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Miscellaneous - 33 WOODCREST DRIVE 4/30/2018 (2)
Date..-...�-- ...... .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ b.: ....... ............................ 0 ........ has permission to perform ....... ........... ............. uLS wiring in the building of ...... ........................................... .... ...... at-5.3.k�&CPJ%7 .......... PP ............. North Andover, Mass. Fee..Lj.'97.0d" ELECT I�A� INS4R Check# 08fi-0 L \ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance-with the provisions of M.G.L. c. 143, § 3L, the , permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed j on the prescribed.forin. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an G electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall-be limited as to the time of ongoing construction activity, and may be_deemed.by.thelnspector-of _Wires abandoned_and_invalid if he`_ .. _ or she has determined that the authorized work has WE commenced or has not progressed during the preceding 12-month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. . ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real properly, With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence' during the qualifying period beginning onAugust 15 2008 and extending-through August 15, 2012. ule 8—Permit/Date Closed: ** Note: Reapply for new permit( ❑ Permit Extension Act —Permit ate .lncPr1- Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. leg U (p0 Occupancy and Fee Checked s BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street &`Number) `3,3 woyz;/ CIL X57' VY Owner or Tenant fflR/r-4 y 6,V4 sOy Telephone No. /` w- a Of %/i� Owner's Address -1-4tn Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 2)w « 4- //7 G Utility Authorization No. Existing Service /6"b Amps /ate Volts Overhead- ❑ Undgrd New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: //3o vE /--IoyL /.., Ix //9 G) R S'4.ei� Completion.of.the following table may be waived -by the -Inspector -of -Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans of s Total Tran Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool OVe ❑ ❑o. rnd. grnd. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. TotalTons No. of Alerting Devices No. of Waste Disposers Heat Pum Number Tons KW ..................... No. of Self -Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Mun►cipal ❑ Other Connection No. of Dryers Heating Appliances KW SeciNo oSystems:* Devices s or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts I No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Te ecommunications No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by (he Inspector uf,Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE'COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigneii certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that'd:e inforntad this application is true and complete. FIRM NAME: R U'-/3R>�/� LIC. NO.: e,7 G f Licensee: `7P.4hi ,_--Z- Signature LIC. NO.: (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: Address: >`'7 ,fTbn<44. 7 N,4 4)/Fd Alt. Tel. No.:9.c/• 4142- ?430 *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agen Signature C Telephone No. q 7 F - -2Og -7 /S PERMIT FEE: $ N° 9635 Date ... + TOWN OF NORTH ANDOVER F • P 3 PERMIT FOR PLUMBING s Ss CHUS This certifies that .. A�! . i .. ... .... . ........ . ��jr- ~. has permission to perform. ..tom ! ..�..1... E. plumbing in the jbuildings of ...��� ... �!t).Sh�.�Ket <'�� .... 4 at ......... �-�!�t ��? ............... . North Andover, Mass. Fee. Lic. No.3� PLUMBING INSPECTOR Check # 4-1;2S WHITE: Applicant CANARY: Building Dept. PINK: Treasurer FIXTURES f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Cit n: , M Date: v ermit# _ Y Building Location: Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Instituti al ❑ Residenti' New: ❑ Alteration: ❑ Renovation: ❑ Replacements Plans Submitted: Yes ❑ No ❑ FIXTURES INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes elu�o ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Ll Other type of indemnity ❑- - Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Accent I hereby certify that all of the details and Information 1 have submitted (or entered) regarding this application are true and accurate to the best of ray Knowledge and that all plumbing work and installations performed under the permit Issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title [dumber Signature of Licertied lumber City/Town ❑'Journeyman License Number: `. APPROVED (OFFICE USE ONLY) z }} O v N aa.. z z H Y z Z Om W a a rn j. a rs Y N x c=rJ -� a Y= v c, m a w O Z c LLJ w_j 4 C9 z U a `� jr Q O a. O 1— i Q u- Q Y = LU uJ a m o a� z Y � g tW W W H 5 o SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 Ku FLOOR 4 FLOOR 5 FLOOR 6 FLOOR VH FLOOR ( ' WH FLOOR r. n� Check One Only Certificate # Installing Company Name: V E]�" Corporacion Address: /�/ t. d- �IiCCity/Town: %� 6711 -ti -e— State: Zip Code: c) I wc; d ❑ Partnership Business Tel: P 7b jL6`�%ddueli: Fax:`t'?,S�%��d�ll9/ rm&mpany Name of Licensed Plumber: cc INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes elu�o ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Ll Other type of indemnity ❑- - Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Accent I hereby certify that all of the details and Information 1 have submitted (or entered) regarding this application are true and accurate to the best of ray Knowledge and that all plumbing work and installations performed under the permit Issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title [dumber Signature of Licertied lumber City/Town ❑'Journeyman License Number: `. APPROVED (OFFICE USE ONLY) Date. .� TOWN OF NORTH ANDOVER .:„ PERMIT FOR GAS INSTALLATION This certifies that ...�" i, ........ . has permission for gas install tion . in the buildings of .... .......................... . at ....�-� . `...: �dtJ� ..*GAS h Ando er, Mass. Fee Lic. No.1P?� 1. .. . PECTOR Check #4,;2- a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO O'-��Permit# Building Location•��[,�UG'l/Y1)�(� / Owners Name: vo - Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ InstitutiResidential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: E?' Plans Submitted: Yes ❑ No ❑ CIYTI iDt=Q re _ z O tJ a:X F - R1 x 0 v t= to p talu rt 0 z rn m O Q p_ F- D X W 0: Q to w w z _ uj O� X z t W - W uat �" ¢ °a «� u�i O W O cin Z> z W w Q QLu ti a W 0 s u1 S Q CL ¢z¢ t� F>>> In- 'S O SUB BSMT. BASEMENT 7 FLOOR 2 FLOOR 3Ku FLOOR 4 FLOOR 5 FLOOR 6rH FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name: C) Corporation � � )�� Address.' -4 La 1 ( Q VL CltyfTown: Il't y� e y u tP+^ state:._zV ❑Partnership �l� - % �d a Fax: c� IV %Q %Pl o�/�f Business Tel: off [-}'FCrm/Company t�tautc-- INSURANCE COVERAGE: No ❑ I have a current Ilabil insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes If you have checked Yew please Indicate the type of coverage by checking the appropriate box below. A liability insurance policy !Q Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CheckOne ✓ Owner ❑ - Agent ❑ Si nature of Owner or Owner's A ant By checking this box ; I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in —wt .n partinent nrovfsion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. T License: , By Plumber ❑ Gas Fitter Signature of L' nse Plumber/Gas Fitter Title [] Master CityfTown �Joumeyman License Number: APPROVED OFFICE USE ONLY) E] LP Installer O . t7 ti S i `o i 4434 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. �..:.. Q!✓-. �.. „�... ........ has permission to perform '............. . } -Pluinbing in the buildings of .�J9'�t-Q� ............. . at.'.�'�...��J� r-'�' ..� . , North Andover, Mass. Fee .5 ..... Lic. No«'t/P--?.. �, ., .....ff... ................ j PLU�INBIN: INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM[ APPLICATION FO RMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date - Building Location �3 i/(/001J C?� ST Owners Name S7��UG �(�e� s%` Permit #�/ Amounts Type of Occupancy 0 Al e,11, :-,'5 J i New © Renovation ❑ Replacement Plans Submitted Yes No LA (Print or type) Check one: Certificate Installing Company Name ,OV4//O2Q,'- © Corp. Address P• d ` 13oe-< 57-�, F1 Partner. z -.--cc /,2.1 Business Telephone Finn/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature 7, 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts StatPI bj g Code and Chapter 142 of the General Laws. By: ignai of Licensea riumDer Type of Plumbing License Title q- $ 33 City/Town License Numoer Master JourneymanEl APPROVED (OFFICE USE ONLY Date.. c 6, N2 4380 «•° '.�� TOWN OF NORTH ANDOVER a ,.. • SOL PERMIT FOR PLUMBING This certifies that ... s: . .� l � �c....... . has permission to perform ..... -1 ........................ . plumbing in the buildings of .. �' .?- �.�:.. ............... at ...... 3.3... .(--. ? ........ , Novtfi Andover, Mass. Fee Lic. No.. /.Q /.) `....... /� ... ...... PLUMBING INSPECTOR V WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) OL fL` F %ik' JduG -kf , Mass. Date —� yA' Peermit #, x � 3 W©01 CP Building Location �� owner's Name Typeof Occupan :..; New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES 1 W. iAR ; s. Z Z Co W. iAR ; Installing Cc Name J JR // -Zycj t /J,c. Address C d Business Telephone t " ' Name of Licensed Plumber PMNT V:::' c/� Check one: Corporation ❑ Partnership ❑ FirmiCo. u. Certificate INSURANCE COVERAGE 1 have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142 . Yes00° No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Ja Other type of indemnity ❑ Bond 01 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will 'be in compliance with all pertinent provisions of the Massachusetts StatePlum Cod and o R Chapter 1�_jthe General Laws. C Signature of Ucknsed Plumber —r Type of License: Mast Journeyman 7 - License Number Z Z Co Z < 1.- z W Lu COca Zco — W cc= H z O Z Z Z= Z E.., cn Q u� w cn 2 �' < w cn Y < N u. ;;R a - H > C7 >Z W O� _�< W¢ M C W Z 0< 0 J Z 0 a¢ OJ U- W W Ix IIS w= uj U<_ H F— x O a Z 2 J Y a !Z O +- < 2 Z< cc LU 0 Y W W a¢ cn Ch . - .2 3 ~ Q < = f0 CO < < O < JO. OJ. Cl)< _Z ¢ < O < t— -4 O W = v O y Y J m W 0 0 J S� H 0 LL 0 n O<� Q m®0 0 W� SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR ; 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Cc Name J JR // -Zycj t /J,c. Address C d Business Telephone t " ' Name of Licensed Plumber PMNT V:::' c/� Check one: Corporation ❑ Partnership ❑ FirmiCo. u. Certificate INSURANCE COVERAGE 1 have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142 . Yes00° No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Ja Other type of indemnity ❑ Bond 01 I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will 'be in compliance with all pertinent provisions of the Massachusetts StatePlum Cod and o R Chapter 1�_jthe General Laws. C Signature of Ucknsed Plumber —r Type of License: Mast Journeyman 7 - License Number fa m I i� z fa m I z � D r �r Z N V m A �1 O Z N N X m A m N C m L7 A C O 2 Z v „ � O O = c 3 O z O O O V r C 3 � 1 a4 Date.... �i HORTIj TOWN OF NORTH ANDOVER 01a4.a° ,e,tiOL p PERMIT FOR GAS INSTALLATION This certifies that .744 ':.� !�:.: �� ............... has permission for gas installation . -� r . . in the buildings of .r�.-c - ..................... at ........... North Andover, Mass. Fee �. �... Lic. NO .�. �.-.,...._� ........ GAS INSPEC��OR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING wni e or print) Dat s//( Its®pC5 NORTH ANDOVER, MASSACHUSETTS Building Locations 3 WaO 0 C2P e, % '5F Permit # 57'ev s DGe,, s`i o Owner's Name Renovation ❑ Replacement ❑ Plans Submitted ❑ Amount S A5 - (Print or type) Check one: Certificate installing Company Name 41411. /?A 4 -'�' Corp. Address /10a- a S 72- ❑ Partner. /144111tl—ce e_9� Gid 4�Z Business Telephone fol S:- 95-O y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes � No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ,❑ Other type of indemnity ❑ Bond El Owner's Insurance Waiver. 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 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 pertormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code 3nd Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) r Signature of Licensed Plumber Or Gas Fitter ❑ Plumber a 33 ❑ Gas Fitter License I umoer tlaster Journeyman Location -33 W O O C�- No. 0 Date + dQ ` v i NORTh TOWN OF NORTH ANDOVER AL •. • O Certificate of Occupancy $ _._.. ° • C cEtn Building/Frame Permit Fee $ s�Mi`b Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 6`' Check # 61U 15183 // 1 Lb � �- Building Inspector TOWN OF NORTH ANDOVER nun D1,NG DEPARTMENT �PPLICATION. TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH.: A ONE,OR_T.WO FAMILY DWELLING 3UILDING PERMIT NUMBER; iIGNATURE: Ritildinv rnmmiccinnerfins ]ector of Bui din Date ECTION. 1- SITE INFORMATION 11.1 Property Address: 1.2 Assessors Map and Parcel Number: 3 � j Map D umber Parcel N.Aber 1.3 Zoning l 1 7,oning District.. . L6 BUILIMNG Propcdy Dimonsibits: fl Fronfif& (it) : Side Yard 'Rear Yard Required Provide R,6qWted Provided Required ' Provided F '1.7 Water S 1.5. Flood Zane infotmahon: 1.8 Sewetage'Disj" Sys em: apply M.G.LC.40. F- 34) * Zone i . t] '- Outside Flood Zone D Municipal D on Site Disposii '?.blit ❑ Private Systtm .(J SECTION 2 - PROPERTY�QV��F$RSIP�AUTIIORIZED AGENT r 2.1 Owner of Record S i Nam (An—ATAddress for Service ' t� l �. Signature 2.20f Record: Na SECTION 3 - NSTRUCTiON 3.1 Licens onstruction Supervisor: Licens d Construct! n Su rvisor: ..2 s I S._ Telephone Address for Service:99 C Tele .hone . . ER VICES Not Applicable 0 License Number t Addr U CO Expiration Date Signator Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 Company Name , Registration Number Address T _ Z Expiration Date SECTION 4 - WORK RS COMPENSATION ( G.I., C 152 § 2Sr(b) Workers Compensation Insurance affidavit must be Cd ` . Feted and submitted with this applio tion Failuti provide this affidavit will result in the denial of the issuance of the buildin Si ned affidavit Attached Yes &N . SECTION 5 'Descri"lion :afPro used Work:' check all. g cable). New Construction 0 Existin Building 0 Re s g g Pani)Alterations(s) r0 Addition t7 '"ti \`•'`, "q. e .�-.•_,.a 'ter, � ` � _ Accessory Bldg. 0 Demolition .,0 . Other 0 Specify > Brief Description. of Proposed Work: Ir Ae r k `— Nj 1 t SECTION 6 ESTEKATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be - ,'"w7 Com leted,b emit a licant 3 1. Building (a) " Budding Pei` Fee Mtilir tier - 2 Electrical (b) Estimated Total' Cost of ' • `Cons�ruetion 3 PlumbingBuilding Permit fee. e x (b) 4: Mechanical HVAC. 5 Fire Protection 6 Total_ _ 1+2+3+4+5 Check' vbe SECTION 7a OWNER AUTUORIZATTON TO BE COMPLETED WHEN j OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMT L as Owner/Authorized Agent of subject property t Hereby-authorize to act on '{ My behalf, in all matters relative to work authorized by this building permit application. ,. Si nature of Owner Date SECTION 7b OWNER/AUThIORIZED AGENT DECLARATION as Owner/Authorized Agent of subject property Hereby declare thatthTstelts and information on the foregoing application are true andaccurate, to the best of my knowledge and f nit Nam Si at o er/A ent Date NO. OF STORES SIZEBASEMENT OR SLAB SIZE OF FLOOR -rn muRS 1 -- MHEIGHr IONS OF SILLS ONS OF POSTS i DIMENSIONS OF GIRDERS OF FOUNDATIONOOTING L OF CH lvi ING ON SOLID .OR FILLED LA'�1D NG CONNECTED TO NATURAL GAS LINE ii III THICKNESS X � 88/28/2881 16:42 .7l68295857 SMAE&CY puC[ 8IY82 � ' ` co 1 -DATE NIAVI-M OAl Y= ANY AIM ALL CWNeC A=5 aoc(Lyf"Ry ANY AVr0 OTHER TH AUTO QIty; -C LU2AkLLA r 08/25/01 03/25/02 A00REaAt TwWPRcpqsm X, INCL SCTGC0123605cli 05/14/01 05/14/02 WC 3T a?!�-Pa-CYLMM 11500,000 . RAg�� � ' ` LA=,'4OV-7.2001 11:00A FROM: r FI D. No. 1 1-2 320448 Job k (�� SALES: FOR ALL HweCentr4I" New York' SER VICEIREPAIRS 80o-942-8111 I hn Service Slde of Sears PLEASE: CALL Boston: 888.245-7294 140 Cedar HILI Road 800 -SEARS -31 Maribor*, MA 01762 Hartford A9: 800 -SEARS -99 WINDOW CONTRACT Providence Arca: 888-732-7751 SAM. Famlodd 4 knuaw If em•aay Alof11n111Dr 5111111 Corr. t-1 merle, lot. $80 -SEARS -91 A sen Asbarbet cealnda 40 0111M AO& eu,trn, IT f fo41 suw � d TO:15084855121 Me LIC. No. nnlega NH Lle. µ0n . NA Un. No, t2o4so New York Dept. or CQrlenale, Anelre LIV. No, 073oaee NAeeau Lie No.1f2T04I8oligo guffolk Ue. No. 21IINM Yonkers i3or Weslehester WCOB13-Hu Now Jersey 1. le. No. Loll 064 Connectkur Daps. of correerrM Affairs 410, No, 0a57Tn4 VT Lk, No. RhWe Island 1,19. Na 13707 1.0 .�f C1 rtfV O —f"j I -s, DATE � i � � —a ADDRESS —23 1 LX �r?2��GK r �w�V- PW)NE (Home) a 07 % f'�" D STATE 21P — PHONE (Won%) ( ) .1014 SITE ADUnass (If dlffnram) �0►- V�ti`Q APPLIED ViNYL WINDOW SYSTEMS _ Gnn9ral f_)ogedpti0 of Work Fit Ahnve Addros9: Approx. Start Daff1 l �l C TV" of New, Frarne; 0 Masonry Approx. Comple8on DateSPECIFICATIONS tla9ry appr materials will Im htmlahad and hlsleffed to theta :ynrinrAftne• Y6., w tie f1CAD CAAeFULLY ONI r INF ITCM.i CIIECKEU "YEIS"ARF 114CLUDCD IN YOUR ORUER I.gamove wirNows from opanhrge Where Il yr now endft on: 7 LT U T LM A ODenhiga ..�^ a New Windows 3. 171rcNO LEVEL a Opooirrys P Nn ywndnws 4. o U LEVFt, M Openinpl ,r New WlndowA Ct USCMl3NT LEVEL a rh,ertings d %kw. wtrttinwe c 10 �cSTXFR opeon,or: N New Windom -..... _ 7. U Lur al M Mmm (n odror vnrq reQUttno ngdfied IltW&Iim a open" N of them; A C) Ian naw pa,niable Mouldirrp In" Etope N of ODeningli Clamshell or casing 4 d opAtIII. —. 9 171 Inrinb now Mdvier Frame A 01 Operdry 1n t New window unar. In nava d*tA* eheopih Insulated ot-ml r/tr" total 0gt:kne%s 11.Nmwindow unhs to have hirinn vMdod guOr a 12 ❑ NOW Whxlrrw India to hove fusion welded frame a _ 17 lag New window unite to havo (:ihtvt Tedi package conflStino of Low•E m-arf i . grin IMM inmtrnled glass a of unhs_... ! . _ +a w window WIN'; 111 hive Cam Locks) OF Latch Lock(e) 15. n Now Z.fvr. volts to have obscured Ghem a Nab New window imirc M Mwe heli 111=) screen (full acrean tar cnar^�^ sp-L� wbldow) ! — 17. 110:111 PVI7 n0aled ekinifrim M winds trapto; Cobr LTJ k of Olnr..nMas IA Caulk and seat wiftm%wiih 1 points lets 19. UI Rmmnve and dispose of is' r-tnrllm storm windows 20 L U Color of whhhtwn In hr Wh Ae Beige _ 21 17 �Adidltlon.l d4vf to have (Inds _ nMnlnl Diamond rl Fidl U I/,'! oOTbel a of Double I hung' TOW / M Wnrgww3 " TMAI a rA Catom wti% 1014 4 of Awnings TOOK a of Two LR* eltders .. Tbtm a or Throe I Jia $Iklore Std. _ M F7uat_ TOW s of Dnatl l itrdPlChrre9 — Ttdnr e of Saeemenf Sliders 77 0 D"00 Order Wrrndowt: (In Addilion to Above) 24 gib, uP—All lob related debda win Ire removed from property on mmplelh)o of w xk 25. I ancc All woramans compensaflon and IMikly ip mnkttoined. '11 ���"' WtMtly—Malled t0 01fli nim upon oompleflon and full Payment Lti mtmh od 27 n PaY—ft— Moi non financed oralim) It P:TYAWO to hwhd6r an day of Mmaaallon. 78 U All Dlimmu have boon Wn;4. r r— .* rhw sern".A ) ..,..�fMA!rMl i•nnrr,l rnli.if "i1.M.. a:n. Cash Sale 101W f Z' 0S dellmil 33% $ Cash Ralanrw $ Other Payment (if any) $ _ FI CASI I FINANCED S [_ does not Include Intel rmt Data= on Substantial 0,01110ation 11IL". II rineinced. bevineo payaW9 in rrwtahly InsLtM1ttt4,tr. of npptoxhrmley 11ptv mmnot. myable by "ownor to contractor. hid it ImAIVail try 171—gr then Owner wt'11 pay sold flosnvd In the lending owittr6w plus sltch hdL"est end credit service ehAm r. of ;,pfd lartdirry ktylikAyn peyabl ey to tIM InrMkgi h3aitAon IoeMnq Svch monfo& to "()viers and win exeeuta a Ratail Inotanm8nl obityuuon and a dowtnnnI. w, raaJl Ic InsteifDOn in conrnoolkrwills rstirl —• / ... , Ad oy 211. n AMIRonalInto rma ~Ods `f 'ti• 7Jf�_.!/.. 3o, or -/n Wutk Not to he Done �f O Alk a f `�r .� .1.11• _ __ rfiNrrtAr.�ILit t Irl NOT RITSrON=I111F 1 -VII ANY CXISTINII SHAINII'Y SYSTEM£. PLEASE REMOVh At I SHADES VCrYhCALS. Inl, IMUS. CUP rAINS. DRArrn on WINGUW Mr}LINTCD AIR CONDITIDNElis. Pritun TO TI IE INS rAl I At ION OF YQUIT NCW WIN - DrIWS iN.yIALLFRS Allr NOT nr-SPONMULE rOR THE REMOVAL OR INS IALLATION OrTHESE 10:1-801' ITEMS. Medea' If Rnanoed, OAy holdur of this Consumer Credit Contrast Is suit- CRNRFNSAtION INSIDE T'ift NUUSE DOES NOT NIIIICATE A WARRAW I11ni 10,111 Claims and defenses whltb the debtor could eased Ageltutt TV PROBLEM. The seller of goods or services oblalned Prant hereto or with the pVroceeds 1104111' Recovery by the debtlraha 111111treaed amounts paid SALESMAN NAS NU AUTHORITY TO CIIANOF ANY n t..% UR MAKE ANY I+y debtor hercunder PEPRESEIIIAllUfl5 UTIfEn DIAN RONIAINED IN 71115 ACRtthir "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLi• CATE ORIGINAL OF THIS AT;REEMENT--AND TO BE )HE AUTHO- RIZEO AGENT OF ALL "OWNFRS" OF THIS PROPERTY UPON WHICH THE WORT( OR THE MATERIALS ARE TO BE SUPFLIED. NOTICE TO THE HOML UWNER(S), GUARANTOR(S), LESSEE(S), CII•SiONER(S). Contractor, at Lha AsPanze Of oweet,'011011 PINISM 111 11111711111 required by law as tallows. 1 Oweane Wim secure their own parmlls will ho ncluded from rho goarenty Iona IDWYMPINIS of MSL Chapter 14211 2 Any por3on who shall have ee.frpned, guaranteed of slenod any Credit opplltallae If beta Willing In this agreement hereby aeeeph to be bound by thio agreement. 1 Owner(si reptesetts that the Contents on ins bath of this $19moment it a trot, Port hereof and has been rand and accepted by Owner. 4 ALL INSTALLATION LABOn GUARANTrfD 1 jONE) YEAR. Prit> ti► - I �-eA Salesman's Name 9alosnmri . Lic.rme NO. IIT ANTI "OWNER' nFPRrrrNiS THAT Will; IIAVL OLIN MAtIF Tr (in rinirb Urn BY 'nw*it VUU Alit rinnlrn t0 A r()MPLFItlY FII I Fp 1N UUPLiCAIE OnIGINAI Or TIu5 AOrIEEMENI "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIONIr1fT OF THE THiRD BUSINESS DAY AFTER THE DATE OF 1NIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ON ALL ORDERS CANCELLED AFIER THE RECISION PERIOD CUSTOMERS WILL BE RESPONSIBLE FOR A 4591. AOMINItTRATIVE AND RESTOCKING FEE. THE COMPANY WILL DEPOSIT ALL MONIfS RECEIVED FROM IN AN ESCROW ACCOUNT AT CHASE MANITATTAN BANK #105.1• 912089 WITHIN FIVE BUSINESS DAYS DP 178 RECEIPT. Dale— If -(0-0 If _ Do not 319n this agreement before yea read It or If It contains any biaflk spade at- it it does not eornaln averythino agreed oft". DATE 1-11-61 Riyrmture iCnfMMN:' rbrvl .... lihtnature SEs' RrVCRSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS Revised 4/01 P: 2/2 N 0 z x O u b O w v cn v Ao .� C O w O w .0 U G x w a on p w w" a w W no p w y J) cis C w a o U z m O cG coo C "X z w a W v a w 2 cn Q cn z 0 U C/) IL 0 ^O O L O o s Z CD O. 0 y D C cm CD •� m m _ ccZOO 3� CD co L Cc CL CD CK (A C O +�+ C �� P J= CL a CD C Z CD 0 CL C.3 to c C C� . C c a H 0 LU 0 U) LU Cn w W w VJ •: c o c C3 C H �C . i O CC3 •a C �1 W ed m — R Ea m c Is - O r y:a,•�c—.� Os li E m L C71 c 1t :9 Cc Cc O,J i =C N OCD C O O ' cc �1 T c �os c c :a � ya (o mom m C3 Z LZ.CO3 � C H y C C O y0„ F' O t .vyi r r � az�5 Or m•N Z O Q7 m am i g y = CL o O cc z 0 U C/) IL 0 ^O O L O o s Z CD O. 0 y D C cm CD •� m m _ ccZOO 3� CD co L Cc CL CD CK (A C O +�+ C �� P J= CL a CD C Z CD 0 CL C.3 to c C C� . C c a H 0 LU 0 U) LU Cn w W w VJ 3;30 Date .. S^ 11 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. !? z .. In ............... has permission for gas installation ../'!%�!..�.�.< < ��..... . in the buildings of.. 0.6. i l.)..S..c.1.Q .c� . ................... . at Q d C A t .. D !t...... North Andover, Mass. Fee. .1. ?.,. Lic. No. ..�`6 �...� ....... • • AS INSPECTOR WHITE: Applicant CANARY: Building De t. PINK: Treasurer Is-(VIHJJHlit7VJC1 (J V(varvrtirvr HrrL-1%-*JA11UN rUH VCHMII IU UU "AJt'1I IINLi (Print or T ) _ilk t . , Mass. Date �� � oZ D�� Permit # ( 3 a Building Location_ . Gl/t�t�CCLr�i7 �1' O New E] Renovation E] er•s Name 06 C-06 AD of Occupancy % rQl/4enlyt• 9 Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone -683 -110 5 Name of Licensed Plumber or Gas Fitter Francis X. Corker Check one: U Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: 1 have a current liability ns ra❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked ye, please Indicate the type coverage by checking the appropriate box. A liability insurance policy t< Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent [I 1 hereby certify that all of the details and information 1 have submitted (or entered) in abo plication are true and accrue to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application will n mplianoe with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (j i By TDe of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter 8697 Master License Number City/Town Journeyman APPHONED OFFIC SE ONLY l ),-- Y • ■�f���t�s���t�■ tMEN NOW na moon ... ■�t���������fttnln0 OMEN OWE -2111 IFS • • • • ■����«����������■«r�■ son Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone -683 -110 5 Name of Licensed Plumber or Gas Fitter Francis X. Corker Check one: U Corporation ❑ Partnership ❑ Firm/Co. Certificate # 1862 INSURANCE COVERAGE: 1 have a current liability ns ra❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If you have checked ye, please Indicate the type coverage by checking the appropriate box. A liability insurance policy t< Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner❑ Agent [I 1 hereby certify that all of the details and information 1 have submitted (or entered) in abo plication are true and accrue to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application will n mplianoe with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (j i By TDe of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter 8697 Master License Number City/Town Journeyman APPHONED OFFIC SE ONLY l ),-- 33 191� $ Location 'No 63 $ x Date TOTAL $ 2-408 ._ V40 oT" TOWN OF NORTH- AN DOVER Building Inspector q Ct # P� O ' Certificate of Occupancy $ Div. Public Works p Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ x TOTAL $ 2-408 40e Building Inspector q Ct # P� O ' Div. Public Works . } tll r-4 w Z W O m a � L 0 f O z IL < J u Y 0 W 6 m 0 O m m z 0 W m Z W N H WW u W O W m Z IL 0 u n o u 0 W Rb -i ci XO p O N d O W d < Q y G m IL m U O uj § Z z Z V m z J F W ►= W r W > N — VVV 0 L) Ci i Q O m 0 N tu Z Z > H .m0 W N 0 Q O Z Z LL 4 0 14 0 J Z p < J _ FI m w m 0 W 0 m 0 O~t O o m N Z W y 0 W O O > 0000 IL Y W O N i z m m y W J \ Z F F y 0 < I m p w 0 W W I H y J J Y(310 <m 1 - z < J J W W IS LL 4 V W W j d i W W W Z W Z F < - O W � m d d m F < n 0^ m 0 W d ~ Z V F ,� D CL IJ Q 0 z 4.10 J 111 y W C I O V Z < Z 0 < 0 0 m 0 r WQ K m d W W z < N ° 0 k `0 WI m W m W 0 < F z 0 rc x 0 Z 0 0 U. W 0 W N_ YI w Z 11 O_ W < Z y m 4 O O J Z W Z f 0 m F Z 0 m F J O (n wF. WO m 0 ~ m0 J W W y J 3 U < i Z F i W O J O W Z < < Z d . Z 0 2 C ~0 0 l7 (7 p < N W W W J Z_ Z_ _Z J IL K U U U w 0 0 0 0 W Z Z z O J J J m 0 J y y y W m m m J < tll Z O m L 0 f O z < J u W 6 m O m z 0 W m Z N 6 WW u W O W m Z IL 0 u n o u 0 d Rb -i ci XO p O v O d O W d < Q D G m m m U O uj § Z z Z V m z J F W ►= W r W > a — VVV 0 L) Ci i tll Z O m f O < J u W 6 O m 0 W m Z N Z W u Z0 m Z 0 J '` 0 f m J Z Z D < m O ON > < O O m 0 N Z H .m0 W N _ 0 O R O 4 Z p Z u < FI Z Z Z m N O O > < i mm m y W J \ Z F F y 0 < 4 p w ] n o O W W I W r y J J Y(310 <m tl~1 p z < J J W W m 0 LL 4 V W j W W W Z W l7 l9 F < - O W m d d m F < n 0^ m IL W d ,� D F WOOD STOVE INSTALLAHON CHECKLIST '�''''j� 110:' Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stave construction. t Stove .i' A. New Used B. Type/radiant Circulating C. ManufacturerVeymarrf 'e Lab. No. Name/Model No. Collar size OtmensionsrHeight �:.`Length Wid Chimney 64k A. New it Existing S. Size (flue area) C. Other appliances attached to flue (Number and flue size) 0. Prefab (Manufacturer—name and type) E. Masonry/lined ✓ Flue finer Unlined ,Nee manu,ac,urerj F. Height (refer to diagrams) cap CHIMNEY HEIGHT Hearth (non-combustible) 'l A. Materials B. Sub -floor construction C. Minimum dimensions (refer to oiaoram) Clearances and Wall Protec:lon ( see stcve in_,allat:cn c!earances chart) A. Type of wall protection provided B. Clearances (refer to diagrams) FIREPLACE CORrIER HEARTH WALLCENTER. 1 FSI N GULATIONS After obtaining the permit, there are three major areas in the stove installation process to consider. First, the stove; second, the chimney; and third, the actual installation. First: All new woodburning stoves installed in Massachusetts must be tested and approved to U.L. 1482 and/or U.L. 737 as appropriate. Used stoves may be approved by the building department or the fire department. Every solid fuel -burning room heater shall bear a permanent and legible factory -applied label containing at least the following information: 1. Manufacturer's name and trademark 2. Model and/or identification number of the appliance ' 3. Type of fuel(s) approved 4. Testing /aboratorys name or trademark and location 5. Date tested 6. Clearance to combustibles F . a. Side b. Rear 7. Test standard 8. Label serial number Second: Existing chimneys should be checked for the presence of a .flue liner and general structural condition. A smoke test may be used to determine if the draft is adequate, if the flue is without obstruction and if there is any smoke leakage. A visual inspection of the chimney is needed to check for creosote deposits, surface cracks or breaks, and if the damper is in good working order. The following two areas related to the chimney are important to inspect. The area where the chimney penetrates through the floor of ceiling joists should be checked to be sure that there is at least two inches clearance'between combustible materials and the chimney. Third: Chimneys and chimney connectors shall be installed with the required clearances (see installation clearance table). The connector should be sloped upwards toward the chim- ney and the connections overlapped upwards to prevent creosote leakage. A two inch clear- ance shall be maintained where insulated pipe penetrates.a combustible wall, unless it is tested and approved for lesser clearances. A non-combustible hearth must be provided. Most stoves have legs and allow air to pass below; if the legs are not present, an air space below the non-combustible hearth must be provided. Clearances vary with circulating and radiant stoves. In general, a non-combustible shield should be installed with ventilation behind it for lesser clearances, no protection for large clearances, and if the wall is a concrete foundation wall = minim„ .— -4.-*--- - 5 .( M•• I NA ,4z 0\ W W w 02 W C C .� .mg ;A Q,; _ 0 0 A m C isHy V �3 �a N z U C2 o O O l m c E s' c CCA v co _m zip GY c GO a W O s:. E .� U dmo c �: VJ acs m o ® ac SL 'z= oI. C W i c o a r -a -r a a _ w 44 m CAa am 0 �Z `o U cm 0 CL c O Q o Go m c co = o : o a 3 ►v CL - 0 o 0 H m ~ m W CCos C, C ++ VJ d= C Z r= CJo LU ti— H O h •� •C.3 cm � o: M .oto= O Fz-- � Sam' ` O E � L O z CL aL O H 0cm c c C V� 0 'O C y O O m m F— i �3 'O CD o 0 e_Cv o a a. c,cC o c ev tea. O yCD Cl Z ori. LD c Cc c �w C 0. h IRS r• -y S- 0 o Qa w •� c� .a � o 0 c w° 'moo coo v � U x a '� wo' w w ►-� � ao' .� a o rx a w � � ria ° � V) v o cn 02 W C C .� .mg ;A Q,; _ 0 0 A m C isHy V �3 �a N z U C2 o O O l m c E s' c CCA v co _m zip GY c GO a W O s:. E .� U dmo c �: VJ acs m o ® ac SL 'z= oI. C W i c o a r -a -r a a _ w 44 m CAa am 0 �Z `o U cm 0 CL c O Q o Go m c co = o : o a 3 ►v CL - 0 o 0 H m ~ m W CCos C, C ++ VJ d= C Z r= CJo LU ti— H O h •� •C.3 cm � o: M .oto= O Fz-- � Sam' ` O E � L O z CL aL O H 0cm c c C V� 0 'O C y O O m m F— i �3 'O CD o 0 e_Cv o a a. c,cC o c ev tea. O yCD Cl Z ori. LD c Cc c �w C 0. h IRS r• -y S- Location 33 LO No. cr¢ Date i���s/ NORTH TOWN OF NORTH ANDOVER p? • � .d OR # . A Certificate of Occupancy $ %* i ; • Building/Frame Permit., Fee $ '� b'��ti0 'Iwo A • .�.R .i ,SSACMU5ES� Foundation/Permit ee $ ' �PAPEph,�F $ Sewer. Co Ne $ -JVdll�ter QoNngj,t4 tI _JPTAL t11 Collector' Building Inspector Div. Public Works PERA11T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. tv le L-0 d v V, V V PAGE 1 MAP d-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZOviE SUB DIV. LOT NO.I LOiATION I i� /1�� �51 PURPOSE OF BUILDING WNER'S NAME / i „G /NO. OF STORIES SIZE OWNER'S ADDRESS L. _. BASEMENT OR SLAB ARCHITECT'S NAME L SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME , SPAN DISTANCE TO NEAREST BUILDING y/ DIMENSIONS OF SILLS DISTANCE FROM STREET '—DISTANCE STANCE FROM LOT LINES — SIDES REARZ> C7 " POSTS GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Alt,> SIZE OF FOOTING X IS BUILDING ADDITION �+ c� MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND "ILL BUILDING CONFORM TO REQUIREMENTS OF CODE e..1Ps. s / IS BUILDING CONNECTED TO TOWN WATER 'VbARD OF APPEALS ACTION. IF ANY �d IS BUILDING CONNECTED TO TOWN SEWER - IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ✓DATEyFILED 7-1-71 SIGNATURE OF OWNER OR AUTHORIZED AGENT 1 F E E PERMIT GRANTED 19 OWNER TEL. 0 r C0NTR. LIC. 3 PROPERTY INFORMATION LAND COST ST. BLDG. COST 146 Ofa EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH 7r` ,6 17 PLANNING BOARD BOARD OF SELECTMEN . 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Woodbridge Road Library Number Street Address Section of town 'HOMEOWNER" Augustine P. & Peter J Jr. Piantidosi Name Home Phone Work Phone PRESENT MAILING ADDRESS 24 Ledge Road, Hudson N H 03051 City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided .that the owner acts as supervisor. (State Building Code, Section 109.1.1) 'DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwell- �ing, attached or detached structures accessory to such use and/or farm (structures. A person who constructs more than one home in a two-year (period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Bulding Official, that he/she shall be responsible for all such work performed under the (building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. . (The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE ' (/ 4PPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with State Building Code Section 127.0, Construction Control. 4 f r 4 Qj Q1 0 , .,4',�", . I -.------ --.,- , -, I& � I - Ai�k Ilk' , 64 ,k - ltd r?tV �, . - V,-% M It' � I - . � . A K v � Mft �. 1! "MI 5� W , 4 lk,§ • i. 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