HomeMy WebLinkAboutMiscellaneous - 34 GLENORE CIRCLE 4/30/2018so
11
Location 1,46 03 y �[�,Noee- C ✓\
No. rjo7 Date
MaRTM TOWN OF NORTH ANDOVER
3?0� st`•D I_• 1��
}° Certificate of Occupancy $
Building/Frame Permit Fee $ q6
s�CHU
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ J96 a
Check # //960
1574`,
Building Inspector
JUL-16-2002 TUE 09:46 AN GHRISTIRNSEN & SERGI 1 978 372 3960 P U,l
F��lpm t4
9a EASEMENT
r
r
r
LOT 6
GLENA40RE CIRCLE
VG FIOUNDA VON
a. = 1 E2.9'
W `
sE ,ENT
CA
tN OF MA)ii
MICHAEL
J.
po
a. 3319
31
FO LINDA TION
� WAL ��T$ 4c � W 70
L 0 CA TION PLAN
?QAAX OW ws W csrW w71cN cwm�vrlcren,
lrNis �rr'cArroN D0f3 Nr1T GAFISYQCR ANY OrNM
KVWMW SWHt C0 WM
�xANrs,WMAAW.FlRF1l
MGM W
CLIENT: JIM CARROLL
rws MWW VAeL NOT K um rY W CLIENT MR ANY
PLR W OTWW rWM MAT 0UlYWW AWVE,E=Pr W TH DIE
TNis crwinCAUON 1s AMDE ANP LOWTED WM PrAWUW di °WffW * SM ura.
RAgTN hAW TIPS MAWWG X THE EaP"MWrn A9OArM
TO THE A90YE "*VT.
OF CNWTxANF+ r sVO R- AM ANY UNAUTIMM USE
LOCATION: LOT 6 GLENMORE
CIRCLE �" UMu asp' Of N$ M oRS NO �'r
NAWW CWrAWU NEMM
NORTH ANDOVER, MA.
SCALE: 1p - 60' DATE. 07/11/02
CHRIS1`IANSEN &SERGI s
� V
yea SUANWx ST. NAmmN"*" of= TEL. On-ps-dila
cam er c►RNsrtA om x mo R-
OW!?.Na ofdsom
35711 Date....1.......
�aORTM
°t' °:•'"° TOWN OF NORTH ANDOVER
O 9
PERMIT FOR WIRING
This certifies that ....... 0.......11. ( r !�... v ......................................
has permission to perform..................................................„«
.......T....?�J.
wiring in the building of .......ca 12 ,N �.I/.... (...a5z..............................
at .... ....... ��'l..ti° 6P. ���. e-............ r..�........................ . � AndoverMags,.
Fee ..... �� ......... Lic. No.. �,a�..... ......
Check # 1�
�LEcrRicAL INS ECTOR
Official Use Pi3ly
Permit No. �✓
Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 ]
(Please Print in ink or type all information) Date �J ai ) 2 q . 02—
To
2"To the Inspector of Wires:
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number 4(o 6 L'EJ 0 P, &
Owner or Tenant R.t� �I W'� ��nU C 7 d J
Owner's Address
Is this permit in conjunction with a building permit Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building �� � GJ)�'�y (6,4 Utility Authorization No.
Existing Service Amps Voits
r
New Service Amps Voits
Numbegof Feeders and Ampacity
Location and Nature of Proposed Electrical
Overhead ❑
Overhead ❑
Undgmd ❑
Undgmd ❑
No. of Meters
No. of Meters
dtTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO =
have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BOND = OTHER = (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start Inspection Date Resquested_
Signed underthe Penalties of pe9ury:,
FIRM NAME 41�13 A i& u r 1-1 10
Address 9�3 C)Ab4negelc.d Le'41e /Irl, !l4L) 1
OWNER -9 -INSURANCE WAIVER: I am aware that the Licenses does not have,
General Laws. And that my signature on this permit application waives this rm
(Signature of Owner or Agent)
LIC. NO. ? 9 7—
LIC.
LIC. NO. 3 P`U 2-
ce coverage or its substantial equivalent as required by Massachusetts
Owner Agent (Please Check one) may/ /l)
elephone No. PERMIT FEE $ K(1IC)C1
Total
No. of Lighting Outlets
No. of Hot fuse
No. of Transformers KVA
Above ❑
In ❑
No. of Lighting Fixtures
Swimming Pool gmd ❑ gmd ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacles Outlets
No. of Oil Burners
Battery Units
No. of Switch Outlets
No of Gas Burners
FIRE ALARMS No. of Zone
No. of Detection and
Total
No. of Ranges
No of Air Cond
Tons
Initiating Devices
Heat Total Total
No. of Di sal
No. Pumps
Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
❑ Municipal ❑ Other
No. of Dryers
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
Not. of Water Heaters KW
Signs
Bailases
Wiring
No. Hydro Massage Tuds
No. of Motors
Total HP
dtTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO =
have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box
INSURANCE = BOND = OTHER = (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start Inspection Date Resquested_
Signed underthe Penalties of pe9ury:,
FIRM NAME 41�13 A i& u r 1-1 10
Address 9�3 C)Ab4negelc.d Le'41e /Irl, !l4L) 1
OWNER -9 -INSURANCE WAIVER: I am aware that the Licenses does not have,
General Laws. And that my signature on this permit application waives this rm
(Signature of Owner or Agent)
LIC. NO. ? 9 7—
LIC.
LIC. NO. 3 P`U 2-
ce coverage or its substantial equivalent as required by Massachusetts
Owner Agent (Please Check one) may/ /l)
elephone No. PERMIT FEE $ K(1IC)C1
Location/,, 43/ (� 1 �'N U re Cwi-
No. Date
TOWN OF NORTH ANDOVER
Check # 3 ,SL`
15 6 6 3
6-0
14(.A���
Building Inspector
f
•
� 9
;
Certificate Occupancy $
;
of
t<�'
sgCHus
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check # 3 ,SL`
15 6 6 3
6-0
14(.A���
Building Inspector
0�1,0F NOR-M,AND4 R
BUILDMG DEP
.............
APPIdCAiIONWCONM RFS' It190VA ,:OR DF11[OL AONRORTWDFikkpIiYDWUjOAG
BUKDING•PERM NUN BER DAZE. 111
y
—a
SIGNATM:
SECTION 1- SITE INFORMATION Z
1.1 haperty Addnw f2 Ame sore Map and Pared Numbs: O
I..Qr b 3� �len�re . C.le-cle_.
13 ; zoninglsfermafieu 1.4. Ito patyDm.... .:.:,..
roe 9 t r I't
n;atrics use ':Lac Arae — -
1.6 BIIlI�1NG SETBACKS .. .. ..
Frost Ygnd . ..Side.altii .. Rear.yard._ ..: ....
_....
Rapred
ProvideRequired
Piovlded .. _ ... _ .. 113
�PFr9 ) Tom @-'A 14Dod2aae q
PabGc
OWN" ay.a�..❑ .. ..
SECTION 2 - PROPERTY
2.1 Owner of Rcoord
Wwer. ri
1%(-4, . t, :,.' Cflp..
Namy e (Print) Adds for Service
Chir 3 A, Cor nl o
Si Tdcpho ne
2.2 owner dRecord.
Name Priat Address for Service:
r:
Z
TTI
S. T
SECTION 3 - CONSTRUCTION SERVICES �O
3.1 Licensed Construction Supervisor: - _
Not APPficabk �
J 4r"e5 . C4Qee(s- .
Lkeosed Cop"choa.Snparvrsor.
:.:.. ..
Qty
-y Vic.
Address' ....... ..
s
i� nc�®cler (rA ..... C7 11R 10
._..r ..^
3i
a�:ration nate
g Telephone..
.,,.
SECTION 4 - WORKERS COMPENSATION.(MQL:C.157 g 25c(6)
Workers Com Insumw affidavit musGbe and sdbmit.W with this FaYliue m this affidavit will result
poasanon .. cam►Pleted' , .. applrcahU4. ` provide
in the denial of the issuance of the kfildin
Siped affidr it Ai oohed Yes .Q No ... 1 U
SECTION s "De: of d W6 r>�:i;. "
New Construe ion
.
c B B .: ❑'_
'Ripntr(s). ❑
Altendiods(s) 0 I.
-Addition ''❑ .
Accessrny Bldg,
Demolition ❑.,.
Other ; . ❑ Spacafy ;
Brief Description of Proposed Wo*&.
Cc7n s -t• r�c� 7"�a 5 �-� r� ���d F r�,rr►�. � s� `
-
SECTION 6 - ESTIMATED CONSTRUCTION COSTS
hem Estimated Cost (Dollar) to be
Corngpleted b "` ` " t applies
i. Building aS; (a) Building Permit Fee.... 00 0
'
- Mut lier .
2 ElectricalEstimated Toc4ustructiontal.Cast of
1 l r COQ (b).
X317 3.9..
.
3 ._ Plum ' N, 0. But7ding PeUnit feel(.):. '(b)
4 Mechanical.. AC.... .._
C;?
5
6 Total 1+2+3+4+5 . q Check Nwnber
SECTION 7a -OWNER AUTHORIZATION TO BE COMPLETED WHEN .
OWNERS AGENT.OR.CONTRACTOR APPLIES FOR BUILDING PERMIT
as 0wnedAuthorized Agent of subject property
Hereby authorize to act on
My behalf; in all matters relative to work authorized by this building permit application.
Swiature of Owner Date
SECTION 7b OWNEWAUTHORUMD AGENT DECLARATION
Cat-ro l I P"eS 1(
as Owner/Ant wined Agent of subject
pity
Hereby declare that the statements and information on the foregoing application are hue and accurate, to the best of my knowledge
and belief
ckarIeS A-CAr(b II _^i�v�f� Q,.SOtlk1' -f2sj+y C.oc�..:::..:. `:.....
Print Name
S' of Owner/Agmt Dai
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF TBABERS jur7r 2 3 F
1.FLOOR
SPAN
DIMENSIONS OF SILLS
DIMENSIONS OF POSTS k
DM NSIONS OF GIRDERS .... C .
HEIGHT OF FOUNDATION t MCAS
SIZE OF FOOTING jq X
MATERIAL OF CBD&iEY V,
lS BUILDING ON SOLID OR FILLED LAND:
IS BUILDING CONNECTED TO NATURAL GAS LINE '
to t55�0+ p P
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
******APPLICANT FILLS OUT THIS SECTION �
APPLICANT Voirt-. AJOW Rdwg Can PHONE 119 (-6 6-1104
LOCATION: Assessor's Map Number 3- B PARCEL
SUBDIVISION TzM«QtL� t)OY-'O- LOT (S)
STREET 34.1 Co"M Ci �-c-le ST. NUMBER �
OFFICIAL USE ONL
RECOMMENDATIONS OF TOWN AGENTS: r, , / /
CONSERVATION ADMINISTRATOR DATE APPROVED
/� //� ; ,17n DATE REJECTE�D/,
COMMENTS / ✓ (l IN �/ `h— ��1 C✓�'l hU
FOOD INSPECTOR -HEALTH
SEPTIC INSPECTOR -HEALTH
COMMENTS
PUBLIC WORKS - SEWERNVATER
DRIVEWAY
FIRE DEPARTMENT
RECEIVED BY BUILDING
Revised 9%7Im
DATE APPROVED V 1(-q l U
DATE REJECTED
DATE APPROVED
DATE REJECTED
DATE APPROVED
DATE REJECTED
Pza�o v
TE --
! W I,_XE.MPTION ST .
JROWTH MANAGEMENT BYL/
TOWN OF NORTH ANDOVERBUILDCNC DEPARJAILNT
* * * * * # * * * * # * * # * * # * * * * * * * # * W. * * * * * * * * * * * * * * * * * * * * r. * f * T .I +
+., rill slulll be used to Jssisl the Btuldfnb Deparurlcnl In their delcrnullmlon of e.xcntpuoll
-�f the Town of NonJ) Ajidover Growth t I;Inabcnlcnl ON km "I'hc Jpp!ICAIII shall! pru"-!':.,
:ss.)n Iliformnuon is requested beton
PA Corp _Gle"«e- uc.� 3"1$ r
I'roperry ;Iddress
nt's Phone Number Single F:inul>
� enc unuerslgneA appliant lar Ute aUuve pl,�yac7ty .lura vl.n UIc .Iu.LnrJ UuilJwv, prrl:I:I :�I ,,, :.n'
:ntpls with the E\'hC?TION seulun 8.7 G it utc GrowUl `Lutegcinall I1yIJw I :Ilw undrrst.fnJ pi v, :Ju,:; '' -
c me or any panv to this pcmur ITom the rsquucmrn(s ul )bi,IuIoI6 vUtcl permits rcqulrcU prior to Inc isu.11- '
I ,nha I undatund that my nicrprcution ol'Utc cxcrstpuon stJtus .s subJca to revIcw by UIc Bu:Itsing Dns:,n,n,::. ..
accepted when the building pa -nut is Issued.
orth Andover Growt
'_ascJ JII season 8.7 6 o(thc Nh Byluw the above lot and die work us applied for on the Jbo,e tut.
appllaucn and assoelatcd aaachmenls, Complies wIU one or more )flhr Iblluwutg sial x s as stud u leu u,
this Is an appllat:cn for J building pall, I, the utl,ugrutau, Icstunit:un or f"Qil V l—i:. J! .:
rc c!Icaasc aerie of this bylaw, provided Usat no uJJit10IIJl res:ucsat` 'w" IS cMIirJ
TT$c lot($) was I were cleated prior to May 6, 1996 ivad err rxruyn Irvin Utc pfovirlvns of scu:vn b 7
This appllatlon is fur dwelling units fur low ,end or nsudcrate ulcumc Ianulics or inJ:vldu.Ils „ndr
arc ma and or rcpre-sencs dwelling units IQ( senior residents. whore ucttlpunuv of Ute units Is resu �,t:o
yI ' plupals czavtcd if
rccorued deed fesuneuon nnuuug ,v:ua III, L nu I'or puryoxe o(UrI, >c 'r:.n. ,.r.
ur.s J,a Ute age of SS
This applic�rlon Is pan ul a development pruJca ,vhldl vuluntanly usltcJ w .I muttmum -10
loullwb!c las) below the dmsny perrnined under zcnusg and fcuslblr given the cnvlronrmlan Pid lino
ns of u!,
p, and equal to u Ian lm bui!dablc acres and permanently designated as open space or farmland lhr IanU lu u,-
:� pr xcacd Dom dcvclopmcrn by an Agnaaltufel Preservuuon Resmalon, Couservallun Restnalon. doull-I )II Iu u':J
sr mcrnunsm approved by urc pluming board Utat ,III atsurc Its protavon
This application represents o tecta ol' land c.vntusg incl not 11,10 by .I I)rvrluP,r ut :v(nmon a„nae vers{;
,. un vie erl"eaive dare o(Urls Section 8.7 turd shall —:—c a unc t.n)r I'"'Puon I?om utr Plunncu Grv,*•.;a !<.t:
,,c,c upment Seitedulurg provisions for the purpose of :onsdfu�ung unc ,Ingle funnily dwelling unit on uac P,rz,
This application represents a la which is ready for a building permit ( all Othef petrUt$ IrOin JII vu)er uvI:r.: '
nuulssluna
hive been received aaad the project is in complly)ce wlUt inose pennns), and the DcveluPfnalt SatcU..,c .r.
c, clopmens s y cdulc sccon'LMOUtco Issuing bullduag panus ctppl:corn nsust suormu aapplv,cu i UIC`.'•
,nnmaa tc nsuvi a bui!dm errrut In tl1.11111utr Onc bulldua I nrmlt ,,:ll br issued n car cf I cvclusm,nt `It
;SE PROVIDE .ANY .AND ALL INFORMATION THAT WOULD 'r THE BUILDING DEP.-AJC k LN i
�} P`�•Q1AT1ON THAT THIS APPLICATION IS AJJ_OWED UNDER ONE OR MORE OF THE ABOVE E\L= IP
SIG\`I ,G BELOW I .ATTEST TO THE ACCURACY OF TI -(E fNFOkNIAl ION PROVIDED .-kND •I HA
:_DL\,G PER\,UT IS .ALLOWED \N L'�1 tit1�l'IOn' ACI I I:D WOYC
R'hER I UNDERSTAND THAT THE SUBt,UTTAL Of Nt1SLEAllIN0 OR INACCURATE INFORMA!
ECgiNC OFF OF A ABOVE EXE?v0MON WHICH DOES NOT C'OMPI_Y, WFLLTFiER DONE TO MY
HJT IS GROUNDS FOR REFUSAL BY THE BUILDING DLPART:MENT TO ISSUE A BUILDING PER�:IIT
PLICANTS SIGNATURE DATE
'S FORM TO BE ATTACHED TO Tl{? !DU'D.DLNG llLRt tff APP!.ICATION
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
Boston, Mass. 02111
Workers' Compensation Insurance Affidavit
Please Print
Name:
Location:
Cly Phone
�J am a homeowner performing all work myself.
ua I am a sole proprietor and have no one working in any capacity
® I am an employer providing workers' compensation for my employees working on this job.
Company name: NdrA A KJd\1er Yeo
Address 100 jo�Ar\ UcAl-e h�
City: k AJvyL, Phone #: 6 '71 a(
Insurance Co. GvAqf� 6ROvc> Policy# oma c 3a1 1 59
Company name:
Address
Cly: Phone #:
Insurance Co. Policv #_
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00
and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do herby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature C�0� Cit C LC � Date
Print name Carte s A G4rno Phone# `1 �gb-71a�{
Official use only do not write in this area to be completed by city or town official' E] Building Dept
F1 Check if immediate response is required Building Dept ❑ Licensing Boar
p Selectman's Office
Contact person: Phone #: C3 Health Department
11 Other
FORM WORKMAN'S COMPENSATION
`,_-j1F1YlJ?
AIph4)lt ,, . CE � + �A'�F .� �V IBBUE CaT! ------
PRODUCER THIS OERTIFICATE IS ISSUED AS A MATTER OF INFORW.TION 0NLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFCATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDS;' H'i Tn
POLICIES BELOW,
!. = :iOBERTS INS A,CY INC
_ 0 c 0 C�SGGOD ST COMPANIES AFFORDING COV�RAQE
"�t�,77.
i N ✓ ANDOVER MA 01345 OOMPANY .. .
I
I
I LVY URXD
NIC ANDOVER REALTY ':OItP
;7014Y Y�AKE RD
N AN:ov;R NA 01845
I
1.01 ER A WESTL'RN WORLD IN r D
COMPANY s
LETTSA PA`dOVER, INsup-AP��`_
LOM PANY ^ .
S LIABILITY
COMPANY
LETTER C (-IL7Aif) INS GROUF
COMPANY
LETTER
I COVERA0, 9
I
-•- — - - ---
THIS Ib TO CERTIFY THAT THE POLICIES
OF INSURANCE LISTEO BELOW HAVE BEEN I$SUEO TO THE INSURED NAMED ABOV�- FOR 1H6 =t
dNGICATED, N0TYyITH8TAN01NG ANY
CERT1FICAT9 MAY BE ISSUED OR MAY
-
REQUIREMENT, It.RM OR CONDMON OF ANV CONTRACT OR OTHER DOCUMENT VY ;H RESreI;' I;
PERTAIN,
THE INSURANCE AFFORDED BY THE POLICIES DGSCRI9ED HERE;F7 16
EXC-JSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE 821!N REDUCED BY PAID CLAIMS,
CO TYPE OF INSURANCE
POLICY CFFTiC71V6 POLICY EXPIRATION
POLICY NUMBER
,LT71
OAT? (MMrDOm) DATE "/UD(YY) LIMfIS
nGC+LAL LBLTY
NPP7 7057 r i O} -
GENERAL AGGnFO �T[-
X CL-MMERCIALGENERALLIARiL17Y
PRODUCTSCOk4lC;P1G•
CLAUS MADF X 'OCCUR.
PERSONAL d AOV N—qY
Cv,NGR'8 1< comrRACT0R3 PROT
-
EAC -I OCCUtBENGE p'
..
PRE DAMAOS (,any one wa,-
_ A1E0. ET.FENSE :arty nne w fl ^ i
C. AJrOMO0ILE LIABILITY
ADN 5069'--46 2 r O G t G 2 2, O 6, 0 3
ANY AUTO
COMB)NP.D 81NOLE
LIMIT
ALL OYYNEO AUTOS
?; 3CH5DJLED ALJT'OB
BOD LY INJVIiY
IPBI Nrson) °
X n REC AUTO
X NON OWNED AUTOS
IpiH m`idON))HY
OAAAGE L.IAB ILITY
PROPER' DAMAGE 3
E3CFSS LIMKITY
CU -P'104946 3� 1� T Z .� / O •3 CACH OGC URREr`i.F 5 '---- - -----
X UMBRELLA "O w
AOQREOA% i
"NCR THAV UMBRELLA FORM
'NORKCR'B COUPENSATION NOWC 3 0 7 9 5 6 3 13 0 2 3 1 3 /—Q.3 X&TATL", 'y LI -a
AND CACh ACC:DENT
EMPLOYERS' LIABILITY DISEASE-P000Y LIMfT
. DIF>BASF-EA.CH EmPLOYzC
D'1gC1 Oh OP OPGAATIQ"AOGATION&rVIEMCLEOWEC1AL MEWS
FrX, 978-475-)942
C�"TIFICAT6 4OLDtA CANCELYAlibN -
SHOULD ANY OF THE ABOVE DE6CRIBED POLICIES BE CANCEL., r tcrG is _
EXPIRATION DATE THGRGOF, THE ISSUING COMPANY w.LL EtiC-ArpP
o� rroRT� ArrOov�R MAIL 7 0 DA" 8 WIIIT7kN NOTICE TO THE CERTIFICATF HOLDEq :At, LL
'�owy
LEFT, GUT FAILURE TO MAIL SUCH NOTICE �' .ALL IMP
f'I_DING iNSPECTCR 069 NO iDj_c, T: ,
, T LIABI tlTllAllTv
LI H CO AGENTS OR REP {CCCI
CKARLES STREET
ANDOVER MA 0 6 4 5 AUTHo - —
Michael P Ro?✓er.te
___.[5/ICORD CORAOgp11�7H ,94C
North Andover Building Department
Tel: 978-688-9545
DEBRIS DISPOSAL FORM
In accordance with the provision of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL
c11,S150A.
The debris will be disposed of in:
30 yLb 4�s �%L,- mA�� It L -dr I jF2rr1/1pipcw
(Location of Facility)
Signature of Permit Applicant
61(r 0.-,L
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
DPW 638
Date ..... o
TOWN OF NORTH ANDOVER
RECEIPT
This certifies that .............
has paid ........... oo
......... .. .. . I .... ....
for ...
4.; / ......................... I .........
Received by ...........................
aj.1—k!�.7 . ...................
Department............................ ...
WHITE: Applicant
DPW 639
CANARY: Department PINK: Treasurer
Date ... 65 -.$73. �?Z.
TOWN OF NORTH ANDOVER
RECEIPT
This certifies that ............. 41r
has paid ...... .
,;,;, ......... ..... ..................
for
Received by .....................................
/......!(%
...... ..
..............
Department /I
.... .........
✓1 J01/1 wvecuetc��. u�, l�o uuc�tcu eCla
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
Number:
Birthdate:
Expires.
Restricted
JAMES V CARROLL
12 PIPERS GLEN
ANDOVER, MA 01810
CS 063503
07/19/19,65
07/19/2003 Tr. no: 12903
Administrator
1162
APPLICATION FOR WATER SERVICE CONNECTION
J IS
North Andover, Mass.
Application by the undersigned is hereby made to connect with the town water main in Cl l / epte �'c�i Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No.
or subdivision lot no. L OT
00R�iH
Owner
d
Contractor
-12
Street
mi FL44C
100 JORALL 1 Gau,'
Address
Address
V
ant's Signature
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to y%l
to make a connection with the water main at Street
subject to the rules and regulations of the Division of Public Works.
rte- Board of Public Works
By 5�z�
Inspected by
Date
See back for rules and regulations
1810
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. �yd
Application by the undersigned is hereby made to connect with the town sewer main in1Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. Z4 Ct lelnP/ — IStreet
or subdivision lot
Owner
Contractor
Address
A ess
ppli ant's Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at �( G'/�L� �� l Street
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
��- Division of ublic Works
By
i
See back for rules and regulations
8721
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Town of North Andover o� NORTH
Building Department°o
27 Charles Street o
North Andover, Massachusetts 01845 *
(978) 688-9545 Fax (978) 688-9542
��SSAC NUsti��`�.
APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION
ADDRESS Ll 61[en00e C PIC Ie
LOT NUMBER 4�1 SUBDIVISION �( ACC
DATE REQUEST FILED
DATE READY FOR INSPECTION
FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
OFFICIAL USE ONLY
ROUTING
CONSERVAT_V;ZXAW� DATE �i///�///
PLANNING Pd.,'/_ai, �6
,�:.DATE
D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
R 0 INSPECTI0 REQUEST DATE.
SIGNATURE / A HORIZATI RECEIVED
FEB 10 2003
FLArNj7d6&A% PEtVff
RECEIVE®
FEB 2 5 2003
ANOOVER
NeLANNING QEPARTMENT
February 19, 2003
North Andover Planning Board
Town of North Andover
Town Hall
North Andover, MA 01845
F, .' `
REC
FEB 2 5 9nn;
NORTH ^' "7' ' "' '`r"
PLANNING I�,.:: i ;
Re: Property at Lot #6, 34 Glenore Circle,.
North Andover, MA
Gentlemen:
Please be advised that Lot 6 known as 34 Glenore Circle,
North Andover, MA has been transferred this day to David A.
Sweetser and Marianne T. Sweetser.
The name and address of the new owners are as follows:
David A. Sweetser and Marianne T. Sweetser
34 Glenore Circle
North Andover, Massachusetts 01845.
Sincerely,
M
er Realty Corp.
OC'64-740
Charles A. Carroll V An'
President and Treasurer
0-
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4SSACHUSEK
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 17,9Date ?-/
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THIS CERTIFIES THAT
�04
THE BUILDING LOCATED ON 13 c/ �`� N Ct r, c- l 'k -
MAY
MAY BE OCCUPIED AS ) D ROOM, l�� 8A'` 13 s't'd( L)tjo r ��jl� (� �S ��" Cc
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING
CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. j
CERTIFICATE ISSUED TO /V 92 f� -�9 Joy �2 t - Vf-& 1-iQ Pete
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