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Miscellaneous - 31 STONECLEAVE ROAD 4/30/2018 (2)
�.,� . _ y/ 7.�� �.��- '�� / � / 1 � � S��e����-- ., t. �� y NORTy�`K'�,� r Off.•'"'••;9Lar i��•`t�44R�R'9l�����. � <E APRiL7M A SSACH115F'{�� }�yRvr*e� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE Aug u.s t. .11. . . .19.81 Notice is hereby given that the Board of Appeals will give a hearing at the Town Building, North Andover, on. .T u e s.d a y . . . e.van.i.ny. . . . . . . the 15111 day of . . . .Se.pte.mbe.r. . . . . . . 19. .81, at 7.:.30'clbck�to all parties interested in the appeal of . . . . . . .RICHAR.D .J... .an.d . S.AND.RA. .M. . AIN.0 . . . . . . . . . requesting a variation of Sec.. . 7., . P.a r... .7..3 . , g an.d, .T.abl e. .2. .of. .tt�e. Z�rt.i ng By .I.a.w so . as. . to .pe.r.mi.t . Vie. .con.ti n.ued. -ex.i.stence gf„a single fa.m.ily. . dwell.i.ng. ha.vifi.g . iess -than the . re.qui red .side yar.ti set back . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . on the premises, located at. . . the. .E a s.t . s.i.d v o .. . . . . . . . St.one.cl e.ave. .Rd.. . an.d. known . a.s . 3.1 . S.ton.� cl.e.a ve Rd. By Order of.the Board of Appeals Frank SErio , Jr. , C►iairman Publish : liorth Andover Citizen : August 27 & r” , St" 3 1981 Send bili to : Richord J. Wing 31 Stonecleave Rd . i4o . Andover , Mass . 01.845 �_..._--�=---:'-^•t"'"`om=, { Legal Notice, t TOWN OF' NORTH ANDOVER MASSAr-HUSETTS BOARD OF APPEALS+. - NOTICE OORTM . i Ot 4tND ieNA. tiQ �. . L 03 � i �SSACHUS� August I1 1981 Notice is hereby given•that the Board of Appeals Will,. give a hearing at the Town• j j Building,North Andover,on ' t;Tuesday evening the 15th-day ,of September; 1981,•.at 7:30 o'clock, to all parties in, , Kterested in• the' apPeal Of'•� RICHARD J. and SANDRA M.WING requesting a vana- .I tion of Sec. 7, Par. 7.3 and; Table 2 of the Zoning By.Law so as to permit the continued existence of a,single family. i.dwelling having less than the required side yard set back on 4i the premises, located at the East side of Stonecleave Rd. i and known as 31 Stonecleave-.+, f i.Rd. " By Order of the,Board of Appeals. Frank Serio,Jr., Chairman. Publish N.A.Citizen:August 27 and September 3, 1981 L12 -Legal Notice TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF ' APPEALSI NOTICE NORTM 4,0 O ' O A SSACHUSc(� August 11:,1981 ; Notice is hereby given that ; the Board of Appeals Will f give a hearng at.the Town• Building,North Andover,on " Tuesday evening the ISth.day . of September, 1981,.at..7:30. , o,clock, to all parties in terested in. the',appy' of -f ';RICHARD J. and'SANDRA M.WING requesting a varia tion of Sec: 7, Par. 7. and. Table 2 of the Zoning Byt aw, so as to permit the continued existence of a,single family: v dwelling having less than the required side yard set back on i the premises, located at,the d. East side of Stonecleavcl ave. and known as 31 Stone, ,I t . i.Rd: By Order of the„ Board of Appeals,. Jr. Frank Serio, - N ', - Chairman tf , Publish N.A.Citizen:August 27 and September 31 981 L12 PO Box 55098 Boston,MA 02205-5098 617-951-0600 i •:r r I i Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: RICHARD A REMING and DIANE M REMING Property Address: 31 STONE CLEAVE RD,NORTH ANDOVER, MA Policy Number: HMA 0114357 Claim Number: BOS00055137 Date of Loss: 3/11/2015 Company: Safety Indemnity Insurance Company I Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Eric Keenan Claim Examiner 3/12/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3548 Fax: (617) 531-6676 Email:,.EricKeenan@Safetylnsurance.com P Location ?j/ S`T dAJe r14 An,—�-- No. f Date ' 1 r-D NORTII TOWN OF NORTH ANDOVER Certificate of Occupancy $ CHU Building/Frame Permit Fee $ — Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # FJ 2 19886 -- Building Inspector TOWN OF NORTH ANDOVER r10RTly APPLICATION FOR PLAN EXAMINATION o`tt�.o bq't'o 10- / , s Permit NO:-AA 1Date Received ' `7 +� ?, e~ � CH �SA Date Issued: V s � IMPORTANT: Applicant must complete all items on this page LOCATION 3 lS 0tV1- Ct—!`4 lm—r k. P -nt PROPERTY OWNER K t G/J-4-9 r m t."4� / Print , MAP NO.: bS q PARCEL: 5 ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building One family Addition ❑Two or more family ❑ Industrial Alteration No. of units: Repair, replacement ❑ Assessory Bldg ❑ Commercial D Demolition ❑ Moving(relocation) ❑ Other ❑ Others: ❑ Foundation only DESCRIPTION OF WORK TO BE PREFORMED grit/00 Kool--wr- KIPIV 4Grrs I-rtLT PAPX/Z viVOX2zAy^,,C . TySI-�-M rfrDG,�r r/rc v7- Identification Please Type or Print Clearly) OWNER: Name: �IG/�/. /� JZ4tPt 1-IV e—' Phone: 7�•�� - sZ.2�7 Address: c3 / S16%�1,C CONTRACTOR Name: V. /L, Phone: 97 - X51?-25V/ Address: -�2-6 4aft,-x44 97— Supervisor's —Supervisor's Construction License: a 9-�L 14 Exp. Date: 6 ,41- 2-0- 07 Home Improvement License: ® 2n, y G `7 Exp. Date: a A 2 — ARCHITECT/ENGINEER &A-z Name: Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL EST/MATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ �, �'cp x12.00=FEE:$ / Check No.: Receipt No.: d Page lot 4 i TYPE OF SEWERAGE DISPOSAL Public Sewer F1Tanning/Massage/Body Art ❑ Swimming Pools Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ #,Uh umpster on Site ❑ Private(septic tank,etcElectric Meter location to project NOTE: Persons tered,contractors do not have access to the guarantyfund Signature of Agent/ Signature of contracto Plans Submitted ❑ Certified Plot Plan ❑ Stamp d P s ❑S CTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING& DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ COMMENTS Zoning Board of Appeals: Variance,Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer connection/Signature&Date Driveway Permit Temp Dumpster on site yes—no— Fire Department signature/date I f Building Setback ( Front Yard Side Yard Rear Yard Required Provided !Re!uired Provides Required Provided Dimension Number of Stories: Total square feet of floor area,based on Exterior dimensions. Total land area,sq. ft.: NOTES and DATA—(For department use J Page 3 of 4 Doc:INSPECTIONAL SERVICES DEPARTMENT:f3PPORM05 (!1'eNed.IMC.Jan.=006 I �- Building Department The following is a list of the required forms to be filled out for the appropriate permit to be i obtained. ' Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ! ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ! ❑ Building Permit Application ❑ Surveyed Plot Plan i ❑ Workers Comp Affidavit j ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENTMFORN105 Pa"(-4 n1'4 NEW ENGLAND CUSTOM DESIGN, INC. 226 LOWELL STREET WILMINGTON, MA 01887 #978-658-0881 Home Improvement Contract Registration No. 102467 ROOFING AND SIDING AGREEMENT This is a legally binding contract. Make sure you read this Agreement and understand it before signing it. Do not sign this contract if there are any blank spaces. NOTICE: All home improvement contractors and subcontractors, unless specifically exempted by Massachusetts Law, must be registered with the Commonwealth of Massachusetts. All inquiries about registration should be directed to: DIRECTOR-HOME IMPROVEMENT CONTRACTORREGISTRATION One Ashburton Place,Room 1301 Boston,Massachusetts 02108 Telephone:#617 727-8598 This Agreement is made on ///.y ,20 O_,by and between New England Custom Design,Inc.(herinafrer, "Contractor")and owner &G ejb )Z l M G-- (hereinafter, "Owner"), of City/Town�ZV ZJAIIy 11,C State 41,4 _Zip 42L/W—_HPhone J>S--6Y(; dl-7 Job Address ("The Premises") 3/ cs 0/V�' Cle d- e WPhone j0,9 66,Z-138� New England Custom Design, Inc. Salesperson Roofing will be applied onl,Y,own slopeyoof surfaces below,over present roofing shingles unless specified under REMARKS. ZMATERIAL..... ..... ................................................. Color ...<P�R1G{ p `w Main Roof......�/t? .............Bay Windows.<V9.!!C.t.:.........Extensions......Ie�'F.........�'/..P&.............................. ../ . V) O Porches:Front....IVW/.....Side....,A/0..!�Y�:f................ Rear...C�/..0..&'. ......................Other Roofs.�...5F,. i 4....��f"�9•c cC NOTE:Roofboard Replacement Cost per foot OR jS- �" per 4'x 8'sheet ofinch CDX Plywood. REMARKS /EXTRAS: Missing or defective lumber is not included in any category of work unless specified under REMARKS. w t, ii P �vi.'i/Wil... °'•'� fJ.!� C�ce.!Z....r ./.wr. ... .ve.S.. ..... P..P.. ..... .....�17r..1`r9�...1, r., .... �_e... ,.. .......... %Y�:f .�...Af... x.rt.l.l:' . .../�(.:(........ .er'(. .. w. !..6C.... :. !s. .. .....A.�P� ....a- ... �r ... h...shr.'NJ/.�1..... a.....:c�rU....,St.Ds..... , .................... ......... ... l.y . ....Jpl,.W!AYif.ON O The Contractor agrees to perform in a good and workmanlike manner all work detailed above. CASHPRICE $....... �.. Q��t ...............:. NOTE: All Roofing Customers DOWN PAYMENT $.............. .C7.fJ New England Custom Design,Inc.will not be held V............................ responsible for dust and debris falling in attic area PAYABLE ON START OF WORK $.........p`�..G..S..... PAYABLE ON COMPLETION $.........�2.�i...5. <1........................... during roof installation.. f / // Please remove or cover valuables. DATE:......./.�...../:.. ./...................................................20 4.10... RIGHT TO CANCEL The Owner may cancel this agreement if it has been signed by the Owner ata place other than the address of the Contractor,which may be his main office or branch thereof,provided that the Owner notifies the Contractor in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery,not later than midnight of the third business day following the signing of this Agreement. See attached Notice of Cancellation. A cancellation fee representing 30%of the contract price will be in effect if cancellation is requested after the legally allotted time has elapsed. The Owner hereby certifies that he has read this Agreement,that the terms and conditions and the meaning thereof have been explained to him, and that he fully u stands them and that there is no understanding between the parties,verbal or otherwise,than that which is contained in this Agreement, d grees that the said Contractor is not responsible nor bound by any representations not contained in this Agreement,made by a f its a nts unless the same be reduced to writing and signed by the Contractor. A NTI OMEOWNER: DO NO SI THIS CONT/� HERE ARE ANY BLANK SPACES. a o 2 Owner's Si nature Date England Custom Design, c. Date Owner's Signature Date ke' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . d 600 Washington Street Boston, MA 02111 ivww.mass.gov/dia Workers' Compensation Insui..-ance Affidavit: Builders/Contractors/E.ectricians/Pltiloabers Applicant Information Please Print Eegibly Name (Business/Organization/Individual): Al, /L l__.U S G D/,�s16/V Address: Z-Q City/State/Zip: 4/1 k"A . 0/697 Phone #: QJ 7 .'. e - 0��i/ Are you an employer? Check the-appropriate box: Type of pro;-ct (required): 1-.L�1 1 am a employer with_ _ 4. ❑ I am a general contractor and I 6. [:] New construction employees (full and/or part-time).* have hued the sub-contractors Listed on the attached sheet t 7. ❑ Remoi eling 2. [:11 am a sole proprietors or partner- t� ship and have no employees These sub-contractors have S. E] Demolition for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5• ❑ We are a corporation and its 10.❑ Electrical repairs or additions required.]- officers have.exercised their 3. ❑ l am a homeowner doing all work right of exemption per MGL I 11.E] Pluml ing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: I Homeowners who submit this affidavit indicating thr;,are doing all work and then hire outside contractors must submit a new affidavit indicating such lContractors that check this box must attached an ad&:onal sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is pro-viding workers'.contpensation insurance for my employee;. Below is d7c.policy and job site InformatioiL Insurance Company Name: P P L rg Policy#or Self-ink Self-ins. Lie. #: � 11G670Expiration Date: `"�? Job Site Address: R(6,110-If lu Ul ` G City/Sta-e/Zip: . &17r,1 1K Attach a copy of the workers'. compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to thea imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP W,0RK ORDER and a fine of up to $250.00 a day againsf the violator:-Be advised that a copy of this statement may be forwarded to the Office of Investigations-of the DIA-for insurance cover�g verification. -1 do hereby cert under the pains and penalties of perjury that the information provided above is true and correct. Si ature: Date: Phone# �' Official use only. Do not write in this area, to be completed by city.or town official. City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/ToNvn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: / Y / CERTIFICATE OF LIABILITY INSURANCE OP,o � DATE(MMIDD/YYW) AWOL mmm 1 03/27/06 PRODUCER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kilgore Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 33 Centennial Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES EELOW. Peabody MA 01960 Phone: 978-531-6550 rax:978-531-9442 INSURERS AFFORDING COVERAGE NAIC 9 INSURED INSURr.R A: lark 1 INSURER e: NESS E'n land Custom DesignSafety Insurance Company 39454 ---' - Ron We�nbergg & Va Lanza NSURERC Travelers Prper� E Casualt 2g6 Lowell Stzeeat 34-A INSURER D: Wilmington MA 018 �. INSURER E: COVERAGES _ THE POLICIES OF INSURANCE LISTED ARROW HAVE BEEN ISSUE)TO TME INSURED NWIE()ABOVE FOR THE POLICY PE'RIO(7 INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONOMION OF ANY CON TRACT OR)THER DocuMEN'r WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THC INSURANCE AFFORDFD BY THE POLICIES DE&CRISED HEREIN IS SUBJECT TO ALL THE TEP.MS,EXCLUSIONS AND COIJDITIONS OF SUCH POLICIES.AGGREGATE LIMITS AHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/ OD1YY) DATE(MMlI V'(Y) LIMITS GENERAL LIABILITY EACH OCCURRENCE $10Q0Q00 A X COMMERCIAL UbNI:PAL a-BILITY IN I881E 03/14/06 03/14/07 PREM13E5(Ee occurence $50000 CLAIMS MADE r OCCUR MED RXP(Arty or,e person) $2500' PERSONA &AD/INJURY $1000000 GENERALAWAE(WE $2000000 OrNt AGGREGATE LIMIT APDL IF.fi PFR. PR03U1 _Ti`-COMPlOP A00 $1000000 POLICYr_j,EDT LOC AUTOMOBILE LIABILITY LIABILITY COMBINED SINGLE LIMIT $ B ANYAIJTO 0062853 04/05/05 04/05/06 iEeacoidan)) ALL OWNED A1708 POLICi! RENZwS 04/05/06 04/05/07 �{ SCHEDULED AUIO': (Per on) $250g00 (Per personl HIRED nUTOS BODILY INJURY $500000 NON-OWNED AUTUa (Per eaoJdard} W — PROPERTYDAIvt4GE $100000 {Per mldent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY ALTO -� p'rH,et'rraN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY CACTI OCCURRENCE $ 'XCUR r7 CLAD, MADE Ar3GREWI E $ DEDUCTIOLE F RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILTONY LIMIT& ER _ fTY C ANY PROPRIETOR/I'ARTNER(EY,EC.I,rIVE 7PJUB303=09705 03/14/06 03/14/07 E.L.EACHACCIDEM $100000 p - OFF ICrR/MEWEREXCLUDLV, IE.L.DISEASE-EAEA1P(OYEE $100000 IW yyas,dosefte under SFECIALPROVISIONSbelow E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS r LOCATJOFfa/VEHICLES/EXCLL iT4—ApOED BY ENDORSEMENT/SPECIAL PROVISIONS Lvidence of I)nsuranc-� CERTIFICATE HOLDER CANCELLATION TQX=O SHOULD ANY OF THE ASCVE OEBCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,TME ISSUING INSUR R WILL ENDEAVOR TO MAIL 30 DAYS WRn-TEN NOTICE TO THE CERTIFICATE HOL:.tR NAMED TO THE LE-T,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIOA11014 OR LIABILr./OF ANY KIND UPON YHE INSURER,ITS AGENTS OR REPRESENTATIVE5,* AUTHORIZED REPq>SENTA E ACORD 26(2001100) p AG G RPORATION 18$B V 2 KV .591S, Board of Building Regulations and Standards One Ashburton Place - Room 1301 r Boston. Massachusetts 02108 Home Improvement.Contractor Registration Registration: 102467 Type: Private Corporation Expiration: 7/2/2008 NEW ENGLAND CUSTOM DESIGN, INC. Val Lanza 226 LOW ELL ST. WILMINGTON, MA 01887 Update Address and return card.Mark reason for change. ' Address Renewal 0 Employment Lost Card 0 50M-05/06-PC8490 i .. �/tC TOG✓.7LgtOn1l�C� o�✓[�Ga06aC/tud@�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number.:.CS 008828 Birt-44 ate; 04/20!1.951 Expires:04%20/2008 Tr:no: 21457 - — Restricto..d:.:00:.. VAL J LANZA 34 BIXBY ST G- REVERE. MA 02151 Commissioner i NORTH Town of 19Andover, No. _ _ over, Mass..�� S O COCMICKEWICK ALA . ADRATE D S E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ' % BUILDING INSPECTOR THIS CERTIFIES THAT je*40.4 ................��....�f..... .... ................................................................... Foundation has permission to erect........................................ buildings on �......fiV6 �!�1� ...........••• Rough to be occupied as.... � ...........:.f..... .. .............................................................."In11.ile i.. Final y e provided that the person accept ng this permit shall In every re ct conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final moo PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR UNLESS CONSTRU ST Rough ....... ...... ................ ................. ........................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts .» � "��� Department of Public&fdy Nfelt OQARD OF FIRE PRE1Il:?Mnom AEGUL'MONS SU CMR 1200 3/90 ere.".•r s F.. orsas� � APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11p.pork r►.p•tloFtaed d aeatdasee Mat 1i►.M..raeAw.a EleptbM cods,SV CNX 12.W OWAW PUW ni = OR =Z AM Ummunm 1 Date City os ?ovfi of -1-2 a�I/Pte. V To the Inspector of W rest US wderolv4d applies for a petwit to pertorm the el•ctrieal Work 4"cribed below. Location (Stftet i*Jose) se) aroar os seeaet eaters Address 3s this vomit is s jmctioa With a building pemitt YesBW/ ❑ Solo (0mck Appropriate �vtility A"Wrisatioa No. >b""I'g SevMI,� Volts Oveth"d ❑ Uadpd❑ me. of motors Nov seryl if Volts mad ❑ Uad=rd❑ No. of Motors Nasbts o=?ceders asd J�ppseity Loeatiw end Us"W of Proposed Et•etrieal stork 109?.0 in„ a -7•- /Q„ No. of Lighting outleis' as. of not 208 Mrs. ot_ 'hsnstorsiers R9A No. of uotlog rLutures Svistetag tool •❑ •. ❑ Ceeerators . RYA No. of lhr•ptaele Outlets me. of oil Pursers Nor List 4P. of vvttob outletstette fJnits No. of Cas bnrnssa PIM ALAW No. of tomes . Pip., of loses No. of Air Gond. os Mb. of Detection sad C No. of Dispoaala No. of t Total Zotsl Iottiatiag D¢vitee s NO. of Sanding Devices No. of Diabwasbars Span/Ares Neatiog ar lb. of Self Coatsined lb. of Dsya=s DeteaU"Isouadiag Deviess M4attag Devices IN _ Local N:oiCipal So. of water "tars 9W 0 0 ❑Ceapacti" Ocher sails'' Lou Voltage lb. w llesaage Ube No. of Motors Total up QOIDNt: ' Ia _ l4,tsuant to the seq�isosots of Mass =hew a =t.W t ill Iese�snce Policy ImIud s`M'�tto Coast Lints ego�•alaat. Covets • I!yet bm s wa M o _ e, so�itt d Valid t �of esse�tb�fes. geo its substsotiai Pl�ae iadaeat• the ty1084A02pe `ox cOwsage b7 tU appropria�❑ . �J ❑ �leaa• Specify) tattasted value of alectrieai work S Wnt to Start sat a Inspection Data Re"stedt � gIS"d a.♦er the peaalti s of pet ut;t Final rm R4W "as": / LPC. N0. 13 Address ,64 Signature LIC. NQ: • gut. ?•t. N . oitoyt a _ Alt. e it— L- ftAlYMt = etsettsl ai waives w wequire tel eesd obs Licence s have the taausriNics covers a or ' P�� alas sehaseets s 0•mar' A3eat t on ;'Pasture GO this ysineie thio re9Ms+�eat. �etil t lease check oee) - lsaatess o . . or ear Z•lepboae Ito. . . Date....... C ...77 . X' 329 NORTH 4, 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 7-- 4 d CHU5 .PtA This certifies that ....... .11.1. .. ............................. has permission to perform ..........W........W.........�R. ..................... ................................................ wiring in the building of............R f,VA at.........3A..... .................. .North Andover,Mass. Fee..(/lY....... Lic.No.. Y373............................................................ ELECTRICAL INSPECTOR CW1Cro) 10% %1011b!9�' 15-00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer kga.w RECEIVED ;�o0.0 .;10�` '��'rE;�° DANIEL LONG F• APRIL?" TO#„l CLERK •. leas :g H NORTH ANDOVER 4 '�ssq C 115E,4� �•►trvt�s SEP Z 3 00 PM 161 TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION September 24 , 1981 Date . . . . . . . . ... . . . . . . . . . . . . . . . . . . Petition No.. . . . 3.4. . -. . 831. . . . . . . . Date of Hearing. S e p t.e m b,a r, .15., 19 81 Petition of . . . . . . . . . . . . . . . . . . . . . . . . . . . RICHARD J . AND SANDRA M. WING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . ,31 S t o n e c l e a v e R o a d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements of the . . . 7P.n i n.g B y . L a w Section 7 , Paragraph 7 < 3 and Tabe . Tab.l. . . .2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit . .the. .con.ti n.ued . existence. o.f, a s.i_ngl.e- family. -dVA1. 1 i.ng. -hayi n l e.s.s , than . t.he. .req,ui red. s.i. de .yard. .set , b,ack After a public hearing given on the above date, the Board of Appeals voted to . G RAN,T, , , . the - - - - -ya.rja,nce. *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �....F l.c�_s*.+�w��>•�1at-�.�.jt_Lt�_ * with the condition that a set of plans be submitted to the Board for signatures . Signed Frank Serio , Jr . , Chairman _ Al.fred. . E... - Frizel. le. , Esq-.., ' Ui. ce .CHairman .Richard. J. , . Trep.ani.er.,. . Es.q , .,. .Cl,erk 14i.l,1i,a,m_ J. , S,ul 1_i. y.an . . . . . . . . . . . . . Aug us.tin.e , LFI_., , N.i.cker. son . . . , _ _ , _ . . Board of Appeals RECEIVED DANIEL, LONG or TOWN CLERK NORTH ANDOVER SEP 3 oo PM `8IsAC14U scHus TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS September 24 , 1981 i Richard J . Wing 31 Stonecleave Road t Petition No . 34 - ' 81 i Mr . Daniel Long , Town Clerk Town Office Building North Andover , Mass . 01845 Dear Mr. Long : i The Board of Appeals held a public hearing on Tuesday evening , September 15 , 1981 upon the application of Richard J . and Sandra M. Wing . The hearing was advertised in the North Andover Citizen on August 27 and September 3 , 1981 and all abutters were notified by regular mail . The following members were present and voting : 3 Frank Serio , Jr . , Chairman ; Alfred E . Frizelle , Esq . , Vice-Chairman ; Richard J . Trepanier , Esq . , Clerk ; William J . Sullivan ; and Augus - tine W. Nickerson . ` The petitioner seeks a variance from the provisions of Section 7 , Paragraph 7 . 3 and Table 2 of the Zoning By Law to allow the con - tinued use of a single family dwelling with less than the required side yard set back on the premises located at 31 Stonecleave Road . f The petitioner testified , through counsel , that when a recent plot plan was required by the bank to secure a mortgage , a 42 foot i violation was discovered on the side yard set back . Upon a motion made by Mr. Frizelle and seconded by Mr . Trepanier, the Board voted unanimously to grant the variance. as requested with the condition that a set of plans be submitted to the Board for ' signature . The Board finds that each of the conditions set forth in Section 10 . 4 of the 7_oninq By Law have been satisfied. In particular , the Board finds that due to the location of the structure with a small deviation from the existing requirements constitutes a hardship within the definition of the Zoning By Law . Richard J . Wing Petition No . 34 - ' 81 September 24 , 1981 Page 2 Said variance will not , in the opinion of the Board , derogate from the intent and purpose of the Zoning By Law . Sincerely , BOARD OF APPEALS Frank Serio , Jr . , Chairman Jw (Plan to follow) E µQRiM Received iby Town Clerk : 3?;.<� �° ;•��o 12 13 14 y o TOWN OF NORTH ANDOVER, MASSACHUSETTS C1 �'� BOARD O,F APPEALS « `+ ` m " 19 � . SCNUStS Notice : Thi s application must be typewritten A T FOR RELIEF FROM THE REQUIREMENTS OF THE ZONING ORDINANCE App chard J. •& Sandra M Wing Address 31 Stonecleave Road 1 . Application is hereby made (a ) For a variance from the requirements of Section 7 Pa-r_agraph 7 . 3 and Table 2 of the Zoning By-Laws . (b ) For a Special Permit under Section Paragraph of the Zoning By-Laws . ( c) As a party aggrieved , for review of a decision made by the Building Inspector or other authority . 2 . ( a) Premises affected are land and building (N ) numbered 31 Stonecleave Road Street . ( b ) Premises affected are property with frontage on the North ( ) South ( ) East ( x ) West ( ) side of Stonecleave Road )Mv5oe,tx, and known as No . 31 Stonecleave Road Street . ( c). Premises affected are in Zoning District R-2 and the premises affected have an area of 43, 569 square feet and frontage of 150.00 square feet . 3. Ownership ( a ) Name and address of owner ( if joint ownership , give all names ) : Richard J. wing and Sandra M. Wing Date of purchase January 24, Crestward Devolp. p 1980 Previous owner ( b ) If applicant is not owner , check his interest in the premises : Prospective Purchaser Lesee Other ( explain ) 4. Size of proposed building : front ; feet deep ; Hei ght : stori es ; feet. 'I ( a ) Approximate date of erection : N/A ( b ) Occupancy or use of each floor . �I (c ) Type of construction : 5 . Size of existing building : 46 feet front ; 25 feet deep ; Height : 2 stories ; 20 feet . (a ) Approximate date of erection : 1979 ( b) Occupancy or use of each floor : I Residential Only (c) Type of construction : wood frame 6 . Has there been a previous appeal , under zoning , on these premises ? If so , when? No 7. Description of relief sought on this petition A variance allowing the side yard set back of 25. 5 feet to remain in the existing-structure when zoning requirement is 30 feet. ' 8. Deed recorded in the Registry of Deeds in Book 1417 Page 105 or Land Court Certificate No . .Book Page f The principal points upon which I base my application are as follows : ( Must be stated in detail ) Petitioner is selling the property. The non—conformance has resulted in undue hardship to the petitioner in that buyer ' s lending institution is holding purchase money funds. By granting _ a variance petitioner would be able to have said funds released. I agree to pay for adv"• sing in newspaper and incidental expenses* < l titioner ' s Signature Sec. 1 APPLICATION FORM Every application for action by the Board shall be made on a form approved by the Board . These forms shall be furnished by the clerk upon request . Any communication purporting to be an application shall be treated as mere notice of intention to seek relief until such time as it is made on the official application form . All in- formation called for by the form shall be furnished by the applicant in the manner therein prescribed. Every application shall be submitted with a list of "Parties in Interest" which list shall include the petitioner , abutters , owners of land directly opposite on any public or private street or way , and abutters to the abutters within three hundred feet of the property line of the petitioner as they appear on the most recent applicable tax list , notwithstanding that the land of any such owner is located in another city or town , the Planning Board of the city or town , and the Planning Board of every abutting city or town . * Every application shall be submitted with an application charge cost in the amount of $25 . 00 . In addition , the p?titioner shall be respon - sible for any and all costs involved in bringing the petition before the Board . Such costs shall include mailing and publication , but are not necessarily limited to these . LIST OF PARTIES IN I14TEREST Name, ; Address oei oma, • Q �- - 1 6 n d° ✓Mr . and Mrs. Fred P. Bernard 11 Stonecleave Road v M.:. and Mrs. Richard Winn 10 Stonecleave Road ,fP7r. and Mrs. Charles A. VeIguth 38 Stonecleave. Road � • ✓Mr. and Mrs. Stephen Blinn 43 Stonecleave Road Mr. and Mrs. Anthony P. Leonardi LQ(QStonecleave Road V Mr. and Mrs. Ed Remitis OkStonecleave Road C"S+-w o C ci Uj allC.� ( Use additional sheets if necessary ) PETER T. SLIPP ATTORNEY AT LAW CENTRAL BUILDING 316 ESSEX STREET LAWRENCE, MASSACHUSETTS 01840 TEL. 685-1800 October 30 , 1981 Board of Appeals Town Hall North Andover , MA 01845 Attention: Jean White Re : Variance - 31 Stonecleave Road Mr . and Mrs. Wing Dear Jean: We need to obtain a Form 1094 - NOTICE OF VARIANCE stamped and certified by your office . This document is the only one acceptable for recording at the Registry of Deeds. If there is any charge for this service, please call , and our office will forward a check forthwith. Your prompt attention would be greatly appreciated. Very truly yours, Peter Sli PTS:lab NORTH T HA ANDOVE 0 VE . ... . . .R..,....M.P,SS.A.C.H.LI.S.E.T.T.S..... CITY OR TOWN BOARD OF ' APPEALS -----------------N o.v e.m b e.r.. ....................2 19 81 .... ...... .. .. NOTICE OF VARIANCE Conditional or Limited Variance or Special Permit (General Laws Chapter 40A, Section 18 as amended) Notice is hereby given that a Conditional or Limited Variance as been granted RICHARD J . AND SANDRA M-..-..W I.N-G Owner or Petitioner Address....31 STQNECLEAVE ROAD ---- - -- •----- City or Town..___NORTH ANDOVER , MASSACHUSETTS 01845 -------------------------------------------.--------......_.....-----------------------.._...-------•-•-••- ---•-------••--•---•---•-•--•--._......•----------•-•----•----•.................•------••---------------••--•--•-•-•--------••-•-•------------•-••-•-•-- Identify Land Affeeted •..................•--...-----•-------.._...-------.._..---•---------------•---.....--•--•-------•--...-------.._._..--••---•-----•--•--•-...•---..._.. NORTH ANDOVER by the Town of..............................................................................Board of Appeals affecting the rights of the owner with respect to the use of premises on. 31 STONECLEAVE ROAD , NORTH ANDOVER_,_ MASSACHUSETTS 01845 Street City or Town the record title standing in the name of RICHARD J . AND SAN DRP., M . WING __________________________•---------------------------_______.----------------------------------------------------------•------------ whose address is------31 STONECLEAVE ROAD , NORTH ANDOVER , MASSACHUSETTS ----------------------------------------------------------------------------------••------ Street City or Town State by a deed duly recorded in the o r--h Essex ___County Registry of Deeds in Book 1 .1.7_.._ Page......10 5____ ____________________________________________________Registry District of the Land Court Certificate No..................... ------------Book ................Page---------------- The decision of said Board is on file with the papers in Decision or Case No.......34............81 aw in the office of the Town Clerk..__Dani el___Long_-of-:No_rt_h- Ando__v_e_r-,_ Mas_sac_hus-etts Certified this....2 n a__day of..........N•o v e m_b_e r____________________1981 . Board of Appeals: F ra-n k S e r i oJ r...........................Chairman Board of Appeals ------------------Ri chard J:___Tre_pani er , Clerk Board of Appeals ------------------------------------------------19-------- at--------------o'clock and--------------------------------minutes ----M. Received and entered with the Register of Deeds in the County of__________________________________________ Book------------------------ Page------------------------ ATTEST ....-----•-------•-•------•---------------------------•-•--•--•-----------.. Register of Deeds Notice to be recorded by Land Owner. FORM 1094 HOBBS & WARREN, INC., REVISED CHAPTER 212.1962 September 16 19PI Nr. Richard 0 . Win(,- 31 stoneclepvy Pond North Andover, sass . 01845 Dear Ar . Wing : This is to inform you that yorr request for a variance w;s Granted by the 60ard of pppesls . A formal Notice of Decision will be sent to you in the near future . Sincerall , 00100 OF APPEALS Fran; Serio , Or. , Chairman FS/jw cc Attorney Peter Slipp o Cc w W a t7 k ry f t II s d l i � 1 w oal ;.. 'F S� FORD 4 'd qF"Y S -TREE , t ,tip . .,4, � ✓�c:,� > , f Nona MINN. imwmd . , f s'a of .kA tL f._ r#fYJS.r. ia�n 31 8tonecleave Road North Andover, Haesechusetts Bupar: iabArd Reming Scale: Judy 141961 f •,43 , It i r ? '- lelA ;a 0�. NOTE: This is not a survey and is to be upe4 for mortgage Purposes only. ( V.B.- Do not use offsets for establishing 8 lot lines for the j v , erection of fences, calls, hedges, etc. i I hereby certify that the building on t a propertylis located as shown on plan and does not comply vith the zoning set back requirements of the Town of North Andover. NOT APPLICABLE TO FLOODS PLAN ZONING. r *°NOTE: Side yard requirement is 30'. CYR ENGINEERING SEVICES, INC. 300 CANAL Si'Rl 'T 11^IWME CE, I•IASSACIMSEMS ..T. t - r . 31 St',onecleave Road North Andomer, Massachusetts Scale: - ;gip B�per. Pazi°g July 1,1981 QN t D1T /D2 ,d f N NOTE: This is not a survey and is to be for mo { y �� ztg�:ge % purposes only. , •N.B.- Do not use offsets for establishing lot lines for the i erection of fences, walls, hedges, etc. i hereby certify that the building on tea.property is located as -shown on plan and does not comply with :the i*ni.jng set back requirements of the Town of North Andover. i j tit }'tr NOT APPLICABLE TO FLOOD PLAN ZONING. NOTE: Side yard requirement is 301. C��'R ENGINEERING SWTICES INC. ~� 300 CkV L STREET J ";,�`:?-=;�• L.A'WMR CE, MASSACHUSETTS PETER T. SLIPP ATTORNEY AT LAW CENTRAL BUILDING 316 ESSEX STREET LAWRENCE. MASSACHUSETTS 01840 TEL. 685-1800 August 5, 1981 Town of North Andover Board of Appeals 120 Main Street North Andover, MA 01845 Re: Variance Application Richard and Sandra Wing 31 Stonecleave Road North Andover, MA 01845 Dear Sir/Madam: Enclosed are an application and filing fee of $25.00 in the above referenced matter. I have also included copies of a Plot Plan which indicated where the side lot deficiency occurs. If further information or material will be needed, please contact this office as soon as you are able, otherwise, please schedule the matter for hearing at your next meeting. Thanking you for your attention to this matter, I am Very truly yours, /eter T. Slip PTS:lmm Enclosures August 20 , 1981 Mr. Richard J. Eli nca 31 Stonecleave Rd. 4 Forth Andover , I'lass . 01345 Re : Variance request for Stonecleave Road Clear Mr . Bing : Enclosed please find a copy of the legal notice for your D petition before the Board of Appeals . In order to -complete the processing of this petition , please submit the amount of $5 . 76 to cover the cost of postage . Also enclosed is a copy of the Board ' s requirements regarding the plan of land to accompany each petition . Please submit your plans as soon as possible. Thank you for your cooperation in this matter. Sincerely , BOARD OF APPEALS Jean E . Elhtte , Secretary Jw Eric. soo �} CA VEROS W 10 z: c 4 J-1 [ J vi r � � 1 AV •` L � �Qo �o1. ,� 1 -"•j T. U' S i `/ Vrn , M r - ,. .._.. '.... ... .. ..._ r.:-:r- -sr..._.,.-.-.+. .....s- ..e.. ..*d�1,,.,.,e 4.r" .. � ,. ., ,,. tee.. .. ... .., .. .,. -.. �...,_.- _ ...s r...».c. .Y-_ :....xe-•.., 31 Stonecleave Road 'North Aridover, Massachusetts Ht�er: a9b4rd Remibg Scal10t July 141981 " Zo/ /03 .� J7 N y y/ C/JdbSIY� H'cq//txir// I tv R,A I 1z -ly. NOTE: This is not a survey and is to_ be used, for martiage Opurposes only. , 'L%7%3.- Do not use offsets for establishing lot lines- for the erection of fences, walls, hedges, etc. I hereby certify that the building on We.piroperty is i located as -shown on plan and does not comply with tlw soning set back requirements of the Town of North Andover. NOT APPLICABLE TO FLOOD PLAIN ZC"IING. Side yard requirement is 301. �1 = CYR ENGINEERING SERZTICES, INC. '. !bn':1 _•t-� ""` 300 CANAL STREET L.",WMI CE, HASSACIIU.SETTS 'R•. Location 3 s�o v e G��� Rj No. "70� Date 3 f 0 - 0"3 ,� MG,oT.1hI TOWN OF NORTH ANDOVER ,, 3? - • 0 } Certificate of Occupancy $ Building/Frame Permit Fee $ J�cwus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ n Check # 16230 Building Inspector A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date — D `3 Z SECTION 1-SITE INFORMATION o 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage 11 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ V—/+—L ) . 4A&17/4-. Licensed Crstruction Supervisor: .jx�a e T y��J License Number Ad rss Y /S (/ g 97,6-915--414,1.26- Expiration Date ic Signator Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name rn Registration Number AddTess ,[� �✓� Expiration Dale ^ Signature Telephone \I R 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. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check a licable New Construction ❑ Existing Building V Repair(s) ❑ I Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I I SECTION 6-ESTIMATED CONSTRUCTION COSTS i Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee U � Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e) X(b) 4 Mechanical HVAC a r o 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATI TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT i 1, as Owner/Authorized Agent of subject property i 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, V�6 � as Owner uthorized Agen 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 VA,L T, Pri e Si nature of O r/A Date .'a,-e .`"$ %' •"Aq� «+�' a'" NO. OF STORIES 2- SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1ST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 1-EIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of/'ala " ssachusetts Department of Industrial Accidents r Office of Investigations Boston, Mass. 02111 :. Workers'Compensation Insurance Affidavit Please Print Ell Name: , .l C , Location: j,t C G CI G - Phony a am a homeowner performing all worts myself. �1 am a.sole proprietor and have no one working in any capacity ETI l t am an employer providing workers'compensation for►nY employeeswor king on this job. GantMe- Address' - name- Ga ` S 1 Add �d dL 6e, S Phone# r Address `, Clty: Phone#- tn•tt� Q • Faiture#trsece e as►e[i dred utirlpr 25A or NK"sE.1 2 comer twit tath& and/or one yeas'u►M�risonment a$watt as t�penattiies in the icEr�t of a S"f oP 411f tion d Erirrar►at p a flee up to$1_SM euiderstand that a copy of this stat and afire of l3tt)Rf)O)a day last me. i OO ►nay be forwarded to the(iffice of k at the tall for cow verincatim. /do herby cerW under the pains anfatpena�s Of . rY that file Irtfnrinatia►proymetl above is brie ant/-oorrftt Signature Date \ Print name L j Phone# Oficial use only do not write in this area to be completed by city or town dftal- ©.Chrck Yirnmedale response is requked6uildirtg Dept El building Dopt- Q Licensing Board zttact person: Q `�`W en's �C6 Phone Q Health Departrnert C1 afher 'Ri:,AWS COMPENSAT/CV r ��TT pp \ ✓lie (Oa�izrr�mxcuPca/C/i a�✓ ac�iccael�a Board of Building Regulations and Standards log License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 102467 Board of Building Regulations and Standards Expiration: 7/2/2004 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 NEIN ENGLAND CUSTOM DESIG Val"Lanza 226 LOWELL ST. WILMINGTON,MA 01887 Administrator Not valid without signature ✓fze �anv»2ovuaer�� a�.Jac`cccde�6 BOARD OF BUILDING REGULATIONS . License: CONSTRUCTION SUPERVISOR j Number: CS 008828 I Birthdate::04/20/1951 y Expires: 04/20/2004 Tr.no: 20132 Restricted: 00 VAL J LANZA _ 34 BIXBY ST REVERE, MA 02151 Administrator NORTH Town of ,. : Andover 0 No. yaok -or',Cy dower, Mass., 3 d S RAT E D PIV 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT......R1.C!.�,A ~ � k0!f��ti BUILDING INSPECTOR .......................................................... ....................<.....V.......... ...... Foundation oundation has permission to erect...v.l.N.N �............. buildings on ................�,. .. ... ,. ,.... ....... Rough to be occupied as 5 1. P.O.. .......CO.V00.1%.. � Chimne. v . . . .. .......... . . . . . . ................................................................. provided that the person accepting this ermit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-La" relating to the Ins action, Alteration and Construction of Buildings in the Town of North Andover. '®S C ) 4V ru PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C CA � - Rough g .. ........�................................600.......................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date...��/. .0.:� f NpRT#j 1 3:°.'�``•'-. °"�o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING Io ACHUSs This a-rtifies that .......... �� vt� n �....... , ..... ............................................................... has permission to perform ........ � 55..5.:. .!:�` . ......................T.c�1�2�✓ wiring in the building of 2 `til i N at......�3J....... - � f. z ......... ............. .......North Andover, Fee.....J. Lic.No.�7. 6. s us C.. ?�< ! % .. ....... .. .. .......... . ELECTRICAL INSPECIbR Check # � 44 ,- 0 THECOAMONWE40HOFM4mamS'E77S Office Use o ly� DEPARTMEWOFPUBLICSAFETY Permit No. BOARD 0FMEPREVE1W0NREGUL H0AN527CMR 12-10 Occupancy&Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address ` Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps/ volts Overhead Underground No.of Meters New Service Amps / Volts Overhead [:3 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Q Connections a No.of Water Heaters KW No.of No:of Si Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER"--4-_1U_ c�(J Segv C. /ho d�=lht-�k f� &Use- w htstranoeCO e0a PtisuantbiheregttaaY>a�oE cls�elLsCia (Lawso I ha,�eawmtLiabkyh>Ssum=Pcb ymdu&gCt �e CouardsskstaMec}n,&t Y. NO Iha-,e%brn&dv6dpmofofsare1othe0T=YES IFj uhmedhadWYES,plMitdC*thetAXcfwveagebydmckirgthe II\SURANC BOND OTHER0 0iwse** C /�� /� 3d > ledVabtednmt c1 W0& WodcbSlz$t L �_ >�irn -Rewested g�I Final signedundArRrellirs FZRMNAME 21-\ v c-- C- Ixa9m f�(tel t' (o C �/hC�C�� Sigr� I.io wi b O - Btt>ine�Td.Na 1 s4 /1Z/' O► d AltTelNa OWMR'SNK�EWAIVER;lam awateftttheLiwtse Coriallam aod4"sig-&mcnftpem*Vpficafirnwai.csEtasts -mmw (Please check one) Owner Agent Telephone No. PERMIT FEE �� u w The Commonwealth of Massachusetts .; Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: Clty Phone # 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#7 Insurance.Co. Poligy# Company name: Address City Phone#- Insurance Co. Policv# Failure to segue coverage as required.under Section 25A or MGL 152 can lead to file irrvosftn of criminal penalties of.a fine up to$1,500.011 and/or one years'impftonnent�vMLas_cbol pent iesln-thelem dAMDPYII M—ORDa ,aW a*e_dA$1MM_a��mtn i understand that a copy d this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is bve and correct Signature Date Print name Pbom# Official use only do not write in this area to be completed by city or town officiar City or Town PEvra�Wjsi ng (]Check d immediate El Building Dept response is required 0 Licensing Boarci El Selectman's Office Contact person: Phone A- E Heafth Department Other AR.20.2003 5:16PM GUARINO INSURANCE NO.791 P.1 U AP—im CERTIFICATE OF LIABILITY INSURANC ID 13ATE(MMID 0 O3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daniel j. Guarino Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 199 Rosewood Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Danvers Mr. 01923 INSURERS AFFORDING COVERAGE Phone.- 979-777-5820 Fax:978-777-9443 - INSURED INSURER A: Travlelers Pr FEty Casualty INSURER 8: C � AN INSURER C: - 5Walden Pond Avenue INSURER v Saugus MA 01906 INSURER{" COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-NOTWITHSTANDING ANY REQUIREMENT.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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE POLICY NUMBER DA E MMIOWY DATE MWDDI ) LIMITS GENERALUABILRY EACH OCCURRENCE $500000 A COMMERCIAL GENERAL LIABILITY I-680-217K777-A-TCT-02 RREOAMAGE(Anlreneflre) $300000 ]CLAIMS MADE OCCUR MED EXP(Any ens person) $5000 X Business Owners 04/12/02 04/12/03 PEMNAL&ADVINJURY $500000 GENERAL AGGREGATE S1000000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG 51000000 POLICY PRO LOC JECT AUTOMOBILE UALIILITv COMBINED SINGLE LIMIT d (Es aadenp S ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per pereen) S SCFIEDULED AUTOS _ MIRED AUTOS BODILY INJURY NON-OWNED AV71pb (peraeddenq S _.. PROPERTY DAMAGE S (PeracddW4 GARAGE LIABILITY AUTO ONLY.EA ACCIDENT I ANY AUTO OTHER THAN EA ACC S AUTO ONLY. AGG S EXCEBSLIABILITY EACH OCCURRENCE S _ OCCUR FICLAIMS MADE AGGREGATE S S DEOUCTBLE S RETENTION S S - WORKERS COMPENSATION AND TORY wh I ER EMPLOYe*S-LIABILITY E,L EACH ACCIDENT S A.L.DISEASE•EA EMPLOYE S LL DISEASE.POLICY UMR S OTHER A CLaImercial Applica r-Ge0-217LL777-A-T=-o2 04/12/02 04/12/03 PROPERTY 1214 DESCRIPTION OF OPERAnousiLWATIONFU-VENICMQEXr.LUMOWS ADDED BY ENDOR5EMENTISPBCIAL PROVISION5 ELECTRICIAN CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION TOWOFA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED OEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1D--DAYS WRITTEN Town of North Andover NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TD DO SO SHALL Electrical Inspectior 21 Charles Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR North Andover XA 01848 REPRESENTATIVES. AUTHORISED REPR IYE 0 • ACORD 25S(71371 ®ACORD CORPORATION 1988 Location 3/ S40,vL''G/-r4 L`e` No. / Date NORTH TOWN OF NORTH ANDOVER 3? i •• O + ; ; Certificate of Occupancy $ Eck' Building/Frame Permit Fee $ SACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # S s� (Ca" 18 CJ i 9 "` Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVA■!T OR DEMOLISH A ONE OR TWO FAMILY DWELLING r BUILDING PERMIT NUMBER: S17 DATE ISSUED: SIGNATURE: Building Cotnmissioner/I for of Buildings Date z SECTION i-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReqWred Provided v 1.7 Water Supply M.GL.C.40. 34) 1.3. blood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT IStflCt: ,,/C 2.1 Owner of Record Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: e Nime Print Address for Service: Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 License Number Address /� �� s - ✓l ����7� � Expiration D to 3 9-19fillGe Telephone r 3.. Registered Home Improvement Contractor Not Applicable ❑ v Company Name V IS4777 Registration Number Address r Mum 7A z 5, lel Expiration Dfic Si n ture r Telephone G) t: SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 f 25e(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 it. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Pro sed Work check a9 aDOmble New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)z tbl po?4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 .0_(1 I Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR COINTT-R-ACTOR APPLIES FOR BUILDING PERMIT I, � ✓� �r`D 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 property as Owner/Authorized Agent of subject Hereby declare that the statements and information on the foregoing application are L*ue and accurate,to the best of my knowledge and belief Print Name �Q Si tuieot'0wner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS iST 2 NU 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS ;P HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUU DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE s ; ,1 BC CALC®9 DESIGN REPORT - US Monday,April 04,2005 13:00 Quadruple 13/4" x 9 1/2" VERSA-LAM®3100 SP File Name: BC CALC Project: FB01 Job Name: Description: Address: Specifier: City,State,Zip: , Designer: Customer: Company: Code reports: ICBO 5512, NER 629 Misc: t 2 I I� -71 BO 61 LL 3600 lbs LL 3600 lbs DL 2722 lbs DL 2722 lbs Total of Horizontal Design Spans=12-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. 1 2ND FLR Unf.Area Left 00-00-00 12-00-00 Live 30 psf 12-00-00 100% Member Type: Floor Beam Dead 15 psf 12-00-00 90% Number of Spans: 1 2 INT BEAR WALUnf.Lin. Left 00-00-00 12-00-00 Live 0 plf n/a 100% Left Cantilever: No Dead 75 plf n/a 90% Right Cantilever: No 3 ATTIC/LITE ST(Unf.Area Left 00-00-00 12-00-00 Live 20 psf 12-00-00 100% Dead 15 psf 12-00-00 90% Slope: Controls Summary Control Type Value %Allowable Duration Load Case Span Location Pos.Moment 18967 ft-lbs 67.9% 100% 1 1 -Internal Disclosure End Shear 5411 lbs 42.1% 100% 1 1 -Left The completeness and accuracy of Total Load Defl. U293(0.491") 81.9% 1 1 the input must be verified by anyone Live Load Defl. U515(0.28") 70.0% 1 1 who would rely on the output as Max Defl. 0.491" 49.1% 1 1 evidence of suitability for a Span/Depth 15.2 n/a 1 particular application. The output above is based upon building Notes code-accepted design properties Design meets Code minimum(U240)Total load deflection criteria. and analysis methods. Installation Design meets Code minimum(U360)Live load deflection criteria. of BOISE engineered wood Design meets arbitrary(1")Maximum load deflection criteria. products must be in accordance Minimum bearing length for BO is 1-1/2". with the current Installation Guide Minimum bearing length for B1 is 1-1/2". and the applicable building codes. Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+ 1/2 intermediate bearing To obtain an Installation Guide or if you have any questions,please call Connection Diagram (800)232-0788 before beginning Consult project design professional of record or BOISE technical representative for connection design product installation. Member has no side loads. BC CALCO,BC FRAMER®,BCI®, Connectors are: 1/2 in.Staggered Through Bolt BC RIM BOARD TM,BC OSB RIM BOARD- BOISE GLULAM-, a minimum=2" VERSA-LAM®,VERSA-RIM®, b d—► b minimum=2-1/2" i VERSA-RIM PLUS®, -- c=5-1/2" , VERSA-STRANDT"" a I `I ; = VERSA-STUD® d 24",ALLJOIST®and � - • • • AJSTM'are trademarks of Boise Cascade Corporation. }' C Page 1 of 1 a O,• PROPOSAL NO. P050 DATE: 3/14/05 TWOMEY & LEGARE CONTRACTING Building & Remodeling SHAUN TWOMEY Kitchens - Baths- Custom Woodwork DOUG LEGARE (978)685-7447 Complete Interior/Exterior Carpentry (978)556-1547 NAME OF OWNER: Dick& Diane Remming ADDRESS OF JOB: 31 Stone Cleave Road North Andover, MA 01845 TEL: (978)686-2257 DATE OF PLANS: NONE We hereby submit estimates for: 1. Cut wall between Kitchen&Dining Room to a half wall to finish at 42"beam in ceiling - will hang down approximately 10"inches - patch ceiling and wall -blend ceiling as close as possible 2. Prime wall area of new plaster- Owner to re-wallpaper(no wallpaper in price 3. Paint ceiling in Kitchen, Dining Room, &Hallway 4. Electrical -Move old wiring, move phone line, & 3 recessed cans in Kitchen on dimmer switch by Contractor Replace 2 Hall lights& Kitchen light fixtures -by Owner 5. New oak floor-Remove rug in Dining Room and Hall -Remove hardwood under Hall rug -New hardwood to be Summerset Pre-Finish Oak Contractor to supply all material, labor, & disposal $11,260.00 We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: ($11,260.00)dollars Payment to be made as follows: 1St on signing $3,260.00 2nd on start of job 1YO- 1Y,5-0 0 3rd on completion $1090:80 3, '�;-c 0 All material is guaranteed to be as specified. All work to be completed in a workmanlike manner aocordingto standard practices. Any alteration or Authorized deviation from above specifications involving extra costs will be executed Signature only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents,weather or delays beyond our control. Owner to carry fire,tomado and other necessary NOTE:This proposal may be withdrawn insurance. Our workers are fully covered by Workmen's Compensation by us if not aooe)ted within 29 days. Insurance. Acceptance of Proposal - The above prices,specifications and conditions are satisfactory and are hereby accepted. You are n authorized to do the work as specified. Payment will be made as Signature X 11114(�' outlined above. 1/ Date of Acceptance: 3 / (c�� 0 Signature 7 NpRTFI '9 o o �° . over 0 O _ •�• r/V No.�7 CN o dover, Mass., V o �. COCMICMEWICK V 7 A0RATED OPS\ �5 BOARD OF HEALTH i PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... ......... ............ ......r .�...�.~. Foundation has permission to erect...........................AsOY�........ buildings on ....l3�....' ..�r.V't..s ....... V't....�. Rough w�f� to be occupied as !M�r r I1� ,l�'�.. ...Dim A r M.....AP.+ +.. � chimney ................................ ................................. .... .............,........ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /Wav /vs PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S r TARTJ, ELECTRICAL INSPECTOR Rough ........... .000 Service .. .. ... ... ........... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. THE COMMONWEALTH OF AM SISM SETTS °fficeU 7e �- DEPARTAIENTOFPUBIlPermit No. ` C : l�/ BOARDOFFMPREVEMON D7 CW 120 ,C Occupancy&Fees Checked APPLICAHONFOR PERIVRTTO P ORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the ele rical work desc 'bed below. ,. Location(Street&Number) Owner or Tenant /e, Owner's Address is this permit in conjunction with a building permit: Yes No 1:3 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps 'Volts Overhead 0 Underground No.of Meters New Service AmpsVolts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Hot Tubs No.of Transformers Total No.of Lighting Outlets KVA No.of Lighting Fixtures Swimming Pool Above Below Generators 3 KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners CNo.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of ers Heating Devices KW Local a Municipal. a Other �' Connections No.of Water Heaters KW No.of No.of Signs Bailasis o.Hydro Massage Tubs No.of Motors Total HP ER Coverage RatiootheregmernallscifMC> 1oritssub9atialegtrivalat YES NO aamatliabr�yhnurarel�licyirrk>d�gComple� F)cu haNec rdedYES,plemirdc*theNx ofcovwWby aibtrmWdvaM ofsaneeathe015ce.YES 1� BOND p � p c�s>�> Expitatim D& E0Ta2dVahiedB"ical Wbik$ to Start Rargh Fina' urKkrTrRriakrsofpegw NAME /) ,r1 LiaewNo. / [,�� / -//2 f tP&C?40C Sigr=0 , �- L offWNo _ yc 1 BBusilmTel.No. 97 b� 69'Z_ E L 6'.>- C� Z-,56-4410 57— � eC 01(/7(! Alt Tel Na c17 i 37 J -:S 7 3 V 'SINSURANCEWANFR IamawaretudrLio wdoesmtharedruaramoc)vaageorits aleg ivalaltasmgmedbyMassadugcmGffnWlaws sgnahneon thispemmrtapplication waives this m4mernerlt check one) Owner M Agent Telephone No. PERMIT FEE$ Signature ot Uwner or Agent Date.................................. a� HORTI{ TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,�SS^cMus� h"�d .y This certifies that ........ . ............... ..... ... ................................ has permission to perform � � .v / o "wiring in the,buiIding of .......... ............. at ,. ,,.a%�........... .. ..... ,-North Andover,Mass. Fee��!.�.... Lic.No.!..7.,*�!� . ��•</�;./...Xl////' /1,,� Check # ELECTRICAL INSPECTOR w ��-'y 56 '0 TRE COMMONWEUMOFMASSAC SETTS 20ffice U eDEPARTAIEVTOFPUBIICSAF Permit No. BOARDOFFMPREVFM70N ONS5'27CMR12.U0 Occupancy&Fees Checked 7 APPLICATTONFOR PERMIT TOP ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector Of Wires: The undersigned applies for a permit to perform the ele rical work desc 'bed below. Location (Street&Number) 3/ Owner or Tenant Owner's Address J Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps �Volts Overhead M Underground M No. of Meters New Service Amps / Volts Overhead =1 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,ee--,"sip No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ID 2round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Si ns Bailasis No.Hydro Massage Tubs No.of Motors Total HP PTHER a �.uameCoverage.Rna.>anttothen�gtmarerllsofMassaChlseUsC�ala�alLaws IhawacimmLiabt7iiykam=Fbhcymch>dalgCornPleM Opwab=Comngeorgssubsorldeyttivalal YES F-1 NO I have sttbrrwmd valid proof of to the Offim YES If you havechaded YES,please md6 e the type of coverage by WS[JRANCE ' BOND r7 C7IFI)~R M (Plea9eSper�y) � � Expiation Dai Estirr�d Vah&dBecbcal WOdc$ WOdctoStatt htspec:tiortDafeRegt>es>Eid Rough Final FIE2MNAV1E Penaltiesofperjury ' //O l/ �9�T7�/C Iicer�eNo. �`7 16 j.� Barme Li=WN0 �� ��C��� 5i ��`� et' BusimssTel No. 97 r 6�Z` 6 L 6 L Alt Tel No. —2 D—-S 7 3 OWNER'S INSURANCE WAIVER;I am aware that the Lime does nothave the instttmne oDwW arils substei a Wvalent as mW[ed by Nbmc;�General Laws f and that my sign re on this p=ik applirlion waives oris tegtmanent. ;Please check one) Owner M Agent Telephone No. PERMIT FEE$ Signature o caner or gen