 0 � R , NLY. �,lk,, 22 OFFSETS AS SHOWN 1994 USED FOR THE ESTABLISHMT� F� ..& SCALE: 1'- 4a' D Uca�L s j 9!k.9 BRADFORD ENGINEERING CO ' P.O. BOX 1244 JAMES W. BOUGIOUKAS '., ,S, #952%,r. HAVERHILL MA. Ote31 TEL (508) 373-2398 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve j the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION**** *****�*****'�` �**'` ,APPLICANT ��� ��e�S,Ft PHONE6y(b 73 cfl LOCATION: Assessor's Map Number 6 PARCEL_/,3v SUBDIVISION LOT (S) 3`� STREET r'G /Ti / /'�' ST. NUMBER S RZ- *****************r* '**"`****************OFFICI�4L USE ONLY******************* RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED b 2( GIG IDATE REJECTED COMMENTS N6 vil-LI (6a 1-TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED Z. SEPf_1C INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT 60 t Wd h I N1191 6661 RECEIVED BY BUILDING INSPECTOR DATE Revised 9W jm Location 7 l f No. Date 7 jo oT TOWN OF NORTH ANDOVER 3: •�`,' ..' ., a c� p Certificate of Occupancy • " • ; Building/Frame Permit Fee $ -2 Foundation Permit Fee $ --� Other Permit Fee $ j 'i�'& 3 7 Sewer Connection Fee $ e ``f 3 31 Water Connection Fee $ V► TOTAL $ J Building DIV.�ice'Inspector \ ^ ' 7463 _ �-J` Location 2 I.1-e 2, -g No. l b '`.. Date > NORT►, TOWN OF NORTH ANDOVER p Certificate of Occupancy $ 0 AP- : i ; # Building/Frame Permit Fee $ �,�sACMUSEt Foundation Permit—Fee $ /{"/J•U Other'Permit Fee ` Sewer Connection Fee $ ` Water Connection Fee $ _ s TOTAL Building Inspector y T. 7274 T. Div. Public Works ' LocatJfi No. - Date -Z-9' f „°RTM TOWN OF NORTH ANDOVERF �oL p Certificate of Occupancy $ . ° IM > ; Building/Frame_Permit Fee $ Foundation Permit Fee $ SACMUSt _d y ,- Other Permit Fee $ A1v b37 c Sewer Connection Fee $ �� ~� �' _ Cy 331= Water Corection Fee $ TOTAL l' $ 0/j s/;/�` Buildi g lector 6 9,2 7/ � Div ubk�c II `PEWMIT NO. ,��w APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /PAGE 1 z u 'r y/o'o Mt:P LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE I SUB DIV. LOT NO. �^ _� r l' LOCATI — - --C -- PURPOSE O BUILDING ' D f TZ 1 OWNER'S NAME NO. OF STORIES SIZE .r/ 1"7 OWNER'S ADDRESS 1 BASEMENT OR SLABC�� I ARCHITECT'S NAME S. I SIZE OF FLOOR TIMBERS IST /J Ir /O 2ND � /O 3RQo00' IF BUILDER'S NAME .L//1ILS SPAN DISTANCE TO NEAREST BUILDING ��`LC,[/� L DIMENSIIONS OF SILLS 4 P.T. --- DISTANCE FROM STREET os-�,+- POSTS i DISTANCE FROM LOT LINES—SIDES J „/L REAR / /.� GIRDERSC / ) ? AREA OF LOT +s /f may// ���C_•GJ T FRONTAGE / HEIGHT OF FOUNDATION �(((/CCCJJd _ THICKNESS /Q 0J IS BUILDING NEW G• SIZE OF FOOTING -z- X IS BUILDING ADDITION MATER:AL OF CHIMNEY � N IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY A i /) / C� IS BUILDING CONNECTED TO TOWN SEWER !� ✓ IS BUILDING CONNECTED TO NATURAL GAS LINE ! INSTRUCTIONS 3 PROPERTY INFORMATION j (� LAND COST SEE BOTH SIDES ��f/>Vls POW in ��� - `� EST. BLDG. COST LESS FM fr - Q EST. BLDG. COST PER PAGE 1 FILL OUT SECTIONS I - 3 p��},i �ppp , E X EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 Ei(/ MM C . - 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 FILED175/�44( BOARD OF HEALTH i SIGNATURE OF OWNE R AUTHORIZED AG T i J FEE 0 PLANNING BOARD PERMIT GRANTED 19 MER TEL,p 6 7 Z BOARD OF SELECTMEN CONTR.TEL.# MAY 2 M CONTR.LIC.#��� - N ) �/ /ti L�C�(ifiliL 2/ "i :G r,,.•* L -t p� �,p y�i BUILDING INSPETO CR II BUILDING RECORD 1 OCCUPANCY . 12 SINGLE FAMILY _ S TORIES - THIS SECTION MUST SHOW EXACT,:DIMENSIONS OF LOTA ND DISTANCE FROM MULTI. FAMILY - jFFICES LOT LINES AND EXACT DIMENSIONS.IOF;BUILDINGS, WITH PORCHES. GA- APARTMENTS .,RAGES, ETC. SUPERIMPOSED. THIS'REPLACES PLOT,-PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE B 1 2 I3 CONCRETE BL K. PINE ' 12 BRICK OR STONE HARDWD - PIERS PLASTER DRY VJAII UNFIN. 3 BASEMENTAREA FULL FIN. BM'T AREA _ '/ '/t '/, FIN. ATTIC AREA NO B M T FIRE PLACES -�•.. HEAD ROOM MODERN KITCHEN 4 WALLS I 9 %' FLOORS v CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE ��_ WOOD SHINGLES ''`EARTH _ ASPHALT SIDING HARD"JD _ ASBESTOS SIDING _ COMMCN _ VERT, SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME _ _ BRICK 'N MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME. 3M A01 22HAJ CONC. vR CINDER ELK. It STONE-ON MASONRY - WIRING wv STONE ON FRAME _ 'SUPERIOR I� POOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE I_AI HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK 1/ - SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER - 7 ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMB M Ml5 STEAM STEEL BMS. 8 COL HOT W T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G - UNIT HEATERS u 4Tr n'7+ern 7 NO. OF ROOMS GAS ..... �._A _ OI L 8'M'T 2nd ELECTRIC aM 1st ` 3rd 11 NO HEATING 9 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************tA�'pplican/t� fills lIout this section***************** APPLICANT: _ / �!� la�Lt S a vl 1 GQ Phone LOCATION: Assessor' s Map Number �6 Parcel Subdivision Lot(s) Street �. St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments 11 a 47� Date Approved -542,qQ' Town Planner c Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works — sewer/water connections 2-� s - driveway permit '41V 3-2-,94 Fire DepartmentEE fir-fLPir- ������^ �,,��✓ �� aJGP���;�� Received by Building Inspector, k'A 4 "" "� Date 14AY PROPOSED SITE PLAN C07 t+ IC KOO HILL RaaD y l4 Iqy l8i.85 8 •' 053''3 �,► I • ,, , 7 L OTvi 34 SC- PROp s Jo r \ r S .300236 I tit:, :� ✓t\ No! ;0 �1 lA y 20$63 `! i I CERTIFIED FOUNDA TION PZ_AN LOCATED IN NO. ANDOVER . MA_ SCALE /"= 40' DATE 7119194 Scott 1/9194Scott L Gi/es R.L.S. 50 Deer Meadow Rood North Andover, Moss. ^ 6% DO 3SS,S m ._D T .34 2/,81/ S.F. ` 1 EX/5T/NG FOUND. 5� 3 4 1 20� 21' SOT \ LOT 35 - -R=175. 00 L= 8_59 � � 1LL ROAD R� N � / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE SU/L DING /NSPEC TOR ONL Y ��► SHOWN COMPL Y AND SUCH USE/S FOR THE o WITH THE ZON/NG DETERM;1/AT/ON OF ZON/NG of-Re SY LAWS OF CONFORM/r Y OR NON- CONFORM/TY WHEN colvs TRUc rEo. WH47V BUIL T 7 I 4 ' w CERTIFICATE OF USE & OCCUPANCY - F Orth Andover Building Permit Number Sh Date SEPTEMBER 21 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 227 HICKORY HILL RD. - LOT #39 MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE & DECK WITH THE PROVISIONS OF SMASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATION AS MAY CERTIFICATE ISSUED TO Tara Leigh De 185 Hickory Hill Rd. ADDRESS North t�ndover _ Building Inspector f. SEP 2, 1 1994 over } Town ® �� v C IN :Andover, Mass., - 19.fly COC NIC riE wICK BOAR OIC, F`HEALTH PE Foo /Kitc en I Sep 'c System, ................ L BUILDING INSPECTOR a, ., . ... . .... ......_ .. ....:.... ...... . THIS CERTIFIES THAT.......... ��.. .. , 'Foundation v� itw as permission to erect. ® ... . .... uildings on Ak?.., o:... �.�R. X14• � Rough q-,,0cAA0 J £ eN�z aet AVA ccupied as ., . .: Chimney �®. .t be o &�.A. � Na provided that the person accepting this permit shall in every respect conform to the terms of the ap lication on file in Final O� 9�t-9¢-- this office, and to the provisions of the Codes and By-Laws relatin the Inspection Altera nand Construction of Buildings in the Town of North Andover. , ,} '. FOUNDATION ONLY PLUMBING I PECTO ►ED BY PARA. 1142-S. B.C. ,�,-- VIOLATION of the Zoning or Building Regulations Voids this Permit. x ff I �T ` T' �( !t",1 FEE � ' _ ! TRICAL INSPECTOR R PERMIT FOR FRAME/BUILDING ;61 .. ........ 1(4�AJFWT. Service /�S ... .. `� BUILDING INSPECTOR Fin DATE FEE PAID: / CN11)0111� ,-i OAS,INPECTOR��— o s. Place on the Premises -- Do Not. Remove ou 1 Display in a Consp.cu u �o� �/ No Lathing or Dry Wall To Be Done FIRE D.PARTMENT Until Inspected and Approved by the Building Inspector. [ Burner PLANNING INAL CONSERVATION Ohl: A + ' `'\ Street No. y\!f� ,! `� Smoke Det.. SEWER/WATER FINAL DRIVEWAY ENI RY PERMIT J� r � / MASSACH'JSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINC t (Print or Type) t NORTH ANDOVER Mass. Date 7 Buildina Locatio a1 9 C- 14C QOM' Permit # / �W s Owners Name • = New Renovation D Replacement Plans Submitted D v J FiX X . N W N rn Q m a a N = o v ca r x cn c: Q ?' x o F- w Q to N N W w p O = Q W F- N a W Q .. t- N 0.p = y t4 to W Z V W O7 {tl 4 Q a ,l cc 0 F- , }- z W W C7 O ? LL. tcc CC W W. U [� W Q W J < rt F'' Y'• N Cd : O W O N it C W > C W Q ¢ 4 C O C u. 3: Q 0 -1 00 c y - O W a {' + a 0 F- o Stl$—RST.ST. t } BASEMENT ' IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 13TH FLOOR 7Ti-( FLOOR 8TH FLOOR (Print or Type) �._T-lu-`��l' Check one: Certificate Installing Company Name 0 Corp. Address 'Z k C-O(Z <T" Partner. _ AL, QQ o� Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter �Wr\e3 CNp-:o-OLL Insurance- Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy X Other type of indemnity Q Bond Ej 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 U Agent E 1 hereby certify that au of the dctails and information I have submitted (or entered)in above application are true and accurate to the best of my knowl,dge and that stl plumbing work and Wtatlations performed under Permit iuued for this nppLication will-be in compliance with all pertinent provisions of tho iU&&achusetu State Cas Code and Chapter 142 of tho Genual LAWS. -A By TYPE LICENSE: Plumber Title Gasfitteris gnature of Licensed City/Town: Master umEel r�asfitter Journeyman APPROVED (OFFICE USE ONLY) License Number Date... . . . .. .�. .,. . .. pORTI, TOWN OF NORTH ANDOVER �: !D op PERMIT FOR GAS INSTALLATION �9SSACHUSE� �» r This certifies that . .('. r has permission for gas installation in the buildings of ` . . r. Vit. r 1r•. at i _ . .��. b- . . ,,North Andover, Mass. el Fee..-.--? l.: Lic N0'n.Ak f),Ir . . . . . . . . . . . . . . . . . . . . . . . . . OA/23f9QA , . PWS INSPECTOR WHITE:Applicant C NA� dfhda bept. PINK:Treasurer GOLD: File