HomeMy WebLinkAboutMiscellaneous - 252 GRAY STREET 4/30/2018I
I
Date ..... J........- �......�...� ...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...........�/ `V%......����.....
has permission to perform ........ —.�?. f../.. ':,f.....1 `/�c C ..............
15W
wiring in the building of ................ �� �.� ..............
.......................................
at............2..5............ ?�.%�......��.......: .. , North Andover, Mass.
Fee.....���. c Lic. No. 2'�! 44 .......... �a` � �!• ............
ELEMICAL INSPiCfOe
Check #
J
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Perm it No. 7
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINSdersigned-gives
OR T PE,41,kINFORMATION) Date: b
City of: To the Inspec or of i�res:
By this applicatio notice o�his or her intention to perform the electrical work described below.
Location (Street & Neer
Owner or Tenantj/'-f' %(-Q
Owner's Address
Is this permit in conjunction with a building permit?
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Telephone N
Yes ❑ No x BLDG PERMIT #
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of Meters
No. of Meters
Location and Nature of Proposed Electrical Work: Install low voltage security system at above location
Completion of the following table may be waived by the Inspector of Wires.
i Attach additional detail if desired, or as required by the Inspector of Wires.
/
Estimated Value of Electrical Work: 5— (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Brinks Home Security LIC. NO.:
Licensee: John Holmes Signature 9r�.�.-�-- LIC. NO.: 749C
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443
Address: 155 West Street, Suite 6 Wilmington, MA 01887 Alt. Tel. No.:
*Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" License LIC. NO.: SSCO 001163
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hm e 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: $J, Q(j
of Total
No. of Recessed Luminaires
No. of Ceil: (Paddle) Fans
TransSusp.
Trsformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- Elo.
rnd. rnd.
o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
Detection and
No. of Detection
No. of Switches
No. of Gas Burners
InDevices
In
No. of Ranges
No. of Air Cond. Tonal
No. of Alerting Devices
Heat Pum P
Number
Tons
KW
No. of Self -Contained
Disposers
No. of Waste Dis P
Total
Detection/Alerting Devices
i�
No. of Dishwashers
Space/Area Heating KW
Local Elyy Municipal Other
No. of Dryers
Heating Appliances KW
No. Nruritof De Steis s or Equivalent 1
No. of Water K`,1,
No. of No. of
in :
Heaters
Signs Ballasts
No. o evtuivalent
Telecommunications Wiring:
No. Hydromassage Bathtubs
No. of Motors Total HP
No. of Devices or Equivalent
OTHER:
i Attach additional detail if desired, or as required by the Inspector of Wires.
/
Estimated Value of Electrical Work: 5— (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Brinks Home Security LIC. NO.:
Licensee: John Holmes Signature 9r�.�.-�-- LIC. NO.: 749C
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443
Address: 155 West Street, Suite 6 Wilmington, MA 01887 Alt. Tel. No.:
*Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" License LIC. NO.: SSCO 001163
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hm e 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: $J, Q(j
1 44 Date.......-.6...�
L
Of .• � oTN ,'4
TOWN OF NORTH ANDOVER
I. p PERMIT FOR WIRING
41
This certifies that .... ..... ........................................................................
has permission to perform ......91 .� ^............. ...:......
wiring in the building of .... f a t .. T ....... /�-f. /�. ..............
at ...... 4�;y............. /. ................. North Andover, MasKv
Fee ..... Y 5.......... Lic./No.
LECTRICALINSPECTOR
Check
l,ommonweahk o f ///a65ackm3eff5 Official Use Only
e[JeParfinent` o��ire �eruices
Permit No. G /
�l Occupancy and Fee Checked
\ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank
1
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
. All work to be performed in accordance with the Massachusetts Electrical Code MEC), 527 CMR 12.00
(PLEASE PRINT OR TYPE ALL INFORAIATIOA9 Date: 13 I)
City oTown f: W 1)r4, Ak1J AUC To the Inspecto of Wires:
By this applicatio ersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant —Is01:;,&t / Telephone No. j -,jt
Owner's AddressL/Y)�
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Bog)
Purpose of Building Utility Authorization No.
;r
D
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 4- a4--nArn&� UYl S� „
Comoletion of the following table may he waived by the rn.cnertnr nfWirvc
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators ICDA
No. of Luminaires
Swimming Pool Above ❑In- El
o mergency ig ng
rnd. rnd.
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
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
Number
Tons
KWNo.
of Self -Contained
Totals:
I
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Loca er
onnec o
No. of Dryers
Heating Appliances Imo'
Security Systems: *
. of Devices or E uivalent
Data Wiring
No. of Water KW
No. of No. of
Heaters
Si ns Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: /�j(j ('(, (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECKONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Self Insured
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRMNAME: ADT Security Services Inc. LIC. NO.: C-45
Licensee: Mark A. Brophy Signature LIC.NO. C-45
(If applicable, enter "exempt" in the license number line.)Bus. Tel. No.: 978-657-0443
Address: 155 West Street, Suite 6 WilmingtonMA 0 87 Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lie. No. 00953
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. PEIMIT FEE: $
'oe Date. 46
�4 Ve
RT
TOWN OF NORTH ANDOVER
0
PERMIT FOR PLUMBING
This certifies that ... a. 111P A P. ...................
has permission to perform
plumbing in the buildings of (7:001io" ..........
at. W a 4 IDS4. . North Andover, Mass.
.............. ... ...
Fee. Lic. No..)3(>00.
PLUMBING INI
*Check # U0 PECTOR
F
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
��
Building Location o� Owners Name ���-���� Permit #
Amount
-L4-, Type of Occupancy
New t�� Renovation Replacement Plans Submitted Yes 0 No
FIXTURES
77 31 ON
us�
n o Me
K. FFI�
r Fe
il 15 rot
ri 71�
i eI"
(Print or type) (� ` p j Check one:
Installing Company Name %� 4 z S C� i �� �1 lCorp.
UPartner. ,
11 FimVCo.
Name of Licensed Plumber.
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity 0 Bond
Certificate
Sr® "7
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
Signature Owner 0 Agent 0
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 Massac setts State Plum Co and C apte 142 of the General Laws.
By: Signature or Licensea
Type of Plumbing 66ense
Title
City/Town r7cense NumBer Master Journeyman ❑
APPROVED (OFFICE USE ONLY
r
AO
Date.... �.d. . .
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
S�ItIVA- t '44
This certifies that .. .................. ............
has permission for gas installation ..0. �1........... .
in the buildings of . �' - C—' �t cc . .. �'� .v .:............ .
at ... S ���. � rcq . $: ...... North And ver, Mass.
Fee... Lic. No. J.734�... `. IVit?l .f�i{
P GAS INSPECTOR
•� Check #
S 2 L 5
14
--y
MASSACHUSETTS UNIFORM APFUCATON FORPERM'T TO DO GAS FPrMG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date 9-16— d S
Building Locations ('77--- `"' S Permit #
Amount $
Owner's NameL ( [ �1� (� �Q f
New
vj
Renovation ❑ Replacement Plans Submitted ❑
u
�
W
O
W
W
O
C
oo
F
H
d
VO'
a
a
F
O
SUB-BASEM ENT
BASEMENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
STH. FLOOR
(Print or type) n Chec one: Certificate Installing Company
Name �c� 0- � ��, Lin orp. �((
❑ Partner.
❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter l
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
If you have checked yeses, please i icate the type coverage by checking the appropriate box. ❑
Liability insurance policy Other type of indemnity 13Bond
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 ❑
1 hereby certify that all of the details ana mrormauon r navc Nuunuucu kv, colaul—) ..= uY� _.. �._....._„ •. -� -_• .�� -_-� -� best of 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 Massachus%s State Gas Code Chapter 1� three General Laws.
(OFFICE USE ONLY)
Si nature of Lice §�' lumber Or Gas Fitter
M Plumber / aj OCC
❑ Gas Fitter Ices um er
aster
❑ Journeyman
6 L7q
5` 6
Date .... ......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... e? . ......... . ...... .............................................................
has permission to perform .... .. ..T.lapv'a ....... ....................................
.................
wiring in the building of ... .. . ...
at �4g . .. .... ... ... . ......... . North Andover, Mass.
Fee Ag.... . .... Lic. ......
ELECTRICAL 'i--*�-�*-*-�a9l'--R,
Check # 6��o u
► ao iv i y ► at
P-41 I►► r yafXelsr ► „► 0rrII
L
o.q a FENEMEMMUNNEMONOM
ee Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Aly WORK TO BE PERFORMED IN ACCORDANCE WnM THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dage k -oZ —0 4�-
Town of North Andover
The undersigned applies for a permit to perforin the electrical work described below.
Location (Street di: Number) &rx�,-;j
Owner or Tenant - t e
Owner's Address 2(— U v- i^ h Al
is this permit in conjunction with a building permit: Yes No Ej
To the Inspector of Wires:
(Check Appropriate Boa)
Purpose of Building Veui Qw e- k � N' V1 Q Utility Authorization Noa3 f-%?�
Existing Service Amps....L.V olts Overhead Underground E3 No. of Meters
New Service ���� Ampsi 2v/ Z� olts Overhead Underground [ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of lligWing Outlet
/,
No. of Hot Tube
No. of Transformers
Total
V
KVA
Na of Ligb ft Fixtures
Swirnming Pad Above
Below
Generator
KVA
No. of Receptacle Outlets
ground
No. of Oil Butner
around
No. of Emergency Lighting Battery Unite
No. of Switch Outlet
U
1
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Ranges
No. of Air Cond. Total
Toro
No. of Detection and
No. of Disposals
Na of Heat ¢y Toll Total
Pu
glom
KW
Initiating Device
Na of Sounding Device
No. of Dishwasher
Space Area Heating KW
Na of Self Contained
Detectiad3ounding Devices
Local Municipal
Other
No. of Dryer 1
Heating Device KW
1
0 Connections
G+
U Z—
c,
14 c r
No. of Water Heater KW
No. of No. of
Si Baileis
No. Hydro Message Tube
�
No. of Motor
Total HP
tC� iie..lr,>P
• Secu,�r �ti SyS�cm
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crlssilraideq*miaa YES NO
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OWImrSMJRANCEWAM ;InnomthatQlei�a wdmmtbbmdleirsmneaom*aritsai»tar wgivdnita mgAedb, Laws
a tddietawsimnamonarspm ii%i-=- ----. aress¢smns
(Please check one) Owner Agent
/ � A Q'Zj
Telephone No. PERS FEE
33snature or Owner or Agog
DERIJU l NT M ENZS4MY Pemdt No.
BOARDOlF'FMP1PEVF1V111D11NR GiILAMMM700 M
OCCUPLacy & Fen Checked
APPUCA71ONFOR PERMIT 7 0 PERFORM ELECTRICAL, WORK
AM Wows TO BE PERFORMED IN ACCORDANCE WrM THE MASSACHUSSTS MS:C XAL CODE, 527 os 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ate eZ �
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Town of North Attebva To the Inspector of Wires:
The undersigned applies for a permit to pedomt the electrical work described below.
Location (Street A Number)
Owner or Tenwtt T t Q•
Owner's Address 2-& (&"4 wt A r, l sen -P
is this permit in conjunction with a building permit:
Purpose of Building /yeuj pw ( l l N' a -*
Existing Service AmpsVolts
New Savice ��� Amps t 2v� Volts
Number of Feeders and Ampecity
No Q
Overbeed
(Check Appropriate Eos)
Utility Authorization Nos 3 Rcog
Undergoand 1:3 No. of Meters
Underground Co No. of Meter
Location and Nature of Proposed Electrical Work
Na of tladdnj oedeu '56 No, of Hot Tabe Na Of TfWzf MW Tani
[w us avgw
M"Atr Com.
2 Told
Taw
FIRE ALARMS
Na of zm"
No. of Mpouts
Na dDetaetiaa sad
Na of Hat Q,Tont ToW
No. of DUhwuhen
�Tooi
KW
iNtlaft Denim
•��
Space Mrs lfm ft KW
NNo. ofSWC*0CWn d
Na of Dryer
t oDelmdO Maeft Device
aComwcdm
Otirr
Nano= Dei
No. of Weer Herten I KW
Na of of
Na Hyde Mouse TOW
sizos
Na of Motes
adheb
Totd HP
!1 S �
V
2— 4 c r
OTHIER.SZCu�\ S
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ardtt�etmysg,esaecrift' ani<rpi��i�atire�itmtmt °91t8°WbYwd=man sW sn
(Please cbeck one) Owner p Agent a
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CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number. e;.9zl Date:o�—
THIS CERTIFIES THAT
THE BUILDING LOCATED ON,
MAY BE OCCUPIED AS _2-6_11,
PROVISIONS OF THE MASSACH
REGUALTIONS AS MAY APPLY.
l
77 1 1ACCORDANCE WITH THE
STATE BUILDING CODE AND SUCH OTHER
CERTIFICATE ISSUED TO:
Building Inspector
10/24/21 C o PION 15:06
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FAX 171 12709406 Litchfield Company 444 NO.
ANDOVER TRAILER
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10/24/2105 11ON 15:07 FAX 17812709406 Litchfield Company NO. ANDOVER TRAILER Q002/002
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Town of North Andover
Building Department
400 Osgood Street
North Andover MA 01845
978-688-9545 Fax 978-688-9542
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
ADDRESS/LOCATION OF PROPERTY: 2E2, 9,e,4 %/ S7Z
DATE REQUESTED FILED/READY FOR INSPECTION 10-25-65_
CLOSING DATE ON PROPERTY: 70 -ZS--a
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE
STRUCTURE DOES NOT MEJET ALL APPLICABLE CODES.
Signature
LY
�rrrr�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■rrrrrrrrrrrrrrrrrrrrrrrrrr�rrrrrr•
ROUTING
D.P.W. - WATER METER � S( DATE /0'// 21 U
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
THE INSPECTION REQUEST DATE.
TURF/DPW AUTHORIZATION
APPLICATION CERTIFICATO OF OCCUPANCY revised 11. 15.2004
�0�30� G+aod �aQ�o� �ano���Qono �o¢o,
Professional Land Surveyors £t Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD 8 WEED 1885 - 1972
PLOT PLAN OF LAND
LOCATED IN
MASS.
Lm/8
ZIj.OZ
/ v -r 3
q4, s(�9 +stir,
�` Aliou
\ 36y\
n°
1
101 >
r
l 5'
5i
SCALE: /`-40'
I hereby certify to the
Bui•s.ding Inspector that I have
examined the premises and the
buildings are located on the
DATE: Jutir ground as shown, and buildings
shown conformed to the dimensional
` zoning laws of y�/�yJ�,�/LDGI� MA
REFERENCE: BK when constructed. :a
' 'This, Plan has been prepared for Building
y' s peimLi tong purposes only fort the above party;.',, ,
s= anclis not to be iiseci for .tioundazy ineastiraents,
1 d conveyancing `
u or mortgage loan nrisp o
i coons
e r
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CHRISTOPHER
R.
MELLO
k.�H_0. 31317
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'PEABODY,'MASS €Q,1969�
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FORM 4003
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North Andover Board. of Assessors Public Access
Page 1 of 1
gOFiN NorthAndover Board of Assessors
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604U roperty Record Card
Click Seal To Return Parcel ID:210/107.D-0126-0000.0 FY:2009 Community: North Andover
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Summary
Residence
Detached Structure
Condo
Commercial
SKETCH
Click on Sketch to Enlarge
PHOTO
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Location: 252 GRAY STREET
Owner Name: AMENHAUSER, DAVID & CHATFIELD, MELIS
Owner Address: 252 GRAY STREET
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood: 6 - 6 Land Area: 1.02 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 2720 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 626,900 648,900
Building Value: 418,100 440,100
Land Value: 208,800 208,800
Market and Value: 208,800
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=1466361 &town=NandoverPubAcc 2/25/2009
Town of North Andover
Building Department
400 Osgood Street
North Andover MA 01845
978-688-9545 Fax 978-688-9542
APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION
- --
ADDRESS/LOCATION OF PROPERTY:
2.-
Cus% NArjU--er-
DATE REQUESTED FILED/READY FOR INSPECTION 1011 � OE
CLOSING DATE ON PROPERTY: �0 Z
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN -OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A
RE -INSPECTION FEE OF TWENTY DOLLARD $20.00) WILL BE CHARGED IF THE
STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
Signature
N
U OFFICIAL USE ONLY
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ROUTING j
D.P.W. - WATER METER j Iw4k DATE 0 I Ia--I os--
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO
THE INSPECTION REQUEST DATE.
ED -, � A— &,, j r) A- _,,
SIGNATURE/DPW AUTO 2ATION
APPLICATION CERTIFICATO OF OCCUPANCY revised 11.15.2004
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' Location ,`�J-7 -�
No. l4,,, Date,,/ q!5'
NORTH TOWN OF NORTH ANDOVER
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# Certificate of Occupancy $
s a o -d
Building/Frame Permit Fee $ 0%
s�cMus
Foundation Permit Fee $
-� Other Permit Fee $
TOTAL $
Check #
18294--�
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Professional Land Surveyors £t Civil Engineers
ESSEX SURVEY SERVICE 1958 - 1986
OSBORN PALMER 1911 - 1970
BRADFORD 8 WEED 1885 - 1972
PIAT PLAN OF LAND
�I LOCATED IN
MASS
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SCALE: 1'1=4C?'
67
DATE: JUtiL- /'I 2r&S
REFERENCE: BK PG
This.Plan has been prepared for Building
permitting purposes only for the above party,
and is not to be used for boundary measurements,
land conveyancing or mortgage loan inspections or
plot plans.
104 LOWELL STREET
PEABODY, MASS. 01960
(978) 531.8121
o0
0
0
I hereby certify to the
Building Inspector that I have
examined the premises and the
buildings are located on the
ground as shown, and buildings
shown conformed to the dimensional
zoning laws of MA
when constructed. tN a� ra
0A.
p� CHRISTOPHER
R.
ML
No. 31317 ,
-Mello PLS 3 o su��
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