HomeMy WebLinkAboutMiscellaneous - 240 CANDLESTICK ROAD 4/30/2018 (2)N
0
TOWN OF NORTH ANDOVER
SYSTEM PUMPING PECOU
)l EN') OWNER & AUDRCSS SYSTEM LOCATION
hex-4mPle: lcf( front of houst)
(J(
+ Y) v- � V-\ f n'- "r
I C OF PUMPING: )J/266Z�� -__
(QUANTITY PUMPCD 56a ; `:;,,
:.:)SIIOOL: NO V--Y.ES SEPTICTANK: NO YCS�_
�, A-FURC OF SERVICE: ROUTINE EMERCENCY
V:\T10NS:
GOOD CONDITION
FIFAVY CREASE
ROOTS
CXCESSIVE SOLIDS
SOLIDS CARRYOVER
>IL'M PUMI'CD BY.
, -) lI M CNTS:
U' rl:'.NI'� TIzANSFEiIzED TO:
(FULL TO COVC t
13AFFLLS IN PL.ACL.:
LEACHFICLD RUNBACK...
FLOODED r,
Oj�HF:R (EXPL.AiN)
lryv%�.
-�A .L
Date ... 2- e) — I ?—
........................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......... � J -o ---c-: Lx -1.>.q ......................................
has permission to perform ...... y - ie'�Ilev4d--r
........................................................................
wiring in the building of ...... ..........................................
at 9.0 ............ North Andover, Mass.
Fee .f�?.—'0.0 . ..... Lic. No—q1.11ftl .... ................... ....... ......
E PECTECAL INSPECTOR
Check #
`10726
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. /P 7 7— C,
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 MR 12.00
PL_
TYPEALL INFORMATI019 Date: 3 / q / ).,
City or Town of: NORTH ANDOVER To the Inspector ofWires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 02 alp c6iY1G�(p_ S'7�, CK A
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 Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑
New Service Amps / Volts Overhead ❑ Undgrd ❑
Number of Feeders and Ampacity
Location and Nature of P0 ose- Vd Electrical W/-/- -ork:
ro 1Qe �e�hnPe1� a `� Gcl��� n0
- C -?J -O /I —te V, 4 1 - e, � �
No. of Meters
No. of Meters
d Luminaires
e uuuwtn
No. of Ceil: Susp. (Paddle) Fans
cable m oe warvea b the inspector o Wires.
No. of Total
Transformers KVA
ire Outlets
ffofLummaires
No. of Hot Tubs
Generators KVA
Swimming Pool =��
o. o mergency ig ng
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiatin Devices
No. of Ranges
No. of Air Cond. TotTons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Number
Tonsµ KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*.
No. of Water
No. of No. of
No. of Devices or Equivalent
Heaters KW
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalent
oc1 Attach additional detail tf desired, or as reguired by the Inspector of Wires.
Estimated Value of Electrical Work. OU "— (When required by municipal policy.)
Work to Start: .3117// --- Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE CO GE: 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 covSFage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Er BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties ofperjary, that the information on this application is true and cosi kie.
FIRM NAME: Z , � LIC. NO.: d /d YCT,4
Licensee: % o s -e10 ti / y4,� Si natur
g LIC. NO.:d,9111 qf
(Ifapplicable, enter e'x mpt 1n the liipense number line.) Bus. Tel. No.: 7-819 YO a7y
Address: _ .27 'D ,S't Pel&I4 14A Alt. Tel. No.:
'Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No.
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
Signature Telephone No. PERMIT FEE: $
_ EJ_ECT.LiJ.Cy{�.�yy�tyJC-(•EiRM.lR N* (C)Y.�R�yp ��(• _.u` SPEC,u.,RO.I'Y PXPORT.
Re -inspection req uivreCT($50.00) ~ ( ]
�Tnspectoxs' commeJafs:
(lap pectore signatuze ••no fnztials) Date
?gassed-- Failed--je-3cnspectio�xequixeci ($50.00) •- [ j
xn6pectors' commnfs:
L
(Xfspe torspiguaturkv.,ao init' Ts) Date
3. YJNDER CRODM INgPFCTXO:
Passed-- j 7 F+ Fled— j) ?fie-xnspeetzon xequirect ($ OAO) [ ]
Inspectors' comments:
(Inspectors' Signature •- no initials) Date
�.II+IPECTXOZ+T—IOtC':
DATE C.17 twin W� � I ONAL CM i i : 3VA1tj1 + • .
Passed— [ ) Failed --I j Re-iuspecdonrequired ($50.00) - [ �
Inspectors' coxnmeils:
(Insp ectors' Signature - Sao initials} Date
5. MSPECTXON •- OMR: I
Passed--•[ I+ailed--[ ). 'Re -inspection required ($50.00)•-[ ]- -
Cnspectoxs' corizm.ents:
(tu-spedors' Signature -no initials) Date
I➢ 0 O TAGS AM TO BE FILLED O17T AND MFT ON SJ[`.I`E IF TBE APXA TO 3E WSPECTED 19 NOT
A.CCESMEE AND A. RF WRPECTXON OF $50.00lS TO DE CMGED. -
,
�. s The Commonwealth of Massachusetts
' Department ofIndustrial 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 Lezibly
Name (Business/Organization/Individual):
Address: 07 Dyle Yl -
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).*
have hired the sub -contractors
2. I am a sole proprietor or partner-
listed on the attached sheet. I
slip and have no employees
These sub -contractors have
working for me in any capacity.
workers' comp. insurance.
[No workers' comp. insurance
5. ❑ We are a corporation and its
required.]
officers have exercised their
3. ❑ 1 am a homeowner doing all work
right of exemption per MGL
myself. [No workers' comp.
c. 152, §1(4), and we have no
insurance required.] t
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. E] Remodeling
8. ❑ Demolition
9. ❑ Building addition
10. ❑ Electrical repairs or additions
1111 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 aie doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: 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 requiredunder 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 insurany..Eoverage verification.
I do hereby cer . un r��alties of perjury that the information provided above is true and correct
Siunafirre- _/D� bate. S/i24/1A
0
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 #:
t
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced -acceptable evidence of compliance with the insurance coverage required"
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or' -permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial .Accidents
Office of Investigations
600 Washington Street
Boston., MA 02111
Tel, # 617-727-4900 ext 406 or 1-877:MASSAF&
Revised 5-26-05 Fax # 617-727-7749
vvwwanass,gov/dia
Date. /� A?/�/ / ........
'. . - WX \,,, TOWN OF NORTH ANDOVER
-�ro PERMIT FOR GAS INSTALLATION
This certifies that -6,1C
has permission for gas installation Y kq N.A. Ztvn4,�
-7
in the buildings of ......
yg.5.. jqirze
7. 11 . . . . . . . . . . . . . . .
at gc-a. North Andover Mass.
?��
Fee..Aq. Lic. . .4'
GAS INSPECTOR
Check#—Z/S/S
7867
P
1
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO —GA S FITTING
s City/Town: /V �'�� Date: ( IV/91 T%
Permit#
J' Building Locatic,�'
Owners Name:S"6,
Type of Occupancy: Commercial Educational Industrial Institutional Residential.:
New: Alteration: Renovation, Replacement: Plans Submitted: Yes No ,
FIXTURES
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SUB BSMT.
BASEMENT
1 FLOOR
jw FLOOR
-Pu--FLOOR
4 FLOOR
5 FLOOR
6 FLOOR
7 FLOOR
8 -FLOOR
Installing Company Name:
CAC MECHANICAL
SERVICE
Check One Only Certificate #
Address: 68 F STILES RD
City/Town: SALEM
✓
Corporation 2101 C
State:
NH
10
Business Tel: 603-893-6618
Fax: 603-870-5430
Partnership
Name of Licensed Plumber/Gas Fitter: FRANCESCO PREMUTICO
Firm/Company
...vvw�wG vV V CRHl7t:
I leave a current liabilitv 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 of coverage by checking the appropriate box below.
A liability insurance policy ✓ Other type of indemnity Bond
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
Check One Only
Si nature of Owner or Owner's A ent Owner Agent
By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and
accurate to the best of my Knowledge and that all plumbing work and installations performed under permit issued for this application will be d
compliance with all Pertinent provision of the Massachusetts State Plu ode and Chapter 2 of he General Laws.
By Type of License:
_ Plumber
nn
Title Gas Fitter
Master Signature of Licensed Plumber/Gas itter
City/Town Journeyman
APPROVED (OFFICE USE ONLY) LP Installer License Number: 10043
'
ISSUES THE ABOVE LICENSE TO:
'
JAMES I MORRILL '
`
�4 NEW HAVEN DR ,
,
302
NA8HUA NH 03063-507I
' |
15092 05/01/12 702345 |
`
°,F HOHi/y,
"
OFFICES OF: o� � � "�°�
Town of
� m
APPEALS NORTH ANDOVER
BUILDING
CONSERVATION @B,CHU DIVISION OF
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
Memorandum
TO : North Andover Board of Health
FROM : Richard Doucette, Conservation Administrator*
DATE : April 23, 1992
RE : Variance Request for Lot 7A Candlestick Rd.
120 Main Street
North Andover,
Massachusetts o 1845
(617) 685-4775
I have been informed by Tom Neve that a request for a variance
from the 100' wetland setback is before you tonight. I have been
asked to provide some input on this request. The wetland in
question was shown on the subdivision plan approved years ago.
In the field, this wetland actually appears to be 20 to 25'
closer to the proposed septic system than the plan indicates. The
previous wetland line may have been approved by the Conservation
Commission several years ago when reviewing Jerad Place
subdivision. Applicants, and the Conservation Commission, have
improved their abilities to delineate wetlands in the past few
years.
This wetland is now being used as detention pond. It is the
applicant's contention that the wetland has grown due to its use
as a detention pond. I disagree. I believe the wetland has been
that large all along and that a poor delineation was approved
years ago. This is not uncommon in the older files I have
reviewed. The septic system cannot be moved in any direction
since the house and system are essentially on an island. The
Commission would prefer the applicant to pursue a variance with
the Board of Health as opposed to filling wetlands to meet a
setback.
i
ration Y
No. Date
NORTH
TOWN OF NORTH ANDOVER
p .
Certificate of Occupancy $
Building/Frame Permit Fee
$
�s E��
S�cHus
Foundation Permit Fee $
t®
h 7
O/ ermit Fe� $ Zi U U
P
Sewer Connection Fee $
Water Connection Fee $ �—
TOTAL
/�/ Building Inspector
/31/
7206
48:25 117. CO SAID
Div. Public Works
PEitJUT h'b. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
`/PAGE l
MAP d,40.
LOT NO.74
2 RECORD OF OWNERSHIP IDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.—I
I
LOCATION .d' Yb�hi1�JTICl� �`
�
PURPOSEOLG oz�'L ^0\
OWNER'S NAME J-S'q clY- L4(j:jmr rx
NO. OF STORIES SIZE O i/
OWNER'S ADDRESS a V Cl
•Eh
%��
BASEMENT OR SLAB
ARCHITECT'S NAME
IH) \V f
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME +
SPAN
DIMENSIONS OF SILLS
- POSTS
DISTANCE TO NEAREST BUILDING 3 1C"T-c
J
DISTANCE FROM STREET f/ rO
DISTANCE FROM LOT LINES – SIDES f b + REAR
0o
" GIRDERS
AREA OF LOT /rJ� ` • FRONTAGE 5.,0 a5-
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
/WILL BUILDING CONFORM TO REQUIREMENTS OF CODEC
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY yo"
7
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES j4goz
J97V
PAGE 1 FILL OUT SECTIONS 1 - 3
Y PAGE 2 FILL OUT SECTIONS 1 - 12
1 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
�s ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
1-1 DATE FILED zel— C;2�_-7 IV
SIGNATURE OF A HORI AGENT
FEET
PERMIT GRANTED
19
OWNER TEL. qb $1-O yt v
CONTR. TEL,
CONTR. UC. #
3 PROPERTY INFORMATION
LAND COST
,EST. BLDG. COST
EST. BLDG. COST PER SQ. FT. O
EST. BLDG. COST PER ROOM
S%PTlC PERMIT NO.IS-ea
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
Fr- 2
BOARD OF SELECTMEN
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY 11
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
CONCRETE
—I
8 INTERIOR
FINISH
PINE
3
_
_
1
_)
—{I
2 13
CONCRETE BL'K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALLUNFIN.
_
3 BASEMENT
AREA FULL
'/. 1/1 '/
FIN. B -M'T' AREA
FIN. ATTIC AREA
_
_
NO BMT
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
B
1
��_
2
3
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
_
HARD"J D
COMfACN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
ATTIC STRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
GAMBREL
FLAT
HIP
MANSARD
SHED
BATH (3 FIX.)
TOILET RM. 12 FIX.)
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 II
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
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
ELECTRIC
B'M'T 12 d I
n _
1st 3rd NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
5
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UO�RUS OR SWES ON WISE PMIM%, NA )NF'ORNAt10N CONSEJWNO.Nd IMSMW S1"*DS.
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FAMILY Pools & Patios, Inc.
Sales • Service • Supplies
J-
92 So. Broadway • Lawrence, Massachusetts 01843
Telephone: 688-8307
NAME ?! I i�� (:i'� _ii c�l�J I DATE ' 19�
ADDRESS 69V1.AAeurT1bK (ff
CITY �A&ZIAo llAq STATE A4Y TELEPHONE 4s (a,:+ o Res.
�-Oys rJ WI<.
•PROPOSAL•
We propose to furnish and install one
swimming pool for the sum of $ 'f ,<^/'
The price for normal installation consists of:
Six (6) hours digging time • Installation of pool with filter and wall skimmer • Backfilling and rough
Ibrading around pool not to exceed six (6) hours or one (1) trip.
The pice does not include:
Any electrical work • Excavating over six (6) hours • Backfilling and grading over six (6) hours or one (1) trip
Blasting or Jack hammering for removal of ledge or large rocks • Re -seeding of grass around ,pool
Trucked In water • Patio around pool or any accessories, except as noted below • Additional fill, if necessary,
a L"ackfill or reshaping of hole • Disposal of large rocks • Disposal of stumps
Stumping and removal will be subject to an extra charge.
A water condition in the excavation of the pool will be subject to an extra charge.
Customer is to supply access for all trucks.
It is the owner's responsibility to obtain the building permit.
We strongly recommend waiting one (1) season before installing any patio; however, one may be
installed as soon as nine (9) weeks.
*EXTRAS,
Vaccuum Cleaner
--Ladder(s) (2/,3)'-; W-
Diving Board , r ((' fl AJ, e : ! j,,-)
Chemicals )
Maintenance Kit
Lifeline
Main Drairi
it
Winter Cover ( )
Solar Cover ( )
Light"OFr,,/f,� /J
( YORC !. )
�
�/ �.•
;' i. �"
Heater ( 00 o0o
Heater Installation
Slide ( )
7Dy
Slide Installation
R•°r'
Polaris Vac -Sweep
Polaris Installation
Polaris retrofit only
Inline Chlorinator
Miscellaneous ( )
*CONTRACT*
f
Steps ("
Filter
With /HP Super Pump'
1st Winterizing
Liner
Coping
C Pf;�f1 N�r
/ -JC.
TOTAL EXTRAS > ��• \,
BASIC POOL PRICE
SUBTOTAL $
5% MA SALES TAX
TOTAL
LESS DEPOSIT
$
BALANCE OF CONTRACT $
PAYMENTS: 1/3 Excavation, ,1/3 Liner Installed, 1/3 Completion
The Buyer hereby agrees to pay in full, the total amount of this transacti ompletion of pool
installation. You, the Buyer, Icancel this transaction at an idnight o he third business
day after the to of this sa ion.
BUYE
SELLER
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SECTION ( 1�._:1-- _ .
/0
i cINICT I - C)UT LET
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Box
-NOT To SCALL- JANjjSZ
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154,209 S-F..-t r1"-,F- T(:)
1 54 ACRES± _U 2 C, H A 1A b L 1.'
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TOP OF
61
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1,VJ I k_: N.STALI F011y
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(2RAVE.SASE.OF
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F-1120ilT F 00ILL I. I 1 16
FIZOWACE OF VAAt L_
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TO Fa &tO4 ICA !G F T
A Sf-PT I C 'V A 1) k'
W KIt4 of C a. AW) I C: A C I I A fe E A
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CI vILI.HLQUIHEMEN HUAo.,
0 FEET BEYOND i E A(. Ifi,
WA6HED SAND OR OTHER Ci
Tc r r—r-
FROM CLAY, FINES. DUST, c..
Box STUMPS, FROZEN CLUMPS t..
WASTE CONSTRUCTION MAI,
FOM U
TOWN OF NORTH ANDOVER
LOT RELEASE FOM
SUBDIVISION
i
ASSESSORS MAP
SUBDIVISION LOT(S) / /-T
PERMANENT ADDRESS (ASSIGNED BY D.F_
STREET Z
APPLICANT
DATE OF APPLICATION kJ
N
PLANNING,BOARD
TOWN P
CONSERVATION COMMISSION
--r-) 0 , r/I
CONSERVATION ADMIN.
BOARD OF HEALTH
TH SANIT
TOWN USE BELOW THIS
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
WATER CONNECTIONS
FIRE DEPT.
M
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* x
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*
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DATE APPROVED_
DATE REJECTED
$Ostiai DATE APPROVED (AVIV
KX4V4( &0z DATE REJECTED
DATE APPROVED a
DATE REJECTED
RECEIVED BY BUILDING INSPECTION !
DATE
This form shall be signed by the agents of the Planning and—Heal _th•Boacds,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
Location
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
}° Building/Frame Permit Fee $ 2 r -7 7 ��
c • _
a''"°"'��� Foundation Permit Fee $ - + 17 '
JACh.SE
RECEVgED pA%jr Permit Fee $
,o*N 4AC0U%%er Connection Fee $
Water Connection Fee $
Building Inspector
Div. Public Works
Location _
No. Date
Of "ORTN TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
a; Building/Frame Permit Fee $Os
— v
�S 44"' CHUS c� Foundation Permit Fee $
her
Permit Fee $
C Seection Fee $
TV4i0r nnk Fee $ - -
A TOTAL $ '
//�
(1; Building Inspector
Div. Public Works
Location
No. i % Date ',2 -? .,,Z.
M RTh A TOWN OF NORTH ANDOVER
p Certificate of Occup $
.�_._.
Building/Frame Permix Fe—"'""'
Foundation P$? it Fe $
s�cMusE
Other Permit Fee"%,
'& /
Sewer Connection Fe;?"/.O, $
( L 3 Water Connection Fee , X00. C?0
TOTAL $ v�L�ii1_ d
13611bing Inspector
L �' Diva Public Works
'r pro. APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. /// PAGE 1
MAP +40.
LOr NO.
2 RECORD OF OWNERSHIP
(DATE
BOOK 'PAGE
ZONE
I SUB DIV. LOT NO.
LOCATION'_42 V �,L. C� �S f
C1/J'
/_
PURPOSE OF BUILDING
�
�i/1��
OWNER'S NAME V�^ �� ���
V
`
NO. OF STORIES SIZE
OWNER'S ADDRESS C
BASEMENT OR SLAB:_,__ _
ARCHITECT'S NAME z
BUILDER'S NAME w�•�iJ'1.1!✓ ��/'rte>1
/ /
�C••
SIZE OF FLOOR TIMBERS IST rJ�/�xt a
2� ND 3RD
SPAN
DISTANCE TO NEAREST BUILDING a� 0 a✓
O[
DIMENSIONS OF SILLS
DISTANCE FROM STREET 'f O'er
POSTS—���/Cf �tt
(I- SIDES I p
DISTANCE FROM LOT LINES1JC/
REAR lip 9
GIRDERS�L�
AREA OF LOT gr-.
;& _4_J
FRONTAGE
HEIGHT OF FOUNDATION
THICKNESS (a
IS BUILDING NEW )(e -,r '
SIZE OF FOOTING
X
IS BUILDING ADDITION /X .p
/
MATERIAL OF CHIMNEY Cle
IS BUILDING ALTERATION N p
IS BUILDING ON SOLID OR FILLED LAND
S 0)
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ye f
IS BUILDING CONNECTED TO TOWN WATER yei
BOARD OF APPEALS ACTION. IF ANY /�a
`
IS BUILDING CONNECTED TO TOWN SEWER %>1
IS BUILDING CONNECTED TO NATURAL GAS LINE e If
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY UILD INSPEC/ill
R
sy
DATE FILED
SIGNATURE OF OWNER OR AUTHOR IZEWAGENT
FEE
PERMIT GRANTEP O r
19_
OCT 2?_
L-A
OWNER TEL. #- bL340y 0
CONTR. TEL.
CONTR. CIC. 19 cA a V
3 PROPERTY INFORMATION
LAND COST 116 Al
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
PERM° fr-.IM2 1 W
.,2 OR S—
/E P{w�FJ_R :, .
Y
k
1 OCCUPANCY
SINGLE FAMILY STORIES
MULTI. FAMILY OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION I 8 INTERIOR FINISH
CONCRETE(�<�,II _ a 1
CONCRETE BL'K. PINE — —
BRICK OR STONE HARDW D
PIERS PLASTER _ —
_ DRY WALL —
UNFIN.
3 EASEMENT
AREA FULL FIN. B M AREA —
1 1/7 1/ FIN. ATTIC AREA —
NO B M T FIRE PLACES
HEAD ROOM — MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �—
WOOD SHINGLES EARTH
ASPHALT SIDINGHARD_— W D
ASBESTOS SIDING COMMON —
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY�—
STUCCO ON FRAME.(—
BRICK N MASONRY ATTIC STRS. FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK. WIRING
ROOF 10 PLUMBING
KITCHEN SINK
6 FRAMING
II 11 HEATING
PIPELESS FURNACE
WOOD JOIST
FORCED HOT AIR FUI
TIMBER BMS. 8 COLS.
STEAM
HOT W'T'R OR VAPC
STEEL BMS. JL COLS. —
AIR CONDITIONING
WOOD RAFTERS
RADIANT H'T'G
UNIT HEATERS
GAS
7 NO. OF ROOMS
OIL
BMT 2nd _I
ELECTRIC
NO HEATING
t st 3rd
BUILDING RECORD
12
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT
AGESLINES
ETCASUPER MPOSEDE1TH 5 REPLAC 5PDITH PORCHES. GA -
LOT PLAN
R
n
Al 2
4