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Miscellaneous - 30 VEST WAY 4/30/2018
CIS ,rL Date .. 1. �//�///....... . TOWN OF NORTH ANDOVER 31. PERMIT FOR GASINSTALLATION This certifies that ... /. !`64102 d::P/z. . ... ... ... ..... has permission for gas installation .lP<foys! .1744— in the buildings of ....7- .................... at ...q. �..4,4�� ............. N/orth/ n over., Mass. Fee. .��'.�fdU Lic. No... Z -?Z . . �!��1 `-�!'. d?� .. . nn GAS INSPECTOR Check # /�j 7953 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FMING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New Renovation Replacement Date la Igid Permit # Amount $ Plans Submitted ❑ (T N A Check one: Certificate Inst Ming Company Corp. (� Partner. Business Telephone GLI -: 53 q Li Firm/Co. Name of Licensed Plumber or Gas Fitter /�j/�/�//G/� INSURANCE COVERAGE Check one I have a current liability Insurance policy or it's substantial equivalent. Yes J No� If you have -checked des, please indicate the type coverage by checking the appropriate box. Liability insurance policy 12r Other type of indemnity ED 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 1:3 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 State Gas,Code and Clpter 142 of the General Laws. Ll 3 APPROVED (OFFICE USE ONLY) All Signature of Licensed Plumber Or Gas Fitter Plumber / 6 �- moi' Gas Fitter License 7,47771377 Master ❑ Journeyman x w z a o° a x H a w ° v x O `7 F f°A w F W w N a O x W x Z z c� w � � w � a w � �, cw7 H z H z x w w o w w U z w �' ` � z x o o w a o w 3 H x o w o a c� a U a > ca a H o SUB -BASEM ENT B A S E M ENT 1ST. FLOOR / 2ND. FLOOR 3 R D. F L O O R 4TH. FLOOR 5TH. FLOOR i 6TH. FLOOR 7TH. FLOGR. 8TH. FLOOR (T N A Check one: Certificate Inst Ming Company Corp. (� Partner. Business Telephone GLI -: 53 q Li Firm/Co. Name of Licensed Plumber or Gas Fitter /�j/�/�//G/� INSURANCE COVERAGE Check one I have a current liability Insurance policy or it's substantial equivalent. Yes J No� If you have -checked des, please indicate the type coverage by checking the appropriate box. Liability insurance policy 12r Other type of indemnity ED 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 1:3 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 State Gas,Code and Clpter 142 of the General Laws. Ll 3 APPROVED (OFFICE USE ONLY) All Signature of Licensed Plumber Or Gas Fitter Plumber / 6 �- moi' Gas Fitter License 7,47771377 Master ❑ Journeyman A OIY-P&"bdv MA OIq&bT%"9#! 9V-63/4994 0 1 . . -, 1 X-:: I)f,projerpeid d Otqufredy 1. Lain ti et r i r'svidssin a..zaneril-corAractor,..,.-arid- I 9A 6.. ,emp4yeef,�(fuUand-(ori.par�,time) :have4iliedthe. 601 -contactors am a Aect; S*proprictcr or 1*4 OA OleAtt4c, I El Remodeling tMp- andhave no employ., ecs 8 we kin INP WOOPOW "o J. El W=.A.caW–rakon and its,. �In�e 9.. EJ Building addition'-04� '1 . .. teqwed] offloershve exewised Moir lbfi.t 0". .1 , * .. 01 am aw hom 41b." Ilwor -PerMGL icowner. Iqg,s k myself. [-x6,W4A=' '�GO'M.Pr, OiIS-_§I(.4)-4-: 0 Iv % inwatzoe MTWfed] M *Any &ppjkpw.tA&'4hcft'.box-.#i F**qjfiA,o4ffic s V PGI i4- &MOM. ns i gift 7am! an em p tin thid isprv"w informawn. it) ferM-alp- 1 w Cn l mr, I/, I=.-j"Arc I#-% chzz. Az Policy - #or ScIf4m., Uc. t: E LIP", W— ..4 &10 03,10 A cpuatiesi l —IA lei. I f ff 16V We AMreft.-. w M.M0 wity.aftba icaverWas.w*ffed-wider &,cfian Ak Of WL C-ISZogn, lestw�*e hApositioniof ct= . W, peralt'itaota. Oft-Sibli'W06M CiRDIM, and a fine. 0,0 Wtin file i tpr Be advise etas ty cif dei of f v SO 4' 4 ft:.atN Pl;A ve'est s da kawo Wmadon proVdd akwwisfte Md4wed ..w Q.*hd;v9e,v'*- Do nW w*e inAk.area, f6,:Pie :1cm.npfde4tbymch V or . town aftkiaL IssWngAuthority., WOMOP 31303" a. I .. !.i. I - W irpw .3or k IV .. A MAN IMWiDr S. contactPasow—- Phone. Le. Location No. A�yDate �aRTM TOWN OF NORTH ANDOVER . 000 + Certificate of Occupancy $ Building/Frame /Frame Permit Fee s+cMusE 9 $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 Building Inspector TOWN OF NORTH ANDOVER WELDING DEPARTMENT. APPLICATION TO CONSTRUCT REPAIR, RENOVATE. CAGE THE USE OR OCCUPANCY OF. OR DEMOLISH ANY BUILDING OTHER THAN A On OR TWO FAMILY DWELLING — : . Section for Official Use tlnl BUIEDIN'G PERhOT Tlt3 MER: DATE ISSUED: 9' 16 � y SIGNATURE: Build9 Commisst=ffm wor of BaiLdiM Date 1.1 Pmpetty Addraw: 30 Veit, K/hy 12 Assa=Mv and Pwcet Numbs: I Z.01 Msp Number Pand Number 1.3 Zaftlofmrnatiwr; Zanier Di4rid_- _ _ _ Use IA PmgmyDimeaaions: Lot Am fl 1.6 BUD-DING SETBACKS (ft) Front Yard — — . Side Yard Rear Yard - Requirod Provide R Provided P4qWred Provided 1.rab1Wk s CP&Jlb 11 i4) zece 19. Flow z=Yarm a M®idpg on sb 2.1 Owner of Record mud 1'�'� c %n �U a vl°j-t zlG� Nemo (Print) l n Address for Service : rgnatare Telephone 2.2Aulhoraod Ageat Name Print Address for Service: signature Teloph— _ 31 ftefian c�oSuper e- >7 sd woIbA Not Applicable Q iaommNumber f1 I nV14le . N4 03311 Lieausod Constnrcti r: x-,537.0053 >ion gate sipsture Talcoace 3.2 Registered Home Improvement Contmctar , Not Appfimble Company Name_ Registration Number Address signature Telephone V Q New Construction Existing Building 0 Rcpair(s) . ❑ Atterations(s) ❑ Addition ❑ Accessory Bldg. 0 Demolition Cl Other 0 Specify Brief Description of Proposed Work; } USE GROUP Check aslicabk CONSTRilC3TO1V TYPE A Assembly ❑ A-1 0 AA ❑ A-2 A-5 ❑ A-3 0 0 IA 1B ❑ 0 B Business ❑ 2A 2B 2C {3 0 . fl C Educational 0 F Fact ' ' ❑ F -I - ❑ F2 0 H High Hazard ❑ 3A 3B ❑ 0 I institutional .0 1-1 - ❑ 1-2 0 I-3 . G 'M Mercantile 0 A R residential _' 0 R-1 0 R-2 ❑ R-3 0 5A 3B 0 ❑ S Storage 0 S-1 0 S-2 0_ U Utili!y 0 Spedly: " M Mixed Use 0 Speetfy: S special use 0 Spedfr- C0113PLTsTE THiS SECi'IflN IT IIrl WING BUSING UNDERGOING RENOVATION ADMMONS AND OR CHANGE IN USE Existing Use Existing Hazard I xkx 780 CMR 34: Proposed Use Group: Proposed`Hozard Index 7$0 CMR 3A: BUI[ DING AREA " E7 MMG if linable PROPOSED Number of Floors ar Stories Iacinde Basement levels Floor Area per Floor Total Area Total Height gt 10a Owner Autbor'rzatimtt - TO BE COM MEII WHEN ,as Oww of the subject property Hereby authorize to act'on My behalf, in all matters relative two work authoi zW by this building permit application Signature of Ow= .j oe-3 /"e) f 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 or requirements. **"*******APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT rl neu PHONEy� LOCATION: Assessor's Map Number 0i 46-11PARCEL SUBDIVISION LOT (S)� STREET Utc3 D ST. NUMBER * OFFICIAL USE ONLY I REC04MENDATION"F TOWN AGENTS: 1 ,TOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOODIN,S�EC�OR-HEALTH DATE APPROVED �/ DATE REJECTED DATE APPROVED 2477c> -- DATE REJECTED COMMENTS a L�. �-• vs ` f� `,-�sv� , PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm SEP -30-1999 THU 12:40 PM FAX N0, P. 03 0 3d Ue�rt��t 41�us" . ��s�• �'`�-,_ � Z�� ��_ x/17 -•ice, � , s.wti LOT 42 47,156 YY, �e.y'• i' . ' IOP W J VON 146. � :�u . - •� OUSE` �E7 142.a t.•. ,,r '•% EMC INLET 14P.{ EI' TIC iiq OUTLET 14;: �X IN 142& a. x 112. }r � '-r ,' r`0;.;�ti i_. IND -OF `,. , ~ ' rT'" pay • t ,1 , i.• S j%� ;✓,�f' ... Tj 4. ��,,j�: `-"��'('{•", `f.`. ' � . Vit: ., _ thy' 30 ~~ ' • 25F5• 40 ,600 ." FWT£:1 CERTIFY TWIT THE SEP= SYSTEM NNIS .'t • ti : IpISTALLEDASSt WHAWS PL41IS NOT INTed=AS iG JN1TY OF THE SYSMM. U LINES ANl isociATE PLAN SKOVAG. SUBSU • SEWERAGE 6SPOSIM, I.00.An0N; �-42. V ESA' 1 .-OWWR ; .J A .REALT• r SCALE i=�tO , (_?!',TE ao'a ZZ:IL aooZ a tles 9lhSLC6l9LL:X8J 3ieN Neighbors you can bank on NORTHERN BANK & TRUST COMPANY MAIN OFFICE- 215 Lexington Street 9 P.O. Box 282 8 Woburn. Massachusetts 01801 N 781-937-5400 ACTON BILLERICA MALL BURLINGTON CHELMSFORD 414 Massachusetts Ave, 482 Boston Road 13 Center Street 14 Littleton Road Acton, MA 01720 Billerica, MA 01821 Burlington, MA 01803 Chelmsford, MA 01824 97.8/263-9501 978/667-4107 7811272-2880 978/256-1552 FAX TRANSKITTAL SHEET '7 Q C/ DATE: TO: Name/Title: V-eq4nin-e- FAX NO _ Company: FROM • Name/Title: r�n FAX No. (781) 937-5416 Department: TOTAL PAGES (incl Transmittal Sheet): IMSAGE : 'r ' Aed 45 Main Street merd- no not release funds or initiate any other monetary transactions) based solely upon the contents of a fax. Always call the sender to verify the authenticity of the message. DIV . y 1 1 ' 1 r .Z 0.0 V P Y lb This bnAnsimittal is intended only for the use of the addressoe(s) listed above and may contain information that is privileged or confidentiaL f you are not one of the addressees, any use, disclosure or copying of this transmittal may be subject to legal restrictions or sanctions. If you received this transmittal in cnm, please notify the sender immediately by telephone and retarn the original traasmimd to the address above via the U.S. Postal Service. We will reimburse you for any costs you may incur in doing so. Thant you. LITTL6TON 265 Great Road Littleton, MAGI 460 978/486-3543 MELROSE NORTH WOBURN WESTFORD W013URN CENTER 514-516 Franklin Street 89 Elm Street 45 Main Street 303 Main Street Melrose, MA 02176 Wobum, MA 01801 Westford. MA 01886 Woburn. MA 01801 781/662.0200 781/937-5439 978/692-9700 781/933-6606 ZZ:LL 000Z £ daS 9LVGL£6L8Ll:xeJ TOWN & COUNTRY ► Roorny and versatile Many customers have told us this looks like a doll house. We worked hard to get everything right on the Town and Country — the right proportions, details, and price! This building can be used to store nearly anything you have. Use it as a utility building, workshop, or even a tractor building. Available in 6'x12' and up. NOW 1N LOW MAINTENANCE VINYL! We're excited. Built with the same care and craftsmanship as our other buildings, our high-quality buildings are now available in 10 different colors of low -maintenance vinyl siding with a limited life -time manufacturers warranty. Just like your vinyl home, a regular washing with a vinyl wash is recommended. Colors Available: $1,729 HARBOR STONE - Town & Country 6' x 12' $1,999 $51 Town & Country 6' x 14' $2,229 $57 Yard King 6'x 16' $2,489 $64 Gardner 8' x 8' $1,749 $45 ADOBE CLAY 8' x 10' $2,029 4 jDmaL& Country Town & Country 8'x 12' 8' x 14' $2,349 $60 65 $2,549 WARM SANDALWOOD 8'x 16' $2,929 $75 Yard King 8' x 20' SUNNY MAIZE $89 Country Hamlet 10' x 10' $2,369 $61 [CLASSIC SAND 10'x 12' $2,659 $66 Town & Country 10' x 14' FFROST WHITE $75 Yard King 10' x 16' $3,389 $87 rt 10' x 20' $4,049 ALIIN GREEN [7? Town & Country 12'x 12' $3,089 $79 Town & Country 12'x 14' $3,459 $88 FPROVIDENCE YELLOW 12'x 16' $3,839 $98 Yard King 12' x 20' �..: $117 , Shown in Vinyl 8x12 S MODEL SIZE VINYL PRICE *MIN PAYMENT Gardner 6' x 8' $1,409 $36 Country Hamlet 6'x 10' $1,729 $44 Town & Country 6' x 12' $1,999 $51 Town & Country 6' x 14' $2,229 $57 Yard King 6'x 16' $2,489 $64 Gardner 8' x 8' $1,749 $45 Country Hamlet 8' x 10' $2,029 $52 jDmaL& Country Town & Country 8'x 12' 8' x 14' $2,349 $60 65 $2,549 Yard King 8'x 16' $2,929 $75 Yard King 8' x 20' $3,489 $89 Country Hamlet 10' x 10' $2,369 $61 Town & Country 10'x 12' $2,659 $66 Town & Country 10' x 14' $2,949 $75 Yard King 10' x 16' $3,389 $87 Yard King 10' x 20' $4,049 $103 Town & Country 12'x 12' $3,089 $79 Town & Country 12'x 14' $3,459 $88 Yard King 12'x 16' $3,839 $98 Yard King 12' x 20' $4,579 $117 )6 ? Due to printing process, colors may vary slightly Prices effective 1/15/04 *Minimum Payment 60 months @ 18% Please ask about availability and pricing for a color not listed. 0 POST WOODWORKING, INC m 14004374053 Roof is supported by 1/2" Exterior grade plywood roof engineered trusses 16" on center, I Self-sealing asphalt shingles Aluminum louvers with (20 -year guarantee against screens in all models leakage) Available in black, brown for ventilation \T j or gray Premium grade, Kiln dried 2x4 16" on center construction Sidings secured with galvanized nails Double studded corners for rigidity 16" on center pressure treated floor joists 4" x 4" pressure treated foundation beams for extended life 2 under 6'+ 8' wide sheds 3 under 10'+ 12' wide sheds 5/8" exterior grade plywood floor Concrete bricks every 4' under beams Post's own patented IroncladTm Hinge Covers Drip -edge on all roofs for a quality weathertight finish Classic styled vinyl double hung window Heavy-duty latch Classic style 4 -panel steel door with 3 hinges REQUIREMENTS ♦ Clearance of at least 2' around shed and 12' above ground ♦ Grade shall differ no more than 12" from highest to lowest point — no protruding rocks or stumps ♦ Access needs to be clear so that delivery crew can carry in shed panels ♦ PERMITS are the sole responsibility of the customer as some towns may require permits ADDITIONAL INFORMATION ♦ All shed orders receive written confirmation ♦ Deliveries are scheduled 1-2 weeks in advance ♦ Prices include set-up ♦ Some areas require an additional delivery charge ♦ For handling distances over 100 feet or involving more than 3 stairs, a handling charge of $75.00 will be applied ♦ All wood sided buildings come unfinished ♦ You can provide your own self-sealing asphalt shingles to match your home and our skilled craftsman will install them at no additional charge ♦ You can order a building without a floor. If this is done, we reinforce the walls with pressure treated sills and credit your order $1.00 per square foot ♦ Prices, Materials or Specifications subject to change without notice ♦ Post Woodworking, Inc. is NOT responsible for error or omissions Payment by cash, check, credit card or we can finance your shed! y®I www.postwoodworking-t;®EMANhIm LnCnCJ! Cal ffLPZ fflFJ .PEJ�GnCPCI3CPEll C� 20 -YEAR 5 5 !lM1TED WARRANTY 5 0 5 Your Post Woodworking, Inc. building 'has.a 5 20 -Year LLimited Warranty for structural' 55 5 integrity. This warranty does L. not include doors .and windows (for obvious'reasons). 55 The roof shingles have a 20 -Year Warranty against leakage. Natural disasters, damage Eli 5 by accident or neglect are excluded. With,.,111J proper maintenance we expect your building to last a full lifetime and more. We 'expect that when' we have been gone a hundred 5 5 5 5 5 years many of :our !buildings will still..`be standing all over the United States. Post 5 5 5 5 Woodworking, Inc„ gives no other warranty expressed or implied, either oral:or written: 5 5 Q C�L�C.�C�CnC�C�C nC�L,prPL CPLJL3 CPL� ff Payment by cash, check, credit card or we can finance your shed! y®I www.postwoodworking-t;®EMANhIm UCL td bU UI:'+bp NICK Kaiergls y'/d-b8-4-5163 p. e 10/13/1999 11:30 9782441299 EDW C HELMES JR PLS PAGE 01 a 0 LOT 42 47,136* SO. FT. u PROPOSED 12 1500 GAL- SEPTIC TANK PROPOSED PROPOSED TOP FOI/NDA nON 14119 AOD4 PROPOSED HOUSE OUREl 64' FF 5' OSE I PROPOS! 142.46 24' SEPRC TANK DUILET 2 1/2 STORY 142.24 WOOD 142.11 ]]' jV ' 0-9OX OUnET a 0 LOT 42 47,136* SO. FT. 0i� .11.7�+��a.s�G°/.esig- PROMSS1ONLL LANG SURVEYOR CATS PLOT PLAN REFERENCES 30 VEST WA Y N. ANDOVER, MASSACHUSETTS PREPARED FOR EDWARD C. HUMES. JR.. P.L.S. 4 LANCASTER AVENUE K4L-RICH CONSTRUCTION CHELMSFORD, MA 01824 ICTOBER 13, 1999 rDWG. NO. 99272 10/13/99 WED 13:39 (TX/RX NO 75211 Z002 �y t� EXISIING PROPOSED TOP FOI/NDA nON 14119 14119 HOUSE OUREl 14299 14299 SEPAL TANK INLET 142.46 I4L46 SEPRC TANK DUILET 142.24 142.24 0-800 INLET 142.11 142.11 0-9OX OUnET 142.01 14101 END OF FIELD 141.00 141.OS I CERTIFY THAT THE STRUCTURE SHOWN ABOVE UES ENTIRELY WITHIN THE LOT LINES AS SHOWN AND IS NOT LOCATED WITHIN A FLOOD HAZARD AREA AS SHOWN ON FLOM HAZARD INSURANCE RATE MAPS OF THE FEDERAL EMERGENCY M MANAGEMENT AGENCY. COMMUNITY PANEL NO. 2500913, DATED JUNE 2. 1993. 0i� .11.7�+��a.s�G°/.esig- PROMSS1ONLL LANG SURVEYOR CATS PLOT PLAN REFERENCES 30 VEST WA Y N. ANDOVER, MASSACHUSETTS PREPARED FOR EDWARD C. HUMES. JR.. P.L.S. 4 LANCASTER AVENUE K4L-RICH CONSTRUCTION CHELMSFORD, MA 01824 ICTOBER 13, 1999 rDWG. NO. 99272 10/13/99 WED 13:39 (TX/RX NO 75211 Z002 6 � x o \ Ste, • O� �— N 3 0 0 BSc). / LVi 3 V 10 L oT 4 4 4 , 9 C,,o cf 1 Q ' 0 IAO L oT 4 -zL 47, l S(o sr -r,. \ � W / LO N Z L,AS N �O o 1 N ,3 ,bo Z O ' .00 . 5 550- 30-3Co"E td 1 Sao /J s 0 z Nq 646 E-1 c o CIS 0 0 C N O C CC3 V CL 0 Cc ev ea 0 it Cc C= OR v •� m cm �oGo*CC - c E y Ca cW d' C O E o mo c �.: o•Cw m a oc Lmo m V -r. O C 0 O cmC 0 C O x m :arc N ca m _ +o•' D t LU C � , E Cay o LD o�S 5 CO3 o' mo Go Z O �C; O CZE m 9 L]Q z O U 0 'OVI C� y Q � O y mm W e_ov o a W vs c -p W cc w .ca w c a CD V h � C C_ C d5 U) d v U w p°4 w p°G w a w w' o cn cn c o CIS 0 0 C N O C CC3 V CL 0 Cc ev ea 0 it Cc C= OR v •� m cm �oGo*CC - c E y Ca cW d' C O E o mo c �.: o•Cw m a oc Lmo m V -r. O C 0 O cmC 0 C O x m :arc N ca m _ +o•' D t LU C � , E Cay o LD o�S 5 CO3 o' mo Go Z O �C; O CZE m 9 L]Q z O U 0 'OVI C� y Q � O y mm W e_ov o a W vs c -p W cc .ca c Z � CD V h � C C_ C d h Q Location 2o r7�— a No. /1006 Date MOATM TOWN OF NORTH ANDOVER Of �. `•e .•,1•C + ; . Certificate of Occupancy $ �'�S'scNus '•°'Eta Building/Frame Permit Fee $� f Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 15650 Building Inspe&r ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT& OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / / DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: .6 ( 1Q JJJ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area f, Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Regifired Provide Required Provided ReWred Provided 11 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ Public - 0Private 0 SECTION 2 - P.ROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1O er of Record Name (Print) Address for Service: ?7 q1Z Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction S rvisor: Not Applicable ❑ R Licensed Construction Supervisor: 27 3 7 � License Number N Ij A dress - 4,4- axX4 7 Expiratro Date Signature Telephone 3.2 Registered Contractor Not Applicable ❑ LHeprovement Company Name Registration Num r S,3 G e h r L y� h ve S 7 �✓ Address 7 f.�t•.,, L,.— Expiration l5ati Signature Telephone M M X ic Z O Q rn SECTION 4 - WORKERS COMPENSATION (rvLG.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 permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work cheek all applicable) New Construction ❑ f Existing Budding ❑ Repair(s) ❑ Alterations(s) . ❑�Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify, Brief Description of Proposed Work: ` ((%A/����G ��X�%� 8 UPccrVCf� AN I� 1 SECTION 6 - ESTIMATED CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed b reit a licants U111-11'wl- 1. Building �.. (a) Building Permit Fee DOD Multiplier 2 Electrical (b) Estimated'Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) r---' 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO DE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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. Si ja e of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 b Print Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2 ND 3Ku SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIME-NSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH A EY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ��- Location: 5-3 G e Af h e $ '{ it �6 Y1 homeowner performing all work myself. ,?7k- 777-- Sr-G-� 2 01 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. Company name: Address City, Phone*' Gom&rn-name: Address City: Phone #• Failure to serum coverage as mqukvd under Section 25A or MGL 152 can lead to ft WtooWon or i penalties, of a fine up to $I. sm.00 and/or one years' Imprisonment as wen as civil penalties in the form of a STOP WORK ORM and a fare of ($10000) a day against me. 1 understand that a copy of this statement may be forwarded to the Office cf Investigations of the ©IA for coverage verification. I do herby certify under the gains and penafl s of pedivy that Via ;nfannatfon proviaed above is bue and correct Print name. /11 e ly l� LS. e ,:rk l �e -5 Phone# Official use only do not write in this area to be completed by city or town dficiar Or -heck if immediate response is required Building Dept Contact person. Phone TM WORKMAN'S COMPENSAT/0N. El Building Dept El Licensing Board p Selectman's C�frlce Q Health Department 0 ©fuer North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facil /-- -10,4 Signature of Permit Applicant a - Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector A ,k-, rUHM U .-LOT RELEASE FORM v ' 4 ' INSTRUCTIONS: This form is use4i to verify that all necessary a ry pprovals/permits fror Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION f� **********************. APPLICANT J� PHONE ,= 77J— W3 LOCATION: Assessor's Map Number r PARCEL SUBDIVISION LOT (S) STREET 3 U 0 ST. NUMBER 3 6_ t� USE . ENDATIONS,OF TOWN AGENTS: CONSERVATION ADrNISTRATi COMMENTS_ 64, s 1p0 I1R,itiw� TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS �jo,J DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm d -Z f ?iL TE___ Lic./Reg./Ins. Proposal SEARLES CARPENTRY LeRoy Searles 53 Centre St. Danvers, MA 01923-1419 (978) 777-8032 Proposal Submitted: Date: 3/25/2002 Name: Frank Kenney Address: 30 Vest Way, No. Andover, MA Phone: [978] 794-2147 Job Name: Job Location Phone: Specifications & Estimates: 1) Build new deck approximate size & shape, 5'6" y16'4n0',X8'xandxl6' 2) Install new 2"x 8" pressure treated lumber against house and fasten with 3/8" by 5" lag bolts. Flash against house. 3) Dig approximately four holes, four feet deep by twelve inches diameter, fill holes with cement. 4) Build frame using 2"x 8" pressure treated lumber, 2"x 8" are 16" on center. 5) Over 2" x 8", install new %" x 4" fir decking. 6) Build new handrail using 4" x 4" for post, and a 2"x 4" square edge baluster made of fir lumber. 7) Build approximately 4 or 5 new steps. Install new 2" x 12" pressure treated lumber for steps, over this install new %" x 4" fir for decking and handrail. d 8) Install new white D -I lattice on bottom of deck and four season room 9) Install new cedar fence approximately two sections high of rail for privacy. 10) Any unexposed rot found will be extra. 11) Removal of all debris.`fi� TOTAL MATERIAL & LABOR $4,950-00 �. Dump We PROPOSE hereby to furnish material, labor - complete in accordance with above specifications, for the sum of Four thousand nine hundred fifty dollars IS4,950 001 payment to be made as follows; one half to start, and % at half- way point, and 1/4 (balance) upon completion. (Any alterations involving extra costs must be in writing, including extra charges.) LeRoy Searles or Agent ACCEPTANCE OF PROPOSAL; The above prices, specifications and conditions are satisfactory and are hereby ac You are ap r' to do the work as specified. Payment will be made as outline&above. 1 ! i Signature IN 1, v ca ' Y 4 1 4 ✓1111 "ani, 0...,t�Qru BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 058478 Birthdate: 07/23/1946 Expires: 07/23/2002 Tr. no: 27376 Restricted To: 00 MELVIN L SEABEES 53 CENTRE ST DANVERS, MA 01923 Administrator M LOT 42 47,156 1 . i - t h t .. sr r 1 r r; ttt MOTE•) CERTIFY THAT THE SEPTIC SYSTEM W119 ? INSTALLED ASSHOWN.THIS PLAN IS 140T ~ " INTENDED AS A-*AARANTY OF THE SYSTEM. t� �1 ^1 Top Fes, .. TION �1UUSE SET SEPTICTAI*- INLET SEPTIC TiA OUTLET ^BOX IN T a .EW OU W NQ OF F1 t� 145 .142 .142 142 142 142 141, LOT.LOCATION PlIPARTY Ll`•`!EE AF. FROM F,C.GELINAS AND ASSOC,DAT REVe7-27-81 PLAN SHOWING SUBSUR SEWEMGE DSPOSP L S�r� LOWON. 42 VEST I ..: V.11iVEtlmlr0 J DE RE `L SQL" 140:.,' > 1./.,-;` 6 z LU om c c • o � C h CZ C t1 A to O m O vm a c� G v a� o w E Cf)° 'a C/) z o LE a v U x u: w" w w c� u: x O a d O w w W d w w z[ cn V) LU om a M I 11, O E Z u ui 0 F LLJU W W CcW LLJ U) c c • o � C h CZ C t1 A to O m O vm O = 3 t r„ cm C m J N C CO O � C N E H CD O O C cm y O ++ ,« C C acs mr CJ yoO c m Q .- Z �ooc O Q a cm c Q m `cmc o ~ � CL y m W G =CD -00 t r.+ N C LcDom=�=o LZZ Z CL ID CD;a g = 0-a�m� a M I 11, O E Z u ui 0 F LLJU W W CcW LLJ U) oore House t len r , g r-JrD H Lt7CA- LOO T'A"N r3Y E;V"Wc, _ 413-H04-1 „ Ed- P.Ll. F/f Irks 01.4 0611 . i 6,< "- 0 e M r1r.t.v v►������ 3o i 1 -Z'057 AS BUILT PLAN 4/9 r OF *Llye rj��'tG Gid erg Lr �'1Otii LOCATED IN AS PREPARED FOR �V'A I' � OOEF- DATE : SCALE: E u MERRIMACK ENGINEERING SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 60 PARK STREET • ANDOVER, MASSACHUSETTS 01810 or TEL (617) 475-3533, 373-S7Z1 Date . `...... TOWN OF NORTH ANDOVER PERMIT FOR PLU ING This certifies that .. 1444 .4)PJ- . • . has permission to perform ..f?71.+�! ...6 L �" plumbing in the buildings of............. at �J� . �i?,/.G , .. 1r, !Z► . " . • • • • • • • • .. , North Andover, Mass. Fee.' Lic. No .......... ....................... PLUMBING INSPECTOR Check !t �_ 7014 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS �j+� Date _ (� �a Building Location �� Owners Name /� f'T/i -e Permit Amount Type of Occupancy New Renovation �� Replacement 1:1 Plans Submitted Yes ❑ No ❑ FIXTI JR FR (Print or type) Installing Company Name Address Check one: Certificate 0 -Corp. ❑ Partner. 11 Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policyLj Other type of indemnity ® Bond 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 ❑ 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 installati performed under er Issued for this a lication will be in compliance with all pertinent provisions of the Massachu s e PILI Cod _ er 142 of the General Laws. Title Type of Plumbing License ���� City/Town _iceJ ns u er Master ourneyman ❑ APPROVED (OFFICE USE ONLY Location `` ® Uj A t No. �( �__ Date 30 �p OfN, ORTiy TOWN OF NORTH ANDOVER .o :eiG Certificate of Occupancy $ Building/Frame Permit Fee $ r Foundation Permit Fee $ Other Permit Fee �o D u%e- $ TOTAL $ cod Check # 151 210 /VIA( G,, - Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING kk�. _r. .. .... .,.. BUILDING PERMIT AIUIvIBER: DATE ISSUED: �� 3 SIGNATURE: (.,O V0 Building Commissioner/ImeEtor of Buildings Date 1.11y Property Address: / A A V o1l) —4ndV w— 1.2 Assessors Map and Parcel - MapNumber Number: i Parcel Number 1.3 Zoning Information: Zonin District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft . Front Yard Side Yard Rear Yard R red Provide R 'red Provided red Provided 1.7 Water Supply M.G.LC.40. 54) 1.5. Flood Zone Information: Pubiic ❑ Private ❑ Zone Outside Flood Zone ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT: 1.8 Municipal Sewerage Disposal System:. ❑ On Site Disposal System ❑ Name rant) / _� c�,&h r Zf,4Nf_1 Signature 2-2 Owner of Record: Name Print 36) 0&sV Address for Service: Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed C ,istruction Supervisor: Not Applicable ❑ Licensed Constn�ction Supervisor: License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Name auuress mature Telephone Not Applicable ❑ Registration Number Expiration Date '0` . SECTION 4 - WORKERS 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 permit. Si ned affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Wotk(check a9l applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. 0 Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: t SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be M00-ION,, INN Completed b permit applicant t ' . 1. Building (a) Building Permit Fee ... Multiplier 2 Electrical -(b) Estimated Total Cost of Construction 3 Plumbm Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection V 6 _Tots) 0+243+41+5) — — . SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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 . Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 MATERIAL OF CHIN iNEY IS BUILDING ON SOLID OR FILLED LAND JS BUILDING CONNECTED TO NATURAL GAS LINE N .: :V400® STOVE INSTALLA ON CHECKLIST` F'_.�)rr Permit A building permit is required for the installation of any ;olid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. Stove A. New Used r� S. Type/radiant fiiO-OtEl 641rA"19 Circulating C. Manufacturer k64'eI C4 I—ab. No. Namel Model Nc.ri&, = />©O SSG= Collar size Dimensions/ Height 2? i1 -a3-2 1A")q Length _ � 3. 3��t Width_ 3 �� Chimney A. New Existing � 8. Size (flue area - C. Other appliances attached to flue (Number and flue size) D. Prefab (Manufacturer—name and type) E. Masonry/Lined Flue liner Unlined BYO• A manuiactiur•rr F. Height (refer to diagrams) cap a1JEZ ICS 2� KIK 3' rutty1-0 CHIMNEY HEIGHT Hearth (non-combustible) B. Sub -floor construction C. Minimum dimensions (refer to diagram) Clearances and Wall Protec'.lan t_see stcve ins,allat:cn c:e=_rances Chart) A. Type of wall protection provided B. -Clearances (refer to diagrams) FIREPLACE I ORr•IER HEARTH WALUCENTER. 13 O z W Cd A v r ° cn O z or- cli --a r. w° x A°G U w a O U r�° w a O U (2 cn . CIS w a z r:° z W A W 0 fi O s A.. N CO C C y ®'D LA Co •E m m CD 10 CD W O cc Q d a =< ca C o civ V co C Z CD Q CL �..� CO) C C _c ca 0. Q ui 0 U) ui U) w W w c c m c c v o ` C H � ' C i•+ O V �! C.3 �t C1 C t A Co y Ea < AA �: �J t s � y O m . w r O V3 CD CD CD -2: o L Z` 3� t ' y o�On m ... y O •E y O m �1: m c, m y mcm O mor m 13 Z `o CM .. 0 0 F— C y O N � O am�H m COO w y m y0,, C,0Z ca r CO .y ca Z O uj C.3 m C3 O m C co CL A mo �v zip m h CD _ = O CSS c fi O s A.. N CO C C y ®'D LA Co •E m m CD 10 CD W O cc Q d a =< ca C o civ V co C Z CD Q CL �..� CO) C C _c ca 0. Q ui 0 U) ui U) w W w o 1995 Date ..... N ., \- 11/-- ..... .... "0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ...... .......... -� . I .. , . ... ( . ............ .. ......... ..... . . ..... has permission to perform ..... ....... wiring in the building of .............. ......................................... at ........3.0 3.0 ..... U:er W-orth Andover, -Wass// ,,'ELECTRICAL INSPECTOR �* WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TJmC0Afff01tWE LTH0FAL4&'A(RUS,BTIS Office Use only r D TOFPUB0CS4P= Permit No. yl BOARDOFME'PRE7,ETMONREGUTAT70NS527CiVR12-- Occupancy & Fees Checked APPLICA HONFOR'PERAlffF TO PERFORMELE=(RAL WORK 1 ALL WORK TO BE PERFORMED IN ACCORDAN WITHMAS CHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK O Dated FORWARD Inspector of Wires: To the Ins Town of North Andover n The undersigned applies for a permit to perform the lectrical work described below. FM PARCEL Location (Street & Number) ... �___ ��. C✓_� Owner or Tenant Owner's Address f tv✓t Y __ " Is this permit in conjunction with a building t: _ Yes =No r7 (Check Appropriate Box) Purpose of Buildings Utility Authorization No. L~ Existing Service r-) U P) Amps i v/ ' uVolts Overhead ®Underground �' No. of Meters - - . New Service Amps / Volts Overhead ® Underground No. of Meters Number -of Feeders and Ampacity- LocationNnd Nature of Proposed Electrical. Work- -V VZ I we, A%ocrrv-i e vj, rt t ti No.tof Lighting Outlets ! No. of Hot Tubs No. of Transformers Total t+ KVA No. of Lighting Fixtures r Swimming Pool Above. Below M Generators KVA ground mund 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 Local Municipal Other ED No. of Dryers Heating Devices KW Conncctions No. of Water Heaters KW No. of No. of Signs Bailasis N�+ Hydro Massage Tubs No. of Motors Total HP TTHER* h>aaa=CoymF- Rastm>ttod�ere4ma hof d� llsC allaws YES NO Ilawaa>CICyhCymcltr}mgCar>} Caabsstlkar>bal�guval Ihnrest±rnitedvabdpmdcfsatnetotfieOdxe YES F-1 Nf uuha`•edied<CdYES Funs t dre peof=a WbYd=klrE e mmpdatbox INSURANCE BOND ® MIER fleas,**) E>t�atialL� Est ml VakrdE ecbcal Wak $ ✓1 I 4u, Waldo Slatt / 5 Ihnpec imDaleRegi>estad Rouge �/� /� C Final ru>dat�ie pH]�y ' /y � FIf21vI.2 1S �C TP t HUVINAME Lic�eNo. 4 ,5'-G Lioer>see C��'� ✓14 c C Siglahl<e / •-r LaeNo a ,3 • am=Td:r>o. Air 5 ` i U s l Or Avc We t9 -F1 OrzAltTelNa OWNER'S Ir1SCJI2ANCE WATJI+R;IamawatethattheLicerne s3oesnothavetheit�stuartceoawagtcrhs sul�at>balegnva)entasregme<1byM�.s�t�n.�fs G�alLrws andthatmysignahaeoathisPearutappl rwaiwsllnsre�m�mart a� (Please check one) Owner M Agent D f� Telephone No. PERNUT FEE $ Signature ot Owner or 77gent Location V No. Date �! / o TOWN OF NORTH ANDOVE% Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 13373 $ r Building Inspector Div. Public Works N 1 9' z L) yU z � r� k O O U U C � T � - a � C C� 1 UO a N 1 9' z L) y-- 02 yU z � v i U U C � T � - a � C� 1 UO a 4 � U 1.. cCa rn N z Z O O w < U n F- In w U W O rn C C w ii w r 00 r V> h U U U ;�• r W �a] z z a zz z� ; c, O U U .] Lo W L W in W� � U U V) V) y-- 02 yU z � v U U U = i z v N � T � - a � C� 1 UO a 4 � U 1.. cCa rn N w w w Z O O w < U n F- In w 09/09/99 THU 11:18 FAX 978 358 9732 Ipswich Sank V1002 MORTGAGE INSPEL`I'IO N PLAN NORTHERN ASSOCIATES[ INC. 342 N. MAIN STREET ANOOYER 14A 01810 TEL.• (978) 474-4410 FAX (978) 474-5067 2738/244 MORTGA GOR.• FRANCIS AND JUDITH C ITSW EY DEED REF.' . LOCA TION.• 30 VEST WAY PLAN REF.' 1=50' CITY STATE.N ANDOWRrMA SCALE' 8/14/98 JOB 114.1 98/10415 DATE.' VEST Int AY. - CERTIFIED r0• nnr[i , *Thl•' wortq•q..nq,.etl•n ,roe prq,•rd clmclllc•1ly ter rertq.ye Imrywn.•.. o111y and not to to rrl Id ,mon •. a IM or „rerrrty Ilne nr ry, o•M for Ircmdl/ry, Pt P.O. Ae•d neeerltK innr, nr ..fill. tion. corner• vera �� r.el. ae/IA11,q lanrt.on •nA atra.%ot• F. A ww,rnalw•telY toeeted on tl,r 9rov„d rd sheen •hK 111cr1)y Iz tont he a.tv.I_tl_ only •nd •r ,wc le he ued to ••tahli.h prrin:fty 0- Thro•allrr. rhoe„ h.r•on are a••ed a, tlfo,tdeul{rhee inl or•etlow and w•Y be ••t•Ir.t •a t• I,rctn.r ent-a•IN, t•t{r.q•, .s..•.nu abd right. 90 of vay, •ad other wetter, of ,Kora and Pr•aetlpc7 va '��, nr nlnrr right•. nortnrrn Maaet•taa, M. •r•n.a . npnnell+ll lty herela to the .wdl o+nK m netvP•nt, .nanpts no reslw„•l Ofl11 lar 0.••q•• molt ilei trove nla •c11rKr lry enya,. torr ch,m th. sale wort ^agcl MY la•.a w1 n connreelon vItF Itr 1'roioeeJ .er torn c. ni - min .nrtq.ge b.apeel len nn• 14•e{'arnd 1., neenr.lm,e. .fib the Nnrfgeg. f.n.n /I,wpw,:tl.nM w. wA.y.t.n ty tl,• xn.ww.lmwrra. n«wrA of `IN Of naylatr«t4ro or rrnl.••Im,el Fngi.mwr• wa.l Iwml yG ttervayarw tsawta etmthani. 7 tnl In y rfear 11ori nim. gnat •lroot•raa CARMEN 'ia ab- Iro the. st.". nrw .1 to the ...nal re,.l ny hwvltm,trl A �.CS.T Atw.ael nnnltlot. rrgxlr.n•nt• we the etve et avnntruett on , •r• erewpt vmlwrmpra.t•Ion• of n.c. L. tw to -A See. y. No. 1848 aj . rroperty/11ouae 1a trot ill If rlood hazard. P LIz.Preperty/nouae 1■ In a r1md Natard Ar•a. �CI$IFRE Cil.]nfornetlm) 18 L)rtlfticlelt 'to determine �� �►A/ LANDS rieod isa•rd. Floud tlalml'd determined f17, 1 teat r.deral [lend Llauranee note Nap Darrel—1 -Gb9A- exra'1 -- w "o.gnr ���� net.: /.. • r-qz F - _•i "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 or requirements. ****************APPLICANT FILLS OUT THIS SECTION APPLICANT ` Ce k/ALg ISI KAL Q 1-i C PHONE LOCATION: Assessor's Map Number PARCEL ! l9 SUBDIVISION LOT (S) STREET Ve,5`-r wpry ST. NUMBER_aG7 ` *** ** * t* * *******OFFICIAL USE ONLY*'************** ********** ****** Ree%y1ou•e -4- 2e�IZC`e- Iii X1� 12��r RECOMMENDATIONS OF TOWN AGENTS: SUNS Pace acQc�i'� ion CONS RVATION ADMINISTRATOR DATE APPROVED c?. r DATE REJECTED II.. 11 1 J, t -1.// COM TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED Q1 IRI IC WORKS - SE11VER/WATER CONNECTIONS DRIVEWAY PERMIT DEPARTMENT EIVED BY BUILDING INSPECTOR sed 9197 jm DATE JER O h o C: u(U o O w E a v cn zaw z Q -d z p w O 0: E m C ii F4 a -� o as c t% R a U w -C CL [[ G C� _ m w O C7 C 0 _ ro w H w Q -Wo w CO z cn v O cn i o � o E.. C Cc m C � O SS S •�:.� O ° 40 f.ALCD � L LL. u QICL D w njcmco • N lC C� �. N N � Q7 � m G � C m O to 'p : A • � G N � m a� CD �• N m m cL c Mi •- •x aC acs cco R N Z 0 co L o � N C Q m mt 3 H r/ CO LLJ W Or.O CO M 'CL C •N C.% O p m = C ti ti a m�O6 x eyv ��y'o s «aim ti co CL N L N O N C O O Q1 m c m `o o� C 'C N m 0 Z 0 0 Z,' C/) 4 1 Q -r CD 0 E 0 0 H .E CL co .0 C CD V m CL CO) 0 v C. h C 0 C-1) m CO)CL a CE>.. D CD Q 0 }, C C O C Z co C. C4 C LU 0 ui crW w crLU LLJ U) MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non -Electric Resistance) DATE: 9-14-1999 DATE OF PLANS: TITLE: COMPLIANCE:.FAILSN Required UA - 57 Your Home = 62 Permit # Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA --------------------------------------------------------------------'---------- CEILINGS 138 38.0 0.0 4 WALLS: Wood Frame, 16" O.C. 215 19.0 3.0 12 GLAZING: Windows or Doors 72 0.350 25 GLAZING: Skylights 30 0.350 10 DOORS 21 0.350 7 FLOORS: Over Unconditioned Space 168 38.0 4 HVAC EFFICIENCY: Boiler, 90.0 AFUE MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.0 DATE: 9-14-1999 Bldg. Dept. Use CEILINGS: [ ] 1. R-38 Comments/Location WALLS: [ ] 1. Wood Frame, 16" 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 SKYLIGHTS: [ ) 1. U -value: 0.35 For skylights without labeled U -values, describe features: # Panes_ Frame Type 'Thermal Break? [ ] Yes [ ] No Comments/Location DOORS: [ ] 1. U -value: 0.35 Comments/Location FLOORS: [ ] 1. Over Unconditioned Space, R-38 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1. Boiler, 90.0 AFUE or higher Make and Model Number THERMOSTATS: C ] 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 0.5" 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 acid 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 125W 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)------------------------- North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: _DUrM �TET2 1 c� (Location of Facility) J Signature of P rmit A plicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ..................::.::::::::.................................. ....... . . � ::?:::.... ...•; .. .?::' �i: :• ...:.; • ' ..::: }?] f•..•.' .:.....'.' , .:.:•.:..:::..... .: : :..........! •. �: ` •• •i:.• .: {i::j:jj:>::::::':}::}::r::[v DATE (MM/DDA^f) 09/0 999 PRODUCER (978)667-2541 FAX (978)671-4514 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION erri mack Valley Ins Agcy ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 655 Boston Road, Suite 1A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Billerica, MA 01821 COMPANIES AFFORDING COVERAGE Maryland Casualty COMPANY Attn:Ext: A ------------------- --- -- ----- - ----- - -- - --- -------------------- ------------------- __..... - ------------------------- -- ----------- INSURED COMPANY Kal-Rich Construction Inc B 2 Lawson Rd :....... . ........................ ...................... .... ........................ Westford, MA 01886 COMPANY C ............. ....... ' ... _.... -------------------- COMPANY D L`kt�i :.:....::::::::.:::.:.:.:..:........:................................................. ................. ; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _..... - - - ........ - ........_._....... _- ---...----_ -r_........... - --- --- - _........ ... ---- ...__.........----- CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE : POLICY EXPIRATION: LIMITSLTR : : DATE (MM/DDIYY) DATE (MMIDDNY) GENERAL LIABILITY : GENERAL AGGREGATE : $ 600,000 X : COMMERCIAL GENERAL LIABILITY : PRODUCTS - COMP/OP AGG$ _ ..600,000 :::•. :..;; . :•:.{ CLAIMS MADE X ; OCCUR PERSONAL &ADV INJURY : $ 300,-000 A ;����•: - SCP29099174 :05/06/1999:05/06/2000 .- - - - OWNER'S & CONTRACTOR'S PROT ( EACH OCCURRENCE :$ 300,000 _-..--- —-------------- — — .............. ................ FIRE DAMAGE (Any one fire) g 300,00 0 ' '----........ �---------- --._.------..-.. MED EXP (Any one person) : $ lO,.000 , AUTOMOBILE LIABILITY .. COMBINED SINGLE LIMIT : $ ANY ALTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS : (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS = (Per accident) '---' ------------------------------ : PROPERTY DAMAGE $ . GARAGE LIABILITY AUTO 01-JLY - EA ACCIDENT $ ANY AUTO OTHER THN-A AUTO ONLY: EACHACCIDENT: $ ......'................................ .. _....................................... , AGGREGATE : $ :EXCESS LIABILITY : EACH OCCURRENCE : $ •....- -.._._--.............----'------_.-.------------- UMBRELLA FORM AGGREGATE :$ -----------------'- ---------------—— —— ;.._.; r.------------ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND X :TORY LIMITS : : ER :;:;:' ; : vii i}'• �.'•::: }`::: : ....................:•: ::::•: ::::::::: '- .................. EMPLOYERS'LIABILITY • EL EACH ACCIDENT : $ 100,000 A TC095574894 07/22/1999: 07/22/2000 :....-- ...... ...... ... • . ••.....••.... * ....... . THE PROPRIETOR!X ;. INCL : EL DISEASE-POLICY LIMIT f $ 500,000 _._..._.........._... _.__ ........... PARTNERSfEXECUTIVE .....;,.._.....-..--__ OFFKERS ARE: EXCL j : EL DISEASE - EA EMPLOYEE : $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ::> :..�.... . �•{.'fi¢•:?:4?ii:iiv:>:•>?:•:>}>::}i {::: E::?::}::v:{•}?:�?:•?:•i'r':?:•?:::: 'in`�......... ���>5•)�i?:5:7•:•i}i}::>? Jii S:v}:itiv:Y�: } }<+:•i}: :5}iY .: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of North Andover 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Building Dept BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town Hall OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORREDREPRESENTATIVE N Andover, MA 01842 CIC, Anthony::Lucacio :: •.: •: :..::.::,•.::::::::.•.. , .,:...........................::::::::::.::.:.::.:.:::.:.:::.... _::... ; ...... ....::::::.::::::..•.......,.. :4