HomeMy WebLinkAboutMiscellaneous - 25 OGUNQUIT ROAD 4/30/2018Liberty Mutual®
INSURANCE
June 10, 2014
Town of North Andover
Attn: Building Inspector
120 Main Street
North Andover, MA 01845
Liberty Mutual Insurance
New England Region Central Property Unit
75 Sylvan Street
Danvers, MA 01923
Tel: (800)566-0323
Re: Property Address: 25 Ogunquit Rd, North Andover, Ma 01845
Policy Number: H3221212649321
Underwriting Company: Liberty Mutual Fire Insurance Company
Claim Number: 029876757-0001
Date of Loss: 5/1/2014
Attn: Town/City Official
Pursuant to M.G.L. c. 139, § 3B, 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, §99, if you intend to initiate proceedings designed to perfect alien
pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, § 9, or Mass.
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
Date. :-;� t ..2 `. - z—.. .
` TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ...:.................. ...................
has permission for gas installation . .: - ...........
in the buildings of .......' '% ' .. ................. .
at .. ,North Andover, Mass.
Fee.? ....cLic. oLy�!.'.>....L• �. '- .........
GAS INSPECTOR
Check # `I-) e-& -
3 - f0
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Tvoe)
G
/&IeI16U, MA Date r}- 20 G ')— Receipt# Permit#
Building Location dS 0 !;il"7— A-41 Owner'sName
Map: Lot: Zone: Type of Occupancy
New (D/ Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑
39q "I
installing Company Name EASTERN PROPANE & OIL, INC.
Address 131 MATER ST DANVERS M_A 01923
Estimate Value of Work:
Checkone: Certificate
Corporation
❑ Partnership
Business Telephone 800-322-6628 ❑ Firm / Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ltY' No ❑
If you have checked yes• please indicate the type coverage by checking the appropriate box.
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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Checkone:
Owner C2 Agent❑
Signature of Owner or Owners 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 application will be in compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GenyqLaws.
By Type of License:
Plumber Signature censedPlumber orGas Fitter
Titre Gasfitter
Master License Number
City /Town Joumeyman
APPROVED (OF7r CE USE ONLY)
Revised OW17/00
■■mo�imi■�o■■o�■a
■
installing Company Name EASTERN PROPANE & OIL, INC.
Address 131 MATER ST DANVERS M_A 01923
Estimate Value of Work:
Checkone: Certificate
Corporation
❑ Partnership
Business Telephone 800-322-6628 ❑ Firm / Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ltY' No ❑
If you have checked yes• please indicate the type coverage by checking the appropriate box.
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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Checkone:
Owner C2 Agent❑
Signature of Owner or Owners 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 application will be in compliance with
all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the GenyqLaws.
By Type of License:
Plumber Signature censedPlumber orGas Fitter
Titre Gasfitter
Master License Number
City /Town Joumeyman
APPROVED (OF7r CE USE ONLY)
Revised OW17/00
.a -
Y
J
z
O
LU
a)
w
U
LL
LL
O
O
LL
3
O
J
W
m
z
O
U
w
c
z_
m
h
w
C7
O
CL
z
O
U
w
a
U)
z
J
Z
LL
W
W
LL
O
z
O� M
C �
e Town of
�`�__;���+t'• NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
� a�( u udQer s5��
PERMIT NO.: v J PROJECT: 9poom-)d 3 161800Mft DATE: )HA -00
UNIT NO.:
FLOOR:
REMARKS: E ,54 0CS+
WING: BUILDING NO.:
,l'ot J a C
Excavation - depth and soil conditions
Framing -
Other:
Date: -3 '— 02 6 — 0'/
Date:
Date:
Inspector___ .2/V (6--
Inspector
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date: � ` 5-
Date:
Date:
Inspector ,�.� C
Inspector
Inspector
Electrical - rough -
Plumbing and/or gas - rough -
Other:
Date:
Date:
Date:
Inspector
Inspector.
Inspector
Electrical -final
Plumbing and/or gas - final
Other:
Date:
Date:
Date:
Inspector
Inspector.
Inspector
Fire Dept -
oil burner, tank, stove, smoke detectors
Final inspection
Certificate of Use and Occupancy
Date:
Date:
Date: —Cof 0#
Inspector
Inspector.
Inspector
orm #995 Action Prow, 665-7000
APR -22-2010 06:53 PM LARRY OGDEN 978 352 2858 P.01
LAWRENCE H. OGDEN, P.E.
198 EAST MAIN STREET
GEORGETOWN, MA 01833
978-352-8318 fax 978 —332-2858
cell: 978-502-5921
April 22, 2010
t'
Mr. Rob Hardacre
Travis & Tim. Construction
720 Boxford St.
North Andover, Ma.01845
RE: Lot 28 Ogunquit Road, North Andover, Ma,
Dear Mr. Hardacre
As you requested I visited the site to review the installation of the Engineered
Materiaas consisting of LVL beams utilized in the framing of the above project. These are
shown on plans prepared by Martha Macinnis, Dated January 6, 2006, revised 2/2/2010
and 2/19/2010 with sheets 7 thru 12 certified by me.
I originally visited the site 4/1/2010 and issued a memo dated 4/2/2010 and SK -2
dated 4/5/2010 listing some corrections required. I revisited the site 4/21/2010 to verify
these corrections were performed. These items were corrected except that the blocking
between the roof rafters were not installed as shown on SK -2 ( copy attached). These
were originally shown on Detail 2 sheet 9 braced wall panel additional connections.
Based on the above site visits and based on what I could visibly see I can certify
that to the best of my knowledge the Engineered members utilized in the framing as
shown, on the drawings are installed properly and meet the loading conditions of the
Massachusetts State Building Code for 1 &2 Family Residences. This certification
assumes that all other framing requirements of the code, including but not limited to
materials and nailing schedules, were properly complied with by the licensed
construction supervisor responsible for the project. Further the blocking between the
roof rafters must be installed.
Should you have any questions please do not hesitate to call.
Yours truly,
Y.
Lawrence H. Ogden P.E. Structural 27765
H OF At,
WRENcB car
� H MOLD M ¢JZZ'Zoto
w
a
0
_ Travis and Tim Construction Inc.
a OG(4 ✓ Q u 11 a AT) Custom Homes
S7-1 /-/,,
//"I
ro r el�
JUN 2 7 2001
BUILDING DEPT.
l e i e-,-- zl-zfe i7
Peter Breen • 770 Boxford Street • North Andover, MA 01845 4 978-687-7774
N2 3 ru- 3 2 Date......... .........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that
has permission to perform .....
wiring in the building of ... ..................................................
....................... . North Andover, Mass.
at ..... ................. . .
Fee ...... ;7 ............ Lic. No .............. ..
...... ...... ............................
ELECTRIC AL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TAE091t1 0AW 4LTHOFARMCHUSE77S office Use only
DEPARTA10VTOFPVBLICSAFM Permit No.A-
BOARD OFFIREPREVEW0NRWUMTI0AS527CMR12:00
Occupancy & Fees Checked
S APPUCATTONFOR PERNIlT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE NIASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 3 — 4 �/
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) ,1,57- 1,2
Owner or Tenant Ti7i9//i,5 f TI.yI l/31�/Sf: /�C�
Owner's Address //U
Is this permit in conjunction with a building permit: Yes" No (Check Appropriate Box)
To the Inspector of Wires:
Purpose of Building MI Utility Authorization No.
Existing Service Amps / _ Volts Overhead Underground No. of Meters
New Service AmpsJg /., dC)Volts Overhead Underground �� No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. oftighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
groundEl
ound
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices .
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Locala Municipal
Other
No. of Dryers
Heating Devices KW
Connections
a
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
It UM=CoM� RM"
Ihmeaama>tLmbtddyhstxa=Pohyindud'mgCanptOe Oppations Cotelagecrits sk9andralegtrivalat YES FA'NO
IhmestbmirtadvalidpodofsametotheOlfm YES 0 NO IfjcuhseducWYES p{ mmdc* heWcf'wmaWbyd=kirgthe
INSURANCE M BOND OTHER (PweSpaafy)
WotkioSmatt 323 2
FIRMNAME
hpectimD*R4xsted
G
Dq iratiat Drage
Estimated ValuedE1xixal Wodc $
Rough Emal zf",>//
M. P, '`
FA FRI •
i' T. N. i.\
-
p7f� 699 —,, d --,5- 3_
Address/%r2 AV-d,� Q N/�- 5�0✓� . /Ji'j� l3% �' c/ .._� AltTelNa
OWNER'S INSURANCEWAIVER;IamawatethattheL =dMnut>ceit�tra>oecUe�ecrilsstri�>baleguivalatastegtruedbyMassadtse�Cr�teralLaws
and thatmy sigr�btaeon this petmd wain this teguearter>t
(Please check one) Owner M Agent
Telephone No. PERMIT FEE
LocationQ I �aC (a 5"") 1j
No. & 117 Date o?�
„oR,M
TOWN OF NORTH ANDOVER
-
Certificate of Occupancy
$
�',s'••°' E<�
s�cMus
Building/Frame Permit Fee
$
+
Foundation Permit Fee
$
Other Permit Fee
$
TOTAL
$
Check # l
Building Inspector
TOWN OF NORTH -ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
BUILDING PERMIT NUMBER: 6117
DATE ISSUED: _ /3
SIGNATURE:
Building Commissioner/Infiwor of Buildings Date
SECTION 1- SITE INFORMATION
1.1 Property Address :Ca
1.2 Assessors jMap and Parcel Number:
Map Number
Parcel Number
1.3 Zoning Information:
1.4 Property Dimensions:
Zoning Distrid Proposed Use
I.R ArW(s
Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Reggired Provide R red
Provided
R
'red Provided
YO o
s- 7
-5 '1 �
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: \'
Zone Outside Flood Zone AJ
1.8
Municipal
Sewerage Disposal System:
❑ On Site Disposal System
Public Private ❑
I SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT I
2.1 Owner of Record
&-, 1'4� , -�za 07 -
Name (Punt) / Address for Service
Signature /P, A ., Telephone
2.2 Owner
Name Print
i
Signature , Tele hone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: //
Licensed Construction Supervisor:
-51-lo t/ ,,,,V s S�4,
Address
3.2 Registered Home Improvement
Company Name
Address
Address for Service:
�k, 0,
Telephone
Not Applicable ❑
05 � � �J�
License Number
�- -UW
Expiration Date
Not Applicable ❑
Registration Number
Expiration Date
SECTION 4 - WORKERS COMPENSATION (1VLG.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure
in the denial of the issuance of the building permit. 9v -ZVF
Signed affidavit Attached Yes .......❑ No ....... ❑ A-74 .
SECTION 5 Description of Proposed Work(check au a licabl
New Construction Br Existing Building ❑ Repair(s) ❑ Alterations(s) ❑
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
I SECTION 6 - F,ST MATRn CONSTRUrTION Cn-TC I
r
�rovide this affidavit will result
Addition 0
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5
Check Number
aht, t1UIV /a UW f'4 K AU I HUK1LA 1lUf4 'W ISE CUMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH.DING PERMIT
I, , as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
Date
1, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
Print Name
Si ature of Owner/Agent
NO. OF STORIES ,2
BASEMENT OR SLAB 19 S i` Mr Tv
SIZE OF FLOOR TIMBERS 0 1 0
SPAN /
DIMENSIONS OF SILLS )lam
DIMENSIONS OF POSTS a �A
DIMENSIONS OF GIRDERS 1112
HEIGHT OF FOUNDATION Y
SIZE OF FOOTING c "
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND QJj'
IS BUILDING CONNECTED TO NATURAL GAS LINE f�
Date
SIZE
,Y/0 27
THICKNESS 1 v r
X
1
Qa av n I,F
FORM - U - LOT RELEASE FORM
G
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.
APPLICANT PHONE
T
ASSESSORS MAP NUMBER LOT NUMBER.�0
SUBDIVISION Rock,Iwk I LOT NUMBER 12
STREET & J STREET NUMBER ZS
OFFICIAL USE ONLY
RECO ND TIONS OF TOWN AGENTS
one 0 man 'ba as use
DATE APPROVED
OVA - - a
L 11 DATE REJECTED
COMMENTS pot %yL� 7 l� -1 ..�vn/tit
u
Lirk; J,
DATE APPROVED
TOWNP R
DATE REJECTED
COMNfENTS
DATE APPROVED
FOOD INSPECTOR/HEALTH �-- % DATE REJECTED
DATE APPROVED // o -o
l S PT�WSPECTQt.-$EALTH -
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWER / WATER CONNECTIONS /D-IZ-oc)
DRTVEWAYIP RMTT
�\
///?'/6TE
APPROVED
FIRE DEPARTMENT
DATE REJECTED
CONUV ENTS
RECEIVED BY BUILDING INSPECTOR DATE
I 11 liUllllllUllWt!dllll Ul /VIdJJdL;llU, fi 11J
Department of Industrial Accidents
Office of Investigations
Boston' Mass, 02111
Workers' Compensation Insurance Affidavit
Please Print
0
-600
am a homeowner performing all work myself.
am a sole proprietor and have no one working in any capacity
fi l I am an employer providing workers' compensation for my employees working on this job.
L
Company name.•
Address
City- Phone #:
Insurance Co. Policy.#
Company name:
Address
Failure to secure coverage as required under Section ZbA or MUL I 5 can lead to the imposition of criminal penalties of a fine up to $1,500.00
andipr one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herby certify under the pains and penalties of perjury that the information provided above is Eve and correct
Print
Official use only do not write in this area to be completed by city or town official'
❑Check if immediate response is required Building Dept
Contact person:_ Phone A-
FORM WORKMAN'S COMPENSATION
00
C Building Dept
p Licensing Board
p Selectman's Office
Health Department
E Other
Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 01845
(978)688-9545 Fax(978)688-9542
DEBRIS DISPOSAL FORM
ti ttORT
Q �SLlD
4
0
0
[OCMIC W wK M
�9SSACPIUS����
In accordance with the provisions of MGL c 40 s 54, and a condition of
Building permit# the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a.
The debriswillbe disposed of in /at:
Facility location
117 Ael
Signat of Applicant
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT
TOWN OF NORTH ANDOVERBUIELDING DEPARTMENT
This -form shall be used to assist the Building Department in their determination of exemption under section
8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the
necessary information as requested below.
Permit Applicant Property address ` Map / Parcel
V
Applicant's Phone Number Single Family Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this form is completed
does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not
absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building
permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only
officially accepted when the building permit is issued.
Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building
permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as
of the effective date ofthis bylaw, provided that no additional residential unit is created.
The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw.
This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions
of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens
through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean
persons over the age of 55.
This application is part of a development project which voluntarily agreed to a minimum 40 %permanent reduction in
density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the
surplus land equal to at least ten buildable saes and permanently designated as open space or farmland. The land to be preserved shall
be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other
similar mechanism approved by the planning board that will ensure its protection.
_ This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent
parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and
Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel.
This application represents a lot which is ready for a building permit ( all other permits from all other boards and
commissions have been received and the project is in compliance with those permits), and the Development Schedule does not
accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as
the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this
EXEMPTION.
PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A
DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS.
BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED
BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE.
FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE
CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR
NOT S RO S FOR REFUSAL BY THE BUILDING DEPARTMENT TO ISSUE A BUILDING PE MIT.
c isj-0APPLIC S SIGNA DATE
THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION
t
Ilia al . -Ilwwack oeM
BOARD I WING REGULATIONS
_ License: CO! CTION SUPERVISOR
Number: C; 009544
Birthdate: 03 :8
+ - Expires: 03 2 Tr. no: 19008
Restricted To: 00
STEPHEN C BREEN
345 STEVENS
N ANDOVER, MA 01845 Administrator j
i
Building Value Calculation - for Property at.....
25'-{3�iurr�qu#t ltd
Room
Length
Width
Sq.Ft. Cost per Sq.Ft. Total Cost
Kitchen
22
14
308.00 17777r'fi7j $
20,020.00
Living Room
18
14.5
261.00E $
16,965.00
Dining Room
14.5
14
203.00 ' 65" $
13 195.00
Family Room
24
16
384.00
24,960.00
Study
11.5
10
115.00 65 $
7,475.00
Laundry
Garage
22.5
24
3 $
Entry
14
11
154.00
10,010.00
Basement Finished
- 65 $
_
Deck
40
6
240.00, ., ; x . v .,j4: $
2,400.00
Screened Porch
z
Breakfast Nook
-$
Bedroom 1
24
16
384.00 + $
24,960.00
Bedroom 2
14.5
14
203.00
13,195.00
Bedroom 3
14.5
14
203.00 5g $
13,195.00
Bedroom 4
15
14
210.00 M 6'i $
13,650.00
Bedroom 5
A
_
Bathroom 1
10
5.5
55.00'5 $
3,575.00
Bathroom 2
14
12
168.00 ';;.:::,_._::{. s t.6� $
10,920.00
Bathroom 3
14
13
182.00 $
1
11,830.00
Bathroom 4
-
Bathroom 5
y
r -
7
$
186,350.00
RC9vM5
C, 5'I
(S4--'(002
o)N4 -NO �z
o�4
CO,
b a w
o ?o e w
ER * * t SO -
LL
o t, o
01
T1 Q u W
Q t0 f`0
C CU
`N c o N AQ' : �' .0 Ln ,A
v �` Z -gyp � � � .� •�
3 cu
• �. ,0 ` N O
Q�� He c
is }, �
o o m u
Ln
a ( E ,
cc
c
aj0tm cu
O _e
tQ '� la
`
m ~ w a
0v> w E
Q Q � �! ~ c .� as
w
W C vii V G1® �.
O o �t 0) � O
`= a �' c
2 � f 0
c c
roc 'c c
C) o 0 0 N°
a t rL LL CL
LULA Ln m
t mo w o w
o
z ��
0 Ual
v c
~ o
L
0 J k O ) VY
Z �-- m
v
0
b
0
0
i�
;d
W4
A
°
C�
v
u
w°
U)y
cin
®
z
z
A
.a
a
w°
w�'
v
U
w
o
w�'
w
x
U
w°'
w
U
z
z
d
w4'
w
x
A
w
cA
O
cn
Q
cn
� W
z am
.�>%= o
�� cg
cv
a- �CL
CLC
m cc
co cg,
m O
L: o o.
' N
E Qj
� c
�� ` m
" :lot:v: Z �o
�
,C12)amob
mma u
�
a C2" �: mo a
o m3�t
y
32
•: N N
N � O
E
y :CL m
y CD
t L C,3 cm
4.0 oa
N
d C = m
�
O O : v h Z p
cm
CD
•+ � d C C
Q ® y C •O
= Vow
nw=O
.. Kw; =CD W
H
C4 .N
W C
O
LL •= � C Z
� m •N O
WL3 0
. E v m C 7
CIO CL
CD .5;.0
0
Z a ` a C
's0
U
A
2
O
a
z
0
U
0
y
O
.E
L
a.
O
O
CD
Q
H
0
CO2
c
O
C..3
a� CM
c
o
o �
m m
3�
�D
O
L
O CL.
cnQ
c
4-0 c
c
c
J.0
O O
m ts
CO)CDCL
c
0
U)
CO
w
W
ccW
U)
NOR7N
F � 9
♦9�91y ¢ •
,s`44CMU8��
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number Date
THIS CERTIFIES THAT
THE BUILDING LOCATED ON laC � 6 !2
MAY BE OCCUPIED AS /N 1 e- > >`� �'y1 ���! / `� IN ACCORDANCE
WITH THE PROVISIONS OF TH19 MASSACHUSE TS STAT BU DING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY. ' Si a ^'
CERTIFICATEISSUEDTl A USS Il uro� �� a v
c �
ADDRESS f199
c
Iding Inspector
W
z
0
w
a
e
y
MA
E
m
O
m
Q
cc
:7
CO)
0
ca
.y
O
V
cc
L-1
_cc
C.
CO2
r—I
L
0
V
CD
CLC031
c
CD CM
� 'fl
m m
0 CD
3�
�CD
D L
O CLd
ca
c
.59042 CO
iv
Z s
G3
CLCA
C
�
iso 0
1
O
O V V
ted,=
Q. C
m W
c
$w
E Cd
a+
w
z Q
°
,w UP
w° a°' U w
°
d
rz° w
oq vi cn
z
0
w
a
e
y
MA
E
m
O
m
Q
cc
:7
CO)
0
ca
.y
O
V
cc
L-1
_cc
C.
CO2
r—I
L
0
V
CD
CLC031
c
CD CM
� 'fl
m m
0 CD
3�
�CD
D L
O CLd
ca
c
.59042 CO
iv
Z s
G3
CLCA
C
iso 0
L
O
O V V
ted,=
Q. C
m W
c
m
O
Cc
• •. d
N
E
f
JOE 1=0 cs
SOO
j
o m
c L N
m ..
mob -0
—m
•:
zoo
cc •C
= c�c
y O O
O
�1.: m
h O
I#S=.. O CI
Q
_�
C=,
d c = �
m
L:
O L
:C�0 0:
Z
`
•• c a O c
a
o `vLoimc 'c
Z
m�, od ._., p N
cia120,
to = m w
o
M
H
Zm
W
N � = Z
.E v h o
V Cf
y
COD
a mo� g
=
eyv om= o
CL
z
0
w
a
e
y
MA
E
m
O
m
Q
cc
:7
CO)
0
ca
.y
O
V
cc
L-1
_cc
C.
CO2
r—I
L
0
V
CD
CLC031
c
CD CM
� 'fl
m m
0 CD
3�
�CD
D L
O CLd
ca
c
.59042 CO
iv
Z s
G3
CLCA
C
Location
No. Date
I TOWN OF NORTH ANDOVER
Certificate of Occupancy $
CwuSEt Building/Frame Permit Fee $ JID
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ 0 '
Check # Is -
6
i6
Building Inspector