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Miscellaneous - 35 COLGATE DRIVE 4/30/2018
N 0 w� E, �f J u d 0 ou d z C Q 2 V/ CL z y L G 0 w� c O d = O C as c N �a c 0 as z Cy- -� ^� n o 0 f i tm> o ci = as O cc N m d -0— O O uj �jLi n E M N �a. t O ~ N = I- � � W E • V G1 0-0 co CL CD .> y= C Fj O ILIt � Q.. O U • o : LU CL co z Z L W c +t Cl) W aZ w� � U CO W W W J CL z �1 'v •�y 9 J u d 0 ou d z C Q 2 N z CL z Z O � z z C7 Q u z a W G a m m m C W H a W LL L cu y +U_+ TN C d W F O D Y 0 CL NfY� �LL N L L. z a+ a) LL N LL d' d' LL w N LL d' LL m {% (n c O d = O C as c N �a c 0 as z Cy- -� ^� n o 0 f i tm> o ci = as O cc N m d -0— O O uj �jLi n E M N �a. t O ~ N = I- � � W E • V G1 0-0 co CL CD .> y= C Fj O ILIt � Q.. O U • o : LU CL co z Z L W c +t Cl) W aZ w� � U CO W W W J CL z �1 'v •�y 9 Date....., bi4t.<. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies thaF . . . ..... & . ........ .......................... `-i . has permission for gas instadation6,4.4 ... 0e:ip-r .. 41ow . ....... ...... in-the buildings of ...................................................................................................... 7 ............ at'jr- .... k7 . . . . .................................... No Andover, Mass. Fee ......... 'ic. No. GAS INSPECTOR Check # 10 L"; 11 VENT HEATER - GRILLE - INFRARED HUT -B - LABORATORY CO( MAKEUP AIR UNIT OVEN POOL HEATER ROOM /,SPACE HE ROOF TOP UNIT I have a current flablifty Insurance policy or Its substantial equivalent Mich meets the requirements of MGL Ch. 142 YES [N NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECI KING THE APPROPRIATE BOX BELOW LMWY INSURANCE POLICY OTHER TYPE INDEMNITY soNo OWNER'S INSURANCE WAVER: I am aware that the licensee does not have the Insurance coverage requhed by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit applicafidn waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER E] AGENT E] I hereby certify that all of the details and Wormallon I have submitted or entered regarding this application are true and accurate to to best of my knovAedge and that all plumbing work and Installations peribmied under the permit issued for this application will be In"Plil �7wfthg :r ofthe MesSachuseft State Plumbing Code and Chapter 142 of General Lam. 7 Jprovision . n PLUMBER-GASFITTER NAME I �SCp 7/7FEFF0K LICENSE#2052 SIGNATURE MP MGF [D JP E] JGF . Ej LPGI E] CORPORATION [& FJ_95�4 PARTNERSHIP LLC 0# COMPANY NAME. �Q,o,i V►clrs _ ADDRESS I CITY STATE ZIP TEL FAX I CELL J:;�� WVIJ 1EMAIL MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY moa ii° MA DATE j PERMIT G. JOBSITEADDRESS S"Ir OWNER'S NAME. C -L A 19-4-M ou m L-4--r—rra- OW"N'ERADDRESS L-IA�% tq TYPE OR. PRINT - OCCUPANCYTYPE COMMERCIAL[]. EDUCATIONAL® RESIDENTIAL,d CLEARLY NEW: E] RENOVATION:REPLACEMENT: 0 REPLAC PLANS SUBMITTED: YES NO APPLIANCES FLOORS— BSM 1 2 3 4 5 6, -7, 8 9 10 11 14 BOILER .12 .13 BOOSTER CONVERSION BURNER MnK I.qTnxll: VENT HEATER - GRILLE - INFRARED HUT -B - LABORATORY CO( MAKEUP AIR UNIT OVEN POOL HEATER ROOM /,SPACE HE ROOF TOP UNIT I have a current flablifty Insurance policy or Its substantial equivalent Mich meets the requirements of MGL Ch. 142 YES [N NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECI KING THE APPROPRIATE BOX BELOW LMWY INSURANCE POLICY OTHER TYPE INDEMNITY soNo OWNER'S INSURANCE WAVER: I am aware that the licensee does not have the Insurance coverage requhed by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit applicafidn waives this requirement. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER E] AGENT E] I hereby certify that all of the details and Wormallon I have submitted or entered regarding this application are true and accurate to to best of my knovAedge and that all plumbing work and Installations peribmied under the permit issued for this application will be In"Plil �7wfthg :r ofthe MesSachuseft State Plumbing Code and Chapter 142 of General Lam. 7 Jprovision . n PLUMBER-GASFITTER NAME I �SCp 7/7FEFF0K LICENSE#2052 SIGNATURE MP MGF [D JP E] JGF . Ej LPGI E] CORPORATION [& FJ_95�4 PARTNERSHIP LLC 0# COMPANY NAME. �Q,o,i V►clrs _ ADDRESS I CITY STATE ZIP TEL FAX I CELL J:;�� WVIJ 1EMAIL w d © / ael DeL.Patrick G Governor Andrea J. Cabral Secretary Date: November 20, 2013 j� I I Name of Appellant: I pp Paul Ouellette Service Address: Barry DeGrappo 238 Main Street Plaistow, NH. 03865 In reference to: 35 Colgate Street North Andover, MA. 01845 Docket Number: 13-1290 Property Address: 35 Colgate Street North Andover, MA. 01845 Date of Hearing: 09-19-13 Enclosed please find a copy of the decision on the matter aforementioned. Sincerely: WADING CODE APPEALS BOARD Patricia Barry, Clerk cc: Building Code Appeals Board, Building Official Thomas G. Gatzunis, P.E. Commissioner Alexander MacLeod Chairman Brian Gale Vice Chairman Robert Anderson Administrator: 1 Date ll-IlIkIl"!) TOWN OF NORTH ANDOVER PERMIT FOR WIRING �..QN--tj H. U,, S, Thiscertifies that ...................... ................................................................................................ has permission to perform .......... Ckc--�e .............. .... IZ-0 wirifIg in the building of \A, t �\-e w .............. I ... ..................... I ........................ at ......... 3 .... I.C.5 ........ (I ............1.....: 5...... ................. orth Andover, Mass. Pee...!.z I ��O Lic. No. ... Hk ....................... ... . ...... ... ELECTRICAL INSPECTOR Check# 16 50 12 Cj C. B4 90�-J-7 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. JU61 Occupancy and Fee Checked Lev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 527 CMR 12.00 (PLEASE PRINT W INK OR TYPE ALL INFORMATION) Date: /� 7,1 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of hi or her irate 'onto perform the electrical work described below. Location (Street & Number)" �� Owner or Tenant LIG ,-t / /"stvl _11jy<1-#4- Telephone No. Owner's Address W en Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building,,, �� k I Utility Authorization No. - Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Completion of the following table maybe waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ' ❑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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number I.Tons .................. KW ""'' " " No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW 3 pop Local ❑Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of 07res. Estimated Value of Electrical Work: 2S(% 0-0 (When required by municipal policy.) Work to Start: k 13 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the p�a+ins and penalties of perjury, that the information on this application is true and complete. FIRM NAlV:. _ (�ro.An LIC. NO.: 0,5 Licensee:�finter �( Signature —ti.. Lc LIC. NO.: (If applica�e,exempt" in the license mtmber ) Bus. Tel. No.: 21Address: p � r)o`1 l.ct �o`�u hJ 4 03(D, W Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 60 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Fp)RMIT FEE: $ -1a;= O Signature Telephone No. o° Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Oficial Use Only Permit No. 1� Q Occupancy and Fee Checked [Rev. 1/07] (leave h,sn'" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 527 CMR 12.00 (PLEASE PRINT INMK OR TYPE ALL DWORMMOA9 Date: � AT /! 3 City or Town oh NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of hi or her mttee�tion to perform the electrical work described below. Location (Street & Number)_ .3,5-l " JwL 4,w _ Owner or Tenant G 14;,-e CAZe Telephone No. Owner's Address �,� �,,1 4 - Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building,,, �w R4#^%0 o(.. I Utility Authorization No. - Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 94 s.e ".wr f_�,.d 5� Parc I �}-I.i� �a �� 4,,..re P�,�l .r✓ Completion of the following table maybe waived by the Inspector of Wires. Sus . addle Fans No. of Total No. of Recessed Luminaires No. of Ceil: p (Paddle) Transformers KVA No. of Luminaire Outlets No, of Hot Tubs Generators KVA I No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. o. o Emergency ig ting Batter Units I No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and InitiatingDevices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices w i No. of Waste Disposers Heat Pum Totals Number "" ' " " Tons ""'' '""""" KW ......""""""'...' No. of Self -Contained Detection/AlertingDevices No. of Dishwashers Space/Area Heating KW 3 pop Local ❑ Municipal ❑ Other Connection f No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Imo' Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: �Z�y O �Gi (When required by municipal policy.) Work to Start: If ( IS! k [Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, sander the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAeen'ter ' �cn.� S r� �A LIC. NO.: 05- " LicenseeSignature LIC. NO.: (Ifapplica `exempt" in the license number ) Bus. Tel. No.•�j 11ba—�3Z`f Address: jQ �p`1 ('.-�o�u �� (� d��`i3' Alt. Tel. No.: *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/Agent PERMIT FEE. $ 1 a!0 Signature Telephone No. to 60 i ❑ 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 ' on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an 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 the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not 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 property. 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 on August 15, 2008 and extending through August 15, 2012. ❑ Rule 8 — Permit/Date Closed: ***Note: Reapply for new permit ❑ ❑ Permit Extension Act — Permit/Date Closed: Trench Inspection Pass 0 Failed EN Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: i 1 Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed Re- Inspection Required ($.) ❑ Inspectors Comments: h Inspectors Signature: Date: ROUGH INSPECTION: Pass Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: Inspectors Signature: Date: FINAL INSPECTION: Pass 0 Failed 0 Re- Inspection Required ($.) ❑ Inspectors Comments: i i Inspectors Signature: Date: DEB WEINHOLD ... TOWN OF MERRIMAC, MA........dweinhold@townofinerrimac.com The Commonwealth of Massachusetts - Department of Industrigl Accidents ice of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): G— C r,� x K4 ) Address: ��p Y� City/State/Zip: YQ e ,_1 9% f U Phone My'�> - 3 n Are you an employer? Check the appropriate box: 1. L� 1 am a employer with ;Z 4. ❑ 1 am a general contractor and I Type of project (required): 6. ❑ New construction employees (full and/or part-time).* 2. F1 am a sole proprietor or partner- have hired the sub -contractors listed on the attached sheet. �• ❑Remodeling ship and'have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition, [No workers' comp. insurance 5. ❑ We are a corporation and its 10..Elecirical repairs ©r additions required.] officers have exercised their '3. ❑ I am a homeowner doing all work right of exemption per MGL 11. ❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. ❑ Roof repairs V insurance required.] i employees. [No workers' 131i Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. Homeowners who submit this affidavit indicating they 2ce doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. Jam an employer that is providing workers' compensation insurance for my employees. Below is the policy anti job site information. , o k I , Insurance Company Name:. 144,' Policy # or Self -ins. Lic. #:� — W " Expiration Date: A,3 Lp /d0,, L/ JobSite Address: R S7 ( Pity/State/Zip— Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the 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 WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby cepUtt er the pains y #dkenaldes of perjury that the information provided abgve is true and correct 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/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone #: Location �� No. ��� ✓ Date TOWN OF NORTH ANDOVER TOTAL Check # 7 1/102 / Building Inspecto17 F ` s 9 : ; Certificate of Occupancy $ Building/Frame Permit Fee $ cwusE`� Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # 7 1/102 / Building Inspecto17 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH -A ONE OR TWO FAMILY DWELLING Wk BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Num er iA (Number T , r 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40: 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSIIIP/AUTHORIZED AGENT 2.1 Owner of Record � / NKme not Address�rvice . Signature Telephone 2.2 Owner of Record: l Name Print �ddressbr Se-���'e Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Constriction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ CC1`pany Name Address \ ��� Registration Number Expiration Date Si a re Telephone' 011 men( ,rets off= of Imsitiostim 600'W4sf iVVM ST"It ®oswN WA 02111 Workers' Competuauon insurance Afisdavit ail Location: City: Telephnac �: .0 1 sea a homeowner perfor sung all work myself. :3 i air: sole proprietor ad have no one workia is my cs %airy 1 D 1 am an employer providing workers' compensation for my employees working on.this job Company Name: 1— d, l: Telephone #: Ciry:AWA Insurance Company: Policy* 13–�-- Ci 1 am (circle one) sole proprietor, Seneral contractor or bomeovkmer and have hired •be contmacters L*tt below who have the following workers' compensation policies: 'T " Company Name: Address: Telephone #: -- '- :.:e city:. I wzuce Company: Policy #: Company Name:_ ` Address: City; ' 4 insurance Company: Ttlephone # Policy #- Attach additional sheet if necessary railure to secure coverage as required under Section. 25A of MGL 15B can lead to the imposition of criminal penalties of a fine ull to 51,500.00 and/or one years' imprisonment as well as civil penalties in the forts of a STOP WORK ORDER and a fine of S100.00 it risy against mc. I understand that a copy of this statement may be forwarded to the Offict of Investigations of the DIA for coverage verification. 1 do hereby certify under thepatrts and pen4ties of ptrjvry that the information above is true and correm OMcial Use ONLY . Do not write la this area i City ar 1' ; n Permtvl icanse # 0 Check If immediate response is requirea C Building Department C Licensing Board a Selectmen's Office C iesith Da7artmeni C Other ��" 'Castricone Roofing &Siding REPAIRS FREE ESTIMATES Telephone (978) 682-4266 MARIO CASTRICONE 31 Court Street, North Andover, Mass. 01845 [/we, the owner (s) of the premises mentioned below, hereby contract with and authorize you as contractor, to furnish all necessary materials, labor and workmanship, to install, construct and place the improvements according to the following specifications, terms and conditions, on premises below %described: Owner's Name ....... PG�L�C......... daez&222-1 Job Address.... ti.l........ Ux•�4� �......P,,:;' ./Z. tZ .................................City..4..!/..z& State....................... SPECIFICATIONS .............................................................................................................................................................................................................................................................. . •...................................................... ..................................................................................................................................................................................................... ..... f ............................................................................................................................................................................................................................................................. . Materials and labor to cost $ ..... �6.0........................ Payable ......................................... on balance in............ monthly installments of $ .........................................each, payable on ........................................day o ach and every month thereafter until paid in full (..............% charge per year is to be added to above cost of labor and materials and is included in monthly payments.) Contractor will do all of said work in a good workmanlike manner. Upon completion of above work, all undersigned agree to execute and deliver to contractor, their joint note in accordance with his (their) above obligation and a completion as requested by the contractor. Upon refusal to do so, contractor may at its option declare the entire contract price or so much as then remains unpaid immediately due and payable. It is agreed that if permitted by law contractor shall be paid by the owner(s), all reasonable costs, attorney fees and expenses, in addition to the amount due and unpaid, that shall be incurred in enforcing the terms and conditions of this contract and/or any lien in connection therewith. It is further agreed that this contract may be assigned by contractor; and also that the obligations hereof shall bind and apply to their heirs, successors or estates of the parties. The undersigned warrant(s) that he is (they are) the owner(s) of the above mentioned premises and that legal title thereto stands of record in his (their) name(s). PROVISO: This contract shall be void and of no effort if credit approved of owner(s) is refused. There are no representations, guaranties or warranties, except such as may be herein incorporated, if any, nor any agreements collateral hereto, nor is this contract dependent upon or subject to any conditions not herein stated. Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. Cover attic storage cleaning not included. Receipt of a copy of this contract is hereby acknowledged, and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in operation. IN WITNESS WHEREOF, the parties have hereunto signed their names this ........... (T ..... ....... day of, 1g..1�.��.. Accepted: Signed........... .. ....t.. .............. Owner (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Per......;;mL, ,e ... ... ........... ............... .. Representative Signed...................................................................................... Owner Signed...................................................................................... D O b O z E s•. c o m c . c v o � N O = Cl CJ CJ CLC cc a o 0 0 ow O c O w c 0 `® o a CA 4:D,. 3 CM p C � m Co w y R y WC CO � ca m v mo H W rs: w w cn w a' rs; w" w v aq 0 z cn v CO c o m c . c v o � N O = Cl CJ CJ CLC cc a o N O CZD,, 0 0 ow O c mm c CL `® o L ior CA 4:D,. 3 CM m� C � m Co w y R y WC CO v1 mF- ev +s.• 10 .0 m .O mo H W CLC., N O CZD,, E N 45s h H CD �C+ W CD m cc cm C m L 0 0: C �C N CD s 0 Z O 5 O 9 O O v Z CL O y CD CM rA ©'O O � y O O NCO � m m CL ~ ♦°O.. t O� �3 C O :Q O O. �. CL. CL C o � ca ca 'a d O D C CD CL V y O C C cc y LLI U) LLI U) 19 W LLJ cc W N O c iA CL O �Z tcL ®4- 1- w 0 y WC v1 mF- ev +s.• 10 .0 .O •-. c ++ 'ar 0 H W .L c 0 , -. E C3 ca COD a' m*9 o10 = w s H s 16. I s O a r m E N 45s h H CD �C+ W CD m cc cm C m L 0 0: C �C N CD s 0 Z O 5 O 9 O O v Z CL O y CD CM rA ©'O O � y O O NCO � m m CL ~ ♦°O.. t O� �3 C O :Q O O. �. CL. CL C o � ca ca 'a d O D C CD CL V y O C C cc y LLI U) LLI U) 19 W LLJ cc W N Location—) No. �� �l _ Date 4 ` Check # /-1 C�, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ' ' , U Building Inspector w TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION, O COIVSTItUCf.REPAIR, REN�E,, .QR DEMOLISH, A.ONE.OR,TWO FAMILY DWELLING .... .. _. _ a. BUILDING PERMITNUMBER: f / DATE ISSUED: .„ SIGNATURE: Btlildin Commissioner for of.Buildin Date SECTION 1- SITE INFORMATION Address: 1.2 Asessors Map and Parcel Number: FLIroperty C'bLE,)f 14-aU n>5 v ---N �G lir � Map M Number Parcel Number 1� 1.3 Zoning Informatioa. 1.4 Pr opertyDunen—bos �. tonin Disfri Pr aSed,IJse, Lot Area s ,_.. i:ronta 1.6 BUILDING SETBACKS . ft Front Yard..: Side Pard ` .'. Rear Yard Required Provide R `red `. Provided R red Provided 1.7 Water S 1.5. F1odd Zone Infom�atton: uppityl�LGLC.40. 54) 18' SeideiageMi 6sallsystb Public . ❑ Pcrvate ❑ zone Outside Flood Zone {] . - Municipal ❑on Site Disposal System tj SECTION 2 PROPERTY OWNERS1EII"IA1LTTII0RMED I LNT" 2.1 Owner of Record ci ame (Print) Address for Service l Si nature Telephone Q 2.2 Owner of Record: Name Print Address for Service: i z Memature Tly :hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ icensed Construction Supervisor: License Number kddress Expiration Date ignature.. Telephone .2 Registered Home Improvement.Contractor Not Applicable 0 000 ompany Name Registration Number ' ddress sums Expiration Date nature Telephone FORM U .- LOT RELEASE FORM '~ INSTRUCTIONS: This form is used to verify that all necessaryapprovals/permits )a a 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. t *****************************APPLICANT FILLS OUT THIS SECTION APPLICANT_HONE (`7'?b'p^d g�j— LOCATION: Assessor's Map Number 9 1 PARCEL_t&,_ � STREET I ` ST. NUMBER3c'� S *****************************************OFFICIAL USE ONLY*********************************** REC0M)MENDATIONS,OF TOWN AGENTS: CONSERVATION ADMINISTRATOR UA rE APPROVED 10 DATE REJECTED -- COMMENTS_ D U f� SS —n 6s TOWN PLANNER DATE APPROVED DATE REJECTED COMM FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIO DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECT Revised 9\97 jm TE Iron Rod 120,40' W/Cop (Set) Mop 91 Lot 12 21,400 sq.1t. 7-1/2' x 11-1/2' wooden shed 3 0b `r 10 ^ ro ! 7.50' Stake W/Tock (Set)�;.....->a sir>'o:r %/Y7:'7"A"r'":i 71 '<`e°'"r"'`°'7`.r.;r.. #35 3.00'. 1 Sty. Dwelling 31.40' Stoke W/Tock (Set) 125.00' Colgate Drive (Public —.45' Wide) N W s 98.00' Stoke Stoke 77.86' Plot Plan In North Andover, MA Prepared For Paul R. & Claire Ouellette REFERENCES: 1) Deed Book 5788 Page 174. Prepared By 2) Plan #3373 in N.E.R.D. Vernon J. LeBlanc, PLS 161 Holten Street Danvers, MA 01923 HOR. SCALE IN FEET (978) 774-6012 0 20 50 100 Oct. 23, 2001 Scale 1 "=20' - I 4 Cl) m m m V/ 0 CO) C CCD O d O CD CO2 CD 0 d O CA O C CA cl) co O r� CD a, y y O 0 Oq O �• N O cr N `^D dm � m '0y O CD c y C! d o m O� N -0.O CC: TI =r m n of CL y t0 N p O ..► "'I > >114 D o C CD -i p Vl• n0 : V CL N • �o Amy' - CD �.: c C,A co N d Q C2 a O �a N �p .rt �•/ CCDN co :IV co Cp G ' 1 R'� N CO CD 1 m : W H Co A.Z. 0S* SP z 0 0 c Cn 9 O Crn � Z b7 C ro r1 7 N. O - '�17 w R• O 8 Ci7 7n 0 'jJ O a0o rd T D 0 n ' z O oGv ' p O o a. C) a^ r7 o x SP z 0 0 c Location No. Date r N0RT1y TOWN OF NORTH ANDOVER 4L I Certificate of Occupancy $ Building/Frame Permit Fee $ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # /' Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 2a L DATE ISSUED: C� SIGNATURE: ✓/' I C C Building ComnfissionELnsReclor of Buildings Date blLU11VIN 1 -blit llVr'UKMAIIVIV 1.1 Property Address: '3S Co66,gT6 /�oeiyer 1.2 Assessors Map and Parcel Number: 1_ 17l 2 a Map Number Parcel Number / WOO vd- m 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zane Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name ( rin� 3:r eOL6,J06 4Xl VS Address for Service SignatiVe Telephone 2.2 Owner of Record: .1 =s Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone �l Not Applicable 0 License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone S & G General Contractors (781)944-1005 Pool Installation Contract S & G General Contractors, Inc., hereinafter called the INSTALLER, and hereinafter called the CUSTOMER at A,') bo'/tme-' i 9 %L Phone ky' A 91R for the installation of one swimming pool for � �,,� dollars. Pool Model Size cl Purchased from i I Extra Digging $ Moving Base more than 10 feet $ Consisting as follows: Deck Walk Fence In order to maintain the lowest possible price for the installatiop of an above ground swimming pool the following conditions must be agreed upon: Payment of Installation is as follows: The tractor operator is paid when the area is clear. The INSTALLER is paid upon completion of the installation unless the INSTALLER has to return another day, then 50% is paid and the balance is paid when the INSTALLER returns upon completion. The pool liner will be installed in a professional manner but due to the fact that all above ground pool liners are made oversize to allow shrinkage, there will be some wrinkles. Site preparation including removal or protection of trees, stumps, boulders, or other vegetation removal of pipe lines or other facilities, etc. which constitute obstruction to this installation shall be at the expense of the CUSTOMER. The INSTALLER is not responsible for removing sod, rocks, and dirt remaining from excavation or for damage to the grounds form the equipment used for normal installation. The INSTALLER is not responsible or liable for any damage to the pool or for a wash out of the cove inside the pool from poor water drainage surrounding the pool area caused by rain, floods, ice, snow, acts of God or any types of storm, emptying of the pool water, or failure to winterize the pool. The INSTALLER is not responsible or liable for damage to the pool liner caused by animals, insects or plants. The INSTALLER will not assemble the pool ladder or put other accessories into the pool. The INSTALLER will not guarantee the pool against sinking in the ground consisting of clay, or sink holes caused by debris under filled yards. The INSTALLER is not responsible for any damage to the pool if the pool is filled with trucked water that is pumped into the pool with such force which results in the pool going out of line or twisting the liner. There will be a service charge if any adjustments have to be made from the results of any damage from this procedure. There will be an additional charge if the pool base has to be moved more than 10 feet to the pool area. Dates of installation are subject to change at the discretion of the INSTALLER due to weather or installation delays. The Commonwealth of Massachusetts .Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print Name: Location: i City Phone # - 0 I am a homeowner performing all work myself. E 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. Com an name: Address City Phone #: Insurance Co., Policv # Company name: ` Address City Phone #: Failure to secure coverage as required under section 25A or MGL 152 can lead to the imposition of criminal penalties of i ne up to $1, and/or one years' imprisonment -as well_as_cimi.penal ies in2he lam -of -aSIORWORK_ORDER..and-a fine_of 1.$1DO:QQ) b day.againstme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for Coverage verfication. I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. Signature Date Print name PhoneAL Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensina Building Dept []Check if immediate response is required 0 Licensing Board p Selectman's Office Contact person: phone # 0 Health Department 0 Other S&G General Contractor's Inc. Tel: (781) 944-1005 Workman's Comp. Eastern Casualty Insurance Policy # WCV0025647 Insurance Agency: Davis, Clark, & Latham expiration date: 5/15/2002 tel: (781) 944-6171 Certificate of Liability: Preferred Mutual Insurance Co. #CPP01005495656 expiration date: 3/18/2002 FORM — U — LOT RELEASE FORM INSTRUCTIONS- This form is used to verify that all -necessary approval/ permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. �armarma.rrmr.arrar.rr..r.am.■aamrrrr■■rrarr■■mrmaarararrmaarr.rrr.mrrr.ra�� APPLICANT _1'i�+/ L Qui�ddl-76 PHONE(�0 to In - Ol eJ_ ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET C a L.CG1'� a?)V� STREET ER 3 �..r.■arra...■ m amwar■asamra■rrraasammmrrasons Nona m.rr ■r...rroamam as ..rr■ OFFICIAL USE ONLY ---ass ssttt/2���2V .............■m..m.ma.............................. mammon noun *none awn aam■. RECOItV ENDATIONS OF TOWN AGENTS Tarr woman asaRaw armraammam.rrma.wago ■.rrrrarrr.rm.arm■ ■.mr.mm.■ &�4�' DATE APPROVED j "Z llot ( CONS VATION ADMEtSTRATOR b DATE REJECTED (,n �-� to PUBLIC WORKS — SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR _ DATE DATE APPROVED TOWN PLANNER DATE REJECTED CON*AEN"TS DATE APPROVED FOOD INSPECTOR -'HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS — SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR _ DATE Vernon J. LeBlanc, PLS 161 Holten Street Danvers, MA 01923 (978)774-6012 INVOICE DATE: May 22, 2001 JOB NUMBER: 2133 TO: Paul Ouellette RE: North Andover — 35 Colgate Drive SERVICES PERFORMED: Lot Stakeout & Plot Plan AMOUNT DUE: Six Hundred ($600) Dollars 'ev F411- S- Z 3-(n f TERMS AND CONDITIONS: PLEASE READ CAREFULLY 1. ALL ORDERS ARE CUSTOM MADE Any changes will incur added charges. 2. Customer to clear proposed fence lines prior to installation of all obstructions. A cleared area 18" from center line of fence on each side is required for proper installation. Note: Reliable Fence cannot be responsible for shrubs or flowers within 36" from proposed fence lines. Customer should tie back or remove all plantings they wish to protect. 3. Customer to clearly mark all underground utilities. Reliable is not responsible for damage to underground utilities (i.e. sprinklers, gas lines, electric, etc.) that are not clearly marked. 4. Customer to provide following: A. Water source (active spigot) B. Electrical power outlet (live) C. Permits if required Survey marking if needed 5. Installation Check List: Clear Lines- Tree/Stumps- Obstructions- T/D Old Fence- iJB T/A Old Fence - Pins Regeimd- Fence to Follow Grade- V Step to Grade- Access - 66 -41) LedgeBlasted Rock- Compressor- Welder- Torches- Rotary ock-Compressor-Welder-Torches- Rotary Hammer- Misc. Equipment- Special- We Propose: hereby to furnish material and/or labor complete 045tzz in accordance with above specifications for the sum of: l Payment to be made as follows: Special Terms: A service charge of 1-1/2% per month which is an annual percent- Thank You 50% Deposit w/open Balance C.O.D. age rate of 18% will be charged on all past due Balances. Your Business is Important to Us! Acceptance of Proposal- The above prices, specifications, and Authorized Signature: conditions, atisfactory and are hereby accepted. You are authorized to do X the k as spec' ted. Pay ent will be made as outlined above. — Lp Note: This Proposal may be withdrawn by us if not accepted within _ days / AA..i X �' Date �� Tlatr of Prnnncal A- 19. �t1Yl cz x w Q x o v LE E N U) u a. z z w2 � U w O U w P4 Cl) e. to � w O w O CO) a U w 0G chi ii a z C4 w w x. Ai m' o cn o cn t f� 0 O z uml am = > U cm c N 0 • 2 r.+ O j CD �O Z 0 � i 91 0 O QC N Co t C O CD Q m raw N O O O .51 N C O ev .0 _cc N d tm C D � CIO m LLJ C) LLJ W W crW LLI U) N _ O •m C psi0 C I at CLa CE)= Ea .L 0.�c O y vRE w$ u � m c a c : y l0 :mm H m vs � 1 5 � CIO � c •m m O ` y m ++'Cc C Q ' y is act mor O V I Z n• F- m mz 3 W = 4;:5 2 •y � � d.Y C E y uj V ca cmc m m C p '- o.'O O . = h O A = aim = > U cm c N 0 • 2 r.+ O j CD �O Z 0 � i 91 0 O QC N Co t C O CD Q m raw N O O O .51 N C O ev .0 _cc N d tm C D � CIO m LLJ C) LLJ W W crW LLI U) I ' Iron Rod W/Cap 81e520W S81154920 (Set) Iron Rod 120,40' r, W/Cap (Set) 1� Map 91 Lot 12 61.49' 21,400 sq.ft. 12.0000' Proposed 24 Dia. Above Ground Pool 39.32 58.33' 24.0000' Deck Stake W/Tack (Set) Stake W/Tack (Set) #35 0 0 1 Sty. I j o Dwelling Z o -� 00 N o N Ui 0� O Stake W/Tack Stake W/Tack (Set) —3' »E 1 (Set) N89'13 20 — 125.00' Colgate Drive (Public — 45' Wide) Plot Plan In North Andover, MA 0 OF k4 VERNON o J..� Prepared For <' LeBLANC N Paul R. & Claire Ouellette N0. 33600 REFERENCES: �' �-ao s�, 9FGISTERE� 1) Deed Book 5788 Page 174. L Prepared By 2) Plan #3373 in N.E'.R.D. 5..22.E Vernon J. LeBlanc, PLS 161 Holten Street Danvers, MA 01923 (978) 774-6012 HOR. ; SCALE IN FEET 0 20 50 100 May 20, 2001 Scale 1 "=20' Location No. Date NORTIy TOWN OF NORTH ANDOVER • .. OL p Certificate of Occupancy $ o ; f Building/Frame Permit Feb $ ''s Foundation Permit Fee $ �ss�cHut Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ J Building Inspector -'if v 7 7 6 44/47/97 11:29 25.00 PAID Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 440. LOT NO. /O.— I 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT LOCATION S' / PURPOSE OF BUILDING �/� l� OWNER'S NAME % ° NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME iJ �rL r SPAN - _ GGG331 e0 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" " POSTS DISTANCE FROM LOT LINES - SIDE REAR GIRDERS , AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS 15 BUILDING NEW �/ SIZE OF FOOTING 1-2jo 7 '` 'Sr BUILDING ADDITION D� _ ` MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE G IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 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 I ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPE//�TOR DATE FILED-ilss-4-7, / 11 0 / SIGNATURE OF OWNER OR FEE PERMIT GRANTED- 19 JeR 3 PROPERTY INFORMATION LAND COST EST. BLDG. COSTrJ EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY 1U LDING INSPECTOR OWNER TEL.# CONTR. TEL. # CONTR. LIC. # QAoY 2- H H # 1 OCCUPANCY SINGLE FAMILY STORIES _ MULTI. FAMILY OFFICES _ APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 13 1 1 2 13 CONCRETE BL'K. PINE _ :: BRICK OR STONE P — _ i _ PIERS PLASTER DRY V✓All 3 BASEMENT 4 WALLS CLAPBOARDS DROP SIDING WOOD SHINGLES' VERT. SIDI< STUCCO ON STUCCO ON 5 ROOF FIN. ATTIC AREA _ FIRE PLACES _ MODERN KITCHEN 9 FLOORS 8 1 2 3 CONCRETE �_ EARTH _ HARDY✓'D _ COMMON ASPH. TILE _ ATTIC STRS. & FLOOR I WIRING 10 PLUMBING BATH 13 FIX.) TOILET RM. 12 FIX.) WATER CLOSET LAVATORY KITCHEN SINK OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 1 BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. A ®I �I TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G 7 NO OF ROOMS UNIT HEATERS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING 1 BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. A ®I II Y O g , J adW r�► w W o: m�Q _�- w � LU CO CC CO d c `tJ S W LL F- LU a r- 1 M 1 � O Cui N wzO >O F- W [t cn I- �U0 0 PLAN VIEW CUSTOMER -- PETER S LEBLANC DATE 03/20/97 REF PSL91008 14' JACKSON LUMBER 8 MILLWORK 215 MARKET STREET LAWRENCE, MA 508-686-4141 LOAD AND SUPPORT: Your deck will support a 88 PSF live load. Posts have ___' below -ground post support. DECK AND POST HEIGHT: You selected a height of 36' from the top of decking to level ground. The top of the deck support posts will therefore be 25.25' above ground level. Your salesperson can provide information for uneven or sloped ground. JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make) masts all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. 3 r Y �I J J ad I— wW w cc w aWCO �CCCO Q' 3ao (� N J 6A ~� I w� f - W a r� 1 W 1 � O 3 Q N W M 70 O LU CL 0 0M4 I-00 .y O :4 PLAN VIEW CUSTOMER -- PETER S LEBLANC DATE 03/20/97 REF PSL91008 14' JACKSON LUMBER & MILLWORK ` 215 MARKET STREET LAWRENCE, MA 508-686-4141 Zx/O HA2 LOAD AND SUPPORT: Your deck will support a 88 PSF live load. Posts have ___" below -ground post support. DECK AND POST HEIGHT: You selected a height of 36' from the top of decking to level ground. The top of the deck support posts will therefore be 25.25' above ground level. Your salesperson can provide information for uneven or sloped ground. . JOISTS: Set joists on top of beams, 16" center to center. NOTE: The design may require knee braces and bridging between joists. Your materials list includes the necessary items. The suggested design is not a finished building plan. You are responsible for all measurements being correct, for verifying that the design (and any substitutions or modifications that you make) meets all local building codes and requirements. To verify that the suggested design, and any substitutions or modifications, is consistent with conditions at the construction site, review the design with your architect. Also consult your architect for proper construction and use of materials in the structure. Be sure to follow the deck construction detail available from your store salesperson. FORM U - VERIFICATIONI 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 local or state law, regulations or requirements. ****************Applicant 4fills //out this section***************** APPLICANT: ��i rYa��� L / _-�. Phone LOCATION: Assessor's Map Number Parcel Subdivision Street Lot (s) 17— St. Number 35 ************************Official Use Only************************ RECO DATIONS OF TOWN AGENTS: Conse ation Administrator Comments Town Planner Comments Food Inspector -Health Septic Inspector -Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Approved 202 2 Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date Approved Date Rejected Date M;-25-97 08:56 PM FROM NORTHERN ASSOC'AZES TO RUSSELL EERNARD P00;/00: MORTGAGE INSPECTION PLAN AA NORTHERN ASSOCIATES, INC. A 942 N. MAIN STREET AAWOVER MA 01810 TEL: (508) 474-4410 FAX.. (5081474-5067 AYtlgrJ 4wft R.IOhMW 4 ZV"UN L.LlCrtAIC v A m AAT''. 41af / Aw LOCA rJW seg 9XX&AIV ZRZV ' FLM MV- pr.Osss s rasa ram Cir!'. RrAM ACRYN AAWMW JW P S,a CAM / Q / 30, lum R Iia/J7,0 / 3t5 =LOA GwiVE Gmr2r2w nw pzmr avow ~ /SIS This aorteave inaoactioM w• t- ���____ ' x0r9k This soregage napeot on wee props ad epeoJrlceily roc ewrlgage purposes only and aft l• not W W relic opoq a• •land or property tw line survey. 6.11ding lowtlon end ottaets shown ac..wclfiwlly ens so�t��99 deterein.tion only and not to be wed to =.bllah property llMs. SM land shown Mce" to be.ed on reterenoe intoraation noted cad .ey be —bleat �►) to further tatinge end e.s:mnts. Northern J' Assoulotoe, no aooepta nresponelbltlty for N d.weg.s esewltine rros e.id reJJanet by anyone other than the sold aortgagae and its assigns in conneotlon with its propose aortgege financing 5 to said rortgagor. P.O1 R -b r' ! W cc ui z 5 0 o 0 Cce r O N C 0 cw 'ate a� m C :t O O � �� Ea �i O ..m J E CL o� C.2 t; me E �• o m � 4Z c O ��N N J k = m to 04. tiyC o mo nv m N m X. C cM coo c �v N msr m f0.1ti Z ` o � o : c ca... cm O. O C a �v`oimc 'c +r y Owl- O W cc � S 'o - LLc M= vNi arO�Oc `o W C.3 E $ CM o C N >zs O 4 O a� a a a a WA w o°G w a a0 cn a O a ro C v a ..� ui z 5 0 o 0 Cce r O N C 0 cw 'ate a� m C :t O O � �� Ea �i O ..m J E CL o� C.2 t; me E �• o m � 4Z c O ��N N J k = m to 04. tiyC o mo nv m N m X. C cM coo c �v N msr m f0.1ti Z ` o � o : c ca... cm O. O C a �v`oimc 'c +r y Owl- O W cc � S 'o - LLc M= vNi arO�Oc `o W C.3 E $ CM o C N >zs O 4 O 0 as O Z CL O W p C CD I Ccm � p o 'E m m Z O.a O CD o ccoCL =I c aC� C.0 .� O= ♦"C-+ c Q 'C. OC43 o Z o. V y cc c ' C CL p a� a WA o°G w a0 cn cn 0 as O Z CL O W p C CD I Ccm � p o 'E m m Z O.a O CD o ccoCL =I c aC� C.0 .� O= ♦"C-+ c Q 'C. OC43 o Z o. V y cc c ' C CL p Locatioi J 3 t �' Nor () Z-- Date �L'Z ps p 01 �° "T ;.4 TOWN OF NORTH ANDOVER o Certificate of Occupancy $ i • Building/Frame Permit Fee $ Foundation Permit Fee $ JACNUS Other Permit Fee $ S Sewer Connection Fee $ Water Connection Fee $ TOTAL $ S-0 (�--�> /11' Building Inspector A. W u3 Div. Public Works PERMIT No. APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. MAP K40.c �l I LOT NO. I 2 RECORD OF OWNERSHIP DATE BOOK r. ZONE SUB DIV. LOT NO. LOCATION /� �ri PURPOSE OF BUILDING VQ �r`e!eZPwAti, fio ��rh I �y ICppyyl OWNER'S NAME •,\ 1 / /G re NO. OF STORIES / SIZE i _x L• OWNER'S ADDRESSSYv — _3S Cd1&,�� - -Dr, �� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST2ND RD C'_ s SPAN BUILDER'S NAMEs. �, /1 � DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES EAR '• " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 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 PLANS MUST BE FILED AND APP/ROVED BY BUILDING I/NSPECTOR DATE FILED 61 iJJlw, A SIGNATURE OF OWNER FETE PERMIT GRANTED + 19 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST c/ 000 ' EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY DUILDING INSPECTOR OWNER TEL. # 4a Z. L 3 CONTR. TEL. N T CONTR. I H.I.C. 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D It N2 J i F Date ...... ° t"`° '• "o TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING • a This certifies that �� ', f (.c,. y C has permission to perform .........,.(>.....�. ........................................... wiring in the building of ....... .) �! F . �....................................... at ...... 5....... �'� .,� (� f .....A ................... . North Andover, Mass!' ?r `.......�iFee:. Lic. No. n4( , .... .... { ELECTRICAL INSPECTOR Check # 1 �� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer THE00MMONWE40HOFhfASS MUSEITS Office Use only DEPART1 EW 0FPUBLICSAFM Permit No. BOARD OF FIRE PREVENTIONREGUTATIONS 527 CMR 12.'W O.APPUCATIONFOR Occupancy & Fees Checked PERMIT TO PEWORMELECTMICAL 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 J L)A f_ L b 1 2001 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) cc a fe l r Ve Owner or Tenant Tci U ! °h c 17t 17 7 Due- ( (e-#-P— Owner's e--P—Owner's Address 3�5— Cb I GI e r r v -e Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building <S i(141 2 F�--A M 1 vl Utility Authorization No. 4� Existing Service .,. © 0� Amps 122 volts Overhead Underground No. of Meters New Service AmpsVolts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work" W 1'r cJ 1'f v- Purvl. I -t rn e—c- lack +Ov+ le -4 No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool AboveBelow n Generators KVA ground zround tib. of Receptacle Outlets / No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP Y Irstrt wCoeV. Rxsumttblhereg zwuz Gann Laws Iha%eaamatLdAlylrmrEffroePbbcyerhdatgCaq** ComWcritsahAaMec}n4rt YES NO Iha%eahn&dmMprcc>fofsa=bthe0ffi= YES U NO r Ifjwha%edwdWYES,plemmdc*thetAxcfea&aWbydxckitgtbe Wpcpti*bcK p- BOND p OTI-. p c ) a6 `3 a -rJ oa - WarkbStatt J VAV_1 FIRMNAME UU..��.. htSp0dtt D*Re pmWd rSE-- y F(, -r_ -tri ca Lioa>see e 3rOL e 2F .7 ern�JS �---- Sig� r'Tumm L= E ValwdElecft d Wak $$ Roueh Final Lica>SeNa . LioalseNo Sai/'c/�� BesQlessTLNa i ,8"�7c� 9� -l�'r-1.L. IF? - o6 71 6T /D 1?1�_6 OWMM'SDa.IRANMWAIV ;I.amawarethatthel.ioawclo Geried Lam and that my sigrrat<searihis p� BpjrliL�hQt wanes lhis tequaattat. (Please check one) Owner a Agent E3 ec /� Telephone No. PERMIT FEE $ 73 r C /