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HomeMy WebLinkAboutMiscellaneous - 38 FOXWOOD DRIVE 4/30/2018o�O W co T Q N V 0 N � CD o M o m 0 /a 11130 Dater`-\ ............ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ........ .............. .... N............................................................................... has permission to perform......L...... . v .......................................................... plumbing in the buildings of............ ie �.............................................................................. at ............ a.... c! 'NJ.... *(?, ........................ North Andover, Mass. Fee i........... Lic. No.kh..... ...� ....................................................................................... PLUMBING INSPECTOR Check # Me' P TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITYNorth Andover „� MA DATE4/30/2015 PERMIT # JOBSITE ADDRESS38 Foxwood Drive OWNER'S NAME Bryan Barker OWNER ADDRESS TEL 978-655 5214 tFAX OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL El NEW: [ RENOVATION:j REPLACEMENT: FIXTURES -1 FLOOR— BSM BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM _ DEDICATED WATER RECYCLE SYSTEM' DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES ATER PIPING OTHER I RESIDENTIAL PLANS SUBMITTED: YES NO 10 1 11 1 12 1 13 1 14 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 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 !J! SIGNATURE OF OWNER OR AGENT 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 compliance w'44th all Pertinnt provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. n „ - l I 7 PLUMBER'S NAMEMichael MallleSIGNATURE LICENSE # 11355 MPO -1 jP0 CORPORATION #[ PARTNERSHIPS#[::, LLC 3609 COMPANY NAMEHomeServe USA Energy Services NE LLC ADDRESS16 Tech Circle CITYNatickSTATE MA ZIP 01760 TEL i 87 1 359 2620 ,. FAXCELL EMAIL Michael.Maille HomeSenreUSA �)-j v-nAA Date .... 514.1-2 ....................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ............. has permission for. gas inAallation ...... V--Ar-&� .... in the buildings of ............. r-:2�1- .. (kr at ......... 30 . ...... ....................... . North Andover, Mass. FeeA ....... Lic. No. �J� .. ....... ..................................... I ................................ GASINSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Andover MA DATE413012015 PERMIT # JOBSITE ADDRESS! 38 Foxwood Drive OWNER'S NAMEBryan Barker OWNER ADDRESS B!Yan Barker TELI 978 655 5214 FAX „ �. -� ..,,,...,. i TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONALRESIDENTIAL PRINT �'' CLEARLY NEW: RENOVATION: E] REPLACEMENT: L PLANS SUBMITTED: YESD N01" APPLIANCES -1 FLOORS BSM 1 2 3 1 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER - - mm CONVERSION BURNER AI � i FE ..., E � :; �. - s COOK STOVEEE DIRECT VENT HEATER; d:,• DRYER E - � E _. § i �--------$ E � �E � �--_ W­__ - FIREPLACE __ i FRYOLATOR E € » FURNACE! GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS — .- ..... MAKEUP AIR UNIT�E �.. OVEN POOL HEATER I ROOM / SPACE HEATER�m' ROOF TOP UNIT LF-1 TEST ,UNIT HEATER mm,iI ,,,,,, .UNVENTED ROOM HEATER ==l WATER HEATER' mm r, M iOTHER t�I _E E � � E INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES (-,-]_ NO , I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER L7.i ,7.iAGENT i 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME (Michael Maille LICENSE #j 11355 SIGNATURE MP MGF JP JGF LPGI CORPORATION 1 4 _ PARTNERSHIP #, Ej � LLC ?_� # 3609 COMPANY NAMEi HomeServe USA Energy Services NE LLC ADDRESS16 Tech Circle CITY Natick _ STATE [:KA JZIPS 01760 STEL781-359-2620 FAX CELLE:=EMAIL MichaeLMaille@HomeServeUSA.com W- The Commonwealth of Massachusetts Department of IndustrialAccidents Z Office of Investigations I Congress Street, Suite 100 Boston, MM 02II4-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers i Applicant Information Please Print Legibly Name (Business/Organization/Individual): 0S - SEktv,%C.A Address: Tv\ti1 0Sat,,,o Phone #: I!k--35ci--Z(,ao Are you an employer? Check the appropriate box: 1.51 am a employer with 140 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a soie'proprietor or partner- listed on the attached sheet. ship and have no: employees These sub -contractors have working for me in any capacity. employees and have workers'' [No workers' comp. insurance required.] comp. insurance.: 5. We are a corporation and its 3. ❑ I am a homeowner doing all work officers have exercised their myself. [No workers' comp. right of exemption per MGL insurance required.] t c. 152, §1(4), and we have no employees. [No workers' comp. insurance required] Type of project (required): 6, ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13: ❑ Other i Any applicant that checks box # 1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: WG t 3 5 Cs �� C, Expiration Date: t 2 l - 20t S� Job Site Address: 4-\N-,�5 City/State/Zip:k��!Z)A,� z f Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Faikire to secure coverage as required under Section 25A of MGi., 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. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: 1\-A- LNU� ..� Date Z ZS � I Phone #: --a-'-2� � Zto Official use only. Do not write in this area, to be completed by city or town of City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 6. Other 5. Plumbing Inspector Contact Person: Phone #: f i i f, Mutual. INSURANCE December 8, 2014 Town of North Andover Attn: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 38 Foxwood Dr, North Andover, Ma 01845 Policy Number: H3V21810641340 Underwriting Company: Liberty Mutual Personal Insurance Company Claim Number: 030942439-0001 Date of Loss: 11/1/2014 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 313, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, � 9, or Mass. General Laws, Ch. 111, 5 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address, policy number, claim number, and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Date . , . 'r r 40RT" •x,;.,'14, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that .. .!.., has permission to perform . L.' � . t �. . ......... plumbing in the buildings of . ;C���... J ........ !. . at !'��` ..!.....?''-- :... , North Andover, Mass. �F//.G� "Fee—.Lic. No. PLUMBING INSPECTOR Check # Ea `6299 MASSACHUSETTS UNIFOR7f-ZCAAA CATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS _ Date �!, L Building Location 3 �We Owners Na k �a n Permit # O Amount Type of Occupancy New® Renovation Replacement Plans Submitted Yes No ►. . II W .i -1 111 --M.--.M.--.MM--..------- e,MWNMMMMNMMWWMMWMWMMMMW MW AMWMMMWMWMMMWMWMMMMMMMM MM ,, " mmmmmommmmomommmmmmmm NO (Print or type) Installing Company Name Ct61Zl 11 Check one: Certificate ! 1:1 Corp. Address �� b � KCL inn �i7� M-44144 ❑ partner. Business Telephone Firm/Co. Name of Licensed Plumber: 40 L r !, / f ( e rInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy n Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this, application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 Wthe General Laws. By: Title City/Town `"` APPROVED (OFFICE USE ONLY Ni Type of Plumbing License 119 o icense mer Master Journeyman ❑ Location �"rp-�-` • �' e � No. Date A c�C) MO^TN TOWN OF NORTH ANDOVER O;••vo .�,•t,0 � s 9 . * > ; # Certificate of Occupancy $ cMusa Building/Frame Permit Fee $ J.► Foundation Permit Fee $ Other Permit Fee $ �•` TOTAL $ Check # /7/, 17974 Building In6pector N TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION-T.O CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH _A ONE OR TWO FAMILY DWELLING 4 BUILDING PERMIT NUMBER:/ DATE ISSUED: SIGNATURE: Building Commissioner/12kmtor of Buildings Date SECTION 1- SITE INFORMATION -\ ` ' ` ° ' . _- __ - 1.1 Property Address: 38 i-oxW00lZl� 1.2 Assessors Map and Parcel ✓ 6 6' Map Number Number: Parcel Number 1.3 Zoning Infotmation: Zoning District Pr osed Use 1.4 Property Dimensions: .+ Ld Area Frontage (Al) 1.6 BUILDING SETBACKS (ft). Front Yard Side Yard Rear Yard Required Provide Required Provided R " red Provided 1.7 Water SupplyM.G.L.C.40. 34) 1.5. Public 0 private 0 Zone Flood Zone Information: Outside Flood Zone ❑ 1.8 Municipal Sewengo Disposal System 0 On Site Disposal System ❑ 5ILL;iiUrl l-rxUrEKIT Uwf4ZXb1 .r1AVT11UKUEVAGENT I � ��� � ��c% L'!4ti'!Ct: ;'r 2.1 Owner of Record F2Af�1 > use �t3 icy AW 32s Foxwoz J)Q Name (Print) Address for Service: Signature Telephone ., it 2:2 Owner of Record: Name Print SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: 1 �ll�F�2A Licensed Construction Supervisor: L -41S Addr - 4�71 Signature Telephone 3.2Registered Home Improvement Contractor a2D R-1 iI(E? I' C� EVA - Company V A -Company Name /9 ��>�ryt,4*W ST' Addre ' Address for Service: Not Applicable ❑ 0822 %3 License Number X1'6 Expiration Date Not Applicable 0 12313 Registration Number Expiration Date J SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildinrmit. Signed affidavit Attached Yes .......0 No.......0 SECTION 5 Descri tion of Proposed Work check as a bk New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) D Addition C Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: ;SuIId T-10tS14' ANENT WITH A (i2AATN a.'W I QVrTrnN 6 - F.cTiMATF.n CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Com leted by perrnit applicant OFFICIAL USE ONLY 1. Building i Y 02 (a) Building Permit Fee Multiplier 2 Electrical rfi (b) Estimated Total Cost of Construction a i a 8 3 Plumbing Building Permit fee (a) x (b) a �p Q 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORILATIUN rM HE UUMYLEIED WIZEN -" OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT " I, as Owner/Authorized Agent of subject property Hereby authorize, 1Z 5,4#WO I CD0 P1G44to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date r SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/Agent NO. OF STORIES BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIIENSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE OF FOOTING MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS l Date , SIZE 2' 3 THICKNESS X rfi 1 FORM U - LOT RELEASE FORM INSTRUCTIONS:. This form is used to verify that all necessary approvaWpermits 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 l / `� �I `l L �:Sg _ ops r/� PHONE LOCATION: Assesses Map IVunnler_ PARCELS SUBDIVISION , LOT (3) STREET_ DW ST. NUMBER OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: ADMIN13THATOK DATE APPROVED DATE REJECTED ' COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR `- DATE ReOwd MY Im oJr 0 Jan 1G North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM roVWM of MGL. c 40 8 54, a condition of ,,,hull beermit in accordance wdh the P from this �n+®ric Nurreber is that Me debris resulting as defined by MGL disposed of in a proPOdY finensed solid waste disposal faci�ty c1t,S150A. The debris :will be d isposed of in: W s T WO lwu (L.ocation of Facility) Signature of Pemnit Applicant Date Permit from the Town of North Andover must be obtamed for this proje� through MOTE= Demolition p� Office of the Building Inspector 14 01/12/2005 14:18 6173810334 -w-7�, i OTICE TO PLOYEE S r- P V"" - NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http://www.mass.gov/dist As required by Massachusetts General Law, Chapter 152, Scc:ticros 21, 22 & 30, this will give you notice that I (we) have provided for payment to our in jurcd employees under the above mentioned chapter by insuring with: HARTFORD UNDERWRITERS INSURANCE COMPANY NAME, OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD CT 06183 ADDRESS OF INSURANCE COMPANY (656OUS-3791884-6-04) 10-16-04 TO 10-16-05 POLICY NUMBER EFFECTIVE DATES FARQUHAR 8 BLACK 85 EXCHANGE STREET LYNN MA 01907 ^ NAME OF INSURANCE AGENT ADDRESS PHONE # an RIVERA RODERICK DBA ROD'S HOME 19 EAST HIGHLAND ST IMPROVEMENT LYNN MA 01902 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE _ MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation ,AeL A tvpy of tate First Report of Injury must be given to the injured empMyee_ The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is .necessary and reasonably ' connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF 140SPITAL ADDRESS 021728 w2QPIG02 TO BE POSTED BY EMPLOYER. 01/12/2005 14:10 6173810334 i 4 t° RODERICK LYNN. MA I !�50:•""'OTS .r:�: �,,,��v..�.,,y�� �^', ' • • 4 fir' * • :t is jt t , • hand etMN� H� .' :: ,�'+ .': Holw �ViME� Rtvara, 1� • FioOd,A� Rives ; �+ � • �',' � � •: � �:.�,i,• � . ,w Q1/12/2005 14:10 6173810334 MR IDAF 121T rWut r IQAA�lA/3 ame" I CERTIFICATE OF LIABILITY INSURANCE 0 Farquhar a Black 85 Exdwne Streit. Suite 101 Lynn, NA 01!01-1475 .nrllleo w6mrim Ilivera 19 Bast 10941e0d Street Lynn, MA 02902 =,3J colmnafts TPOUCMS Of PSUPAMM UCTM RV -W HiAVA SIM 9MUE0 TO TN! 1 KM W WOW ABOVE FM rdE XXWV PEItbD MiMCATlD. HN�rypITHDiAM!► HE ANY FMQUPFJMW. TEAM OR OMUMN OF ANY 00"" A« OR 0"A OOC MaEW VW" WSPECT TO W"*4 THIO tiiffWCA'TF- MAV SE SIM OA WY PERTAIN. THE WUPAKI AMPOPe7Eo 6Y THE: PM CKS VnoWMW4WjN M ill9W TO ALLTHE Tsar. LVI,VMW AND ODNOQNON9 OF SM POUC,EB. AORTIEOATF UMTS SNOWN MAY HAVE Wo" RIDUIM W PAD CL* M3. so TniHv•NUMMce roHIiTNHIIaa= U§ / A=arae Oi 3 00 eAQl9 Awwm = I ODD A Ig14aALUANaNn X GQNWP eua LW&%M 1�1�R lJ FAMI9 i NDfO�tMI1�1wPd i Shaw". $ 1000 aae+wwoAloeATe .noOUCA•mwoPAAs f 000 00ftA00NMIE►MR AMFP.JRNMI .aw ED a n LM AU1900 sUMMU v�HM,mo AWFAM P"DW WAUTO'S AMS MnWAUM www* WEDAvmv J LW s VMPV MAW s pgpp �p� IPM�O i weASE►welun M,11AlIipCHiIrM � • EAAW i AONI i /uwrawwMurr Omm oaAwwg* owwnwc R£f6Nil0„ e • &"coOm e Aopl�OATE i s i i wowmes CartlfAQ011 A►0 XW4Wp1R1p 1�1� 6Hi AH1O11 '�IA'°i�d�eaur� I11.FJIL7IAOI�If e�. •eA s EL.NIaiAM:•A000IIAei i aT,Ie¢ oF,.aR.n,e»aeorpa,�or.►�ea►+rws,Ma.e�..,eaHuwo� .rseo.slaASHr,saaM.wloti.Ioue Acom as (am" NnouNnAMYar TIRA10rlaweuawro►►orsMaAlla�►.eaNA�f� oawATbaalle,� TaIIIMIU1MSIMUM1IMl1 MaSAvoIITe vela -&_oursHNrrTo►noHNeaToTHCan"NOMM UMMUDTbTMUM. rRFAUNTOIMN O M11I ''M &LM1PMVGG%&" MaBQWM SARNO' S CONTRACTING 9 HANCOCK ROAD WAKEFIELD, MA 01880 781-316-4612 Frank & Lisa Robinson Foxwood Drive 3 0 North Andover, MA 01845 Home 978 683-5505 L 1P1 i - B34- toSial Basement GENERAL • Install fireplace (owner responsible for purchasing fireplace). • Supply and install SC 40 drain pipe and stone • Supply and install all lumber and materials needed for framing walls (2x4 KD) • Supply and install all strapping and materials needed for ceiling(lx3 fir) • Supply and install all repairs exterior wall due to new window • Contractor will cut expansion cracks and fill with HYD cement • Contractor will conform to all plans and details. Any changes will be discussed and agreed upon before work is started • Supply and install all framing for fireplace Plumbing • Concrete will be cut to accommodate new drain for bathroom • Supply and install all proper PVC piping for new V2 bathroom • Supply and install '/2 inch hot and cold copper piping for '/2 bathroom • Supply proper venting for bathroom • Relocate existing water and gas lines to one side of the room (will confirm with owner) • Relocate existing PVC drains to one side of the room (will confirm with owner) • Supply and install one standard white American standard toilet • Supply and install one standard 30inch vanity (oak with white top) TILE • Supply and install all floor tile for bathroom (will go over samples with owner) WINDOW • Install one Anderson window to match existing • Supply and install all necessary exterior trim HVAC DUCT • Relocate existing duct work to one side of the room (will confirm with owner) ELECTRICAL/CABLE/PHONE • Supply and install GFI outlet for bathroom • Supply and install all wiring for fireplace control panel (if installing one) • Supply and install outlet and light with switch in plan • Supply and install one TV cable to room • Supply and install all wiring for smoke detectors as per code Insta1116 recess lights, switches (will go over location with owner if you don't like plan layout) • Supply and install two phone jacks (will go over location with owner) o Supply and install all wiring for electric baseboard heating • Install wiring for thermostat • Install all outlets as per code INSULATION • Supply and install on all interior and exterior walls R-13 • All exterior walls will have a vapor barrier BLUE BOARD/PLASTERING • Supply and install %2 inch blue board to all walls and ceiling • Supply and install skim coat of plaster to all walls • Apply smooth or texture finish to ceiling INTERIOR DOORS • Supply and install one 6 -panel 3'-0" doors as specified in plans. (storage area) • Supply and install four 6 -panel 2-8 doors as specified in plans (shelves -closet - storage -bathroom) • Supply and install three sets of 3 panel by -fold doors as specified in plans. (closet area) DOOR KNOBS/LOCKS • Supply and install standard door knobs for all doors • Will confirm hardware finish prior to ordering SHELVES • Supply and install 12 inch wood shelves on back wall CUSTOM BENCH • Supply and install one 13 ft by 24 inch, three bay pull up window seat • Supply and install one 8 ft by 24 inch, two bay pull up seat with coat racks INTERIOR TRIM • Supply and install pre -primed white 4 1/z colonial baseboard • Supply and install pre -primed white 2 1/2colonial casing to all windows and doors • Supply and install 1x6 bull nose with band molding on foundation platform CELING • Supply and install standard 2x4 drop ceiling with two -foot dividers (marked on plane) • Time schedule approximately 3 to 4 weeks starting from date of signature of contract from both parties • Correct any problems related to inspection failure at no cost to the homeowner • All materials will be up to code • Owner will be notified and must agree upon any changes prior to modification • To provide a safe and clean work area at all times • All materials and tools will be remove at completion Owners Responsibilities Finish painting Finish flooring TOTAL CONTRACT PRICE AS WRITTEN $25,728.00 TWENTY FIVETHOUSAND SEVEN HUNDRED TWENTY EIGHT DOLLARS Payment schedule: Due on contracts signing $5,550.00 Rough framing $3,000.00 Rough plumbing $4,000.00 Rough electrical $3,700.00' Insulation $1,000.00 Blue board $5,100.00 Interior finish work $2,000.00 Due on completion $1,378.00 Customer's Signature' --- Contractor's Signature—a— ot7 Contract void 12/20/04 _1 r- 0 O ca N ca M .r - CL Q N 2 L N Q W Ix h Q Y N (V Z to N V J £,zz LVE rn R. p) ca �a O CD O rn ca LO •c O C _1 r- 0 O ca N ca M .r - CL Q N 2 L N Q W Ix h Q Y N (V Z to N V J £,zz LVE rn f CA m m m y m m v y So CD .0 C d 'C O 5z Z y CLO ? O a �• CO) �a CD o v CDCL o d CD cD o CD C CD y� CD CL a) CA CD I O Cy1010 O O = O Q' , y FL,OCOC O y O y o CL C-) Z S. =rw N �. d .O�i CCo L T Er a =r y O O m H p =r O i 2 = O O C4 O Occ O Oac CO Los. : ♦,� `+ C v=i 7 oco e Z •, �C On =r (A c CD co :o O CD a s d *. O H ou O Wc N yi O �Q �• cnz CA CT y c,,fi� CDCOY: O Jo" n Z CDCD ii z O !^ VI y `r_ CD 04 V J — W3 CL=.Z GO: o W °c rA M P S F� zori�' ro o � o � Com., ro o 'd r W C) w � o o C/) CA �n \ 0 ►� °c rA M P S F� Date ..... TOWN OF NORTH ANDOVER p. PERMIT FOR GAS INSTALLATION This cerlifies that .. ...... ........ �/. has permission for gas installation ....... f .......... o!` � �y . %�l -; (,.e1 .7�� in the buildings of .... atpp North Andover, Mass, Fee.2' Lic. No. . ............ ............. GAS INSPECTOR Check 4 4993 A MASSACHUSETTS (Type or print) NORTH ANDOVER, MASSA Building Locations TON FOR PERMIT' TO DO GAS FIMIT*TG 19r� K Iain b �� Owner's Name New Renovation F1 Replacement Plans Submitted Date % - Permit # X993 Amount $ _ee -,57t (Print or type)Check one: Certificate Installing Company Name �-antGI ({i, + 11 Corp Address ��- 5►M c`(� r Cl Partner. Business Telephone -)5b 156-& 5 I Q U � Firm/Co. Name of Licensed Plumber of Gas Fitter )/7�,,e,n �v) -2 INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes No13 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy M . Other type of indemnity Bond 1 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information i have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code a Chapt�%14;2,-of the General Laws. IAPPROVED (OFFICE USE ONLY) Signature of Licensed P1ui&er Or Gas Fitter Plumber j/ 9,� 0 Gas Fitter License NumbeF HMaster Journeyman x w W W O z F z 0 0iZ w z aA G U xWU .a w Ea �O 0 0� U wa a ENT BASEMENT j 1ST. FLOOR 2ND. F L O O R 1SUB-BASEM 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type)Check one: Certificate Installing Company Name �-antGI ({i, + 11 Corp Address ��- 5►M c`(� r Cl Partner. Business Telephone -)5b 156-& 5 I Q U � Firm/Co. Name of Licensed Plumber of Gas Fitter )/7�,,e,n �v) -2 INSURANCE COVERAGE Check on I have a current liability Insurance policy or it's substantial equivalent. Yes No13 If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy M . Other type of indemnity Bond 1 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information i have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code a Chapt�%14;2,-of the General Laws. IAPPROVED (OFFICE USE ONLY) Signature of Licensed P1ui&er Or Gas Fitter Plumber j/ 9,� 0 Gas Fitter License NumbeF HMaster Journeyman Location ,&--r 2 E F=cc;..«,,S, Nod Date — "AORTM .TOWN OF NORTH ANDOVER p ,Certificate of Occupancy $ Building/Frame Permit Fee $ l 95'v vo A110 1" C14U Foundation Permit Fee PD's Other Permit Fee Sewer Connection Fee Water Connection Fee E TOTAL $ Building Inspector RAID N2- 75,02 Div: Public Works. Location No. Date % /5 k t kOR7M, TOWN OF NORTH ANDOVER A Certificate of Occupancy $ -- iv 4 y Building/Frame Permit Fee $ sACHUFoundation Permit Fee. $ /0C.) Other Permit Fee $ ` Sewer. Connection Fee $ Water Connection Fee $ TOTAL �-Building sn Building TT, 7 50 i/ii� Div. Public Works % h 1 Location ` aCl No. Date -7— w' i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Perrrrit Fee $ i A C4. Other, Permit Fee -;4 $ =� Power Connection. Fee Water Connection Fee $ MM ,. TOTAL $ �oDca oca L- k - 694 Bt�ildi ' Inspec r Div. , bl' orks *_F{�n:.i.,�lp,l.*.>vi�`-;.ts�a.+..^.,-. 4.f.;iC.aV"'°ariv�=�^='S+'V�"•�$✓¢`,'�'�, :". Locationwvor7 NoD iate r¢ -/L- s NORTh TOWN OF NORTH ANDOVER o�,,,.° ,1ti F p Certificate of Occupancy $ 7, ` 'Building/Frame Permit Fee $ Foundation Permit Fee $ CHU s� 0-0 Other Permit Fees $ a� Sewer Connection. Fee $ Water Connection Fee $ rv' TOTAL `' Building nspector 25.40 PAID Div. Public Works SIA -7s Ti'a I-�� X4-2 i7 P�'1T No' y APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. "[" L PAIJ PAGE 1 TM. MAP dJO., I LOT NO. ZONE SUB DIV. LOT NO.]BOOK 2 RECORD OF OWNERSHIP (DATE iPAGE LOCAT 3i PURPOSE OF BUILDING i OWNER'S NA14E 17 NO. OF STORIES SIZE _ OWNER'S ADDRE S ` �% $7^ J BASEMENT OR SLAB �� 4-e n"1 `G L!T 72" ARCHITECT'S NAME O SIZE OF FLOOR TIMBERS 1ST -49X10 2ND /1 x/ v 3RD BUILDER'S NAME �� �+ l SPAN DISTANCE TO NEAREST BUILDING if DIMENSIONS OF SILLS POSTS - �l �p fi le- ( WV / l�- // d-,/� DISTANCE FROM STREET 20 DISTANCE FROM LOT LINES - SIDES �„�j r REAR �N GIRDERS ?CID D /F L AREA OF LOT / 9 FRONTAGE i J `/ /'% (� HEIGHT OF FOUNDATION � / THICKNESS /� H IS BUILDING NEWS 1� „O C i ` J SIZE OF FOOTING t. /� x .. . IS BUILDING ADDITION h `D MATERIAL OF CHIMNEY, IS BUILDING ALTERATION I v V IS BUILDING ON SOLID OR FILLED LAND Csl WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i % -e ST IS BUILDING CONNECTED TO TOWN WATER 1% p BOARD OF APPEALS ACTION. IF ANY Ail �\/' %7 IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3y PROPERTY INFORMATION 3)f INSTRUCTIONSPERMIT FOR FOUNDATION ONLY REGULATED BY PARA 114.8-S. B.C. LAND COST O� SEE BOTH SIDES EST. BLDG. COST O Q EST. BLDG. COST PER SQ. FT. LG PAGE t FILL OUT SECTIONS t - 3DATE .rl-.�.} PAID PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ' PERNIRTOR FRAMUBUILDING SEPTIC PERMIT � ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED ED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS FEE PAID. PLANS MUST BE FILED AND APPROVED BY BUILDING INWR----- DATE FILE •� BOARD OF HEALTH SIGNA OF NEA OR AUT OR D AGENT ti �O F E E fw • ..,�,� j� MAM PLANNING BOARD PERMIT GRANTED =>O 19 BOARD 0 NER TEL. # -`/'9 OF SELECTMEN 1 _ 81994 E! i ONTR. TEL. # kk1 �� f CONTR. LIC. # � ■VILDING INSPECTOR D1,!1`iiG DEEPAR ENT I �. BMULD�ING RECORD 1 OCCUPANCY 12 , ;. SINGLE FAMILY STORIES THIS SECTION MUST SHOW, EXACT'DIMENSION5 OF LOT AND DISTANCE FROM _ X MULTI FAMILY- > .J' oFFlc€S LOT LINES AND EXACT DIM-ENSIONS. OF BUILDINGS. 'WITH 'PORCHES. GA - APARTMENTS RAGES. ETC. SUPERIMPOSED.'THIS REPLACES PLOT PLAN.'. ` CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH 1 -- t CONCRETE Id t 2 I 3 i j` ' 1 _• ; . _ CONCRETE BL K. PINE _ f BRICK OR STONE HARDW D 01 ERS PLASTER _ J DRY WALL \ _ - A Vt� -r. 3 BASEMENTy AREA FULL N,000TJ FIN. B M'TARE.9 .' ? r• y, �, 'V , 'h 1/r '/. _FIN. ATTIC AREA 4` "' �• - al. ! NO B M T FIRE PLACES_ �.`• HEAD ROOM MODERN KITCHEN 4 WALLS ' II `• 9 FLOORS CLAPBOARDStooB 1 2 3 ou— DROP SIDING ,CONCRETE _ WOOD SHINGLES r' . .EARTH _ ASPHALT SIDING HARDVJ D ASBESTOS SIDING _ COMMON _ 1 j0 VIORG`Ai UOi R0 M R39 d VERT. SIDING ASPH. TILE _ ry �j p� ��} �j$ i$ y� ' STUCCO ON MASONRY _ �i.� :�-LD 11 X1 9 *mss > KA �• STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME j CONC: OR CINDER BILK. _.._.� Otte 31AG STONE ON MASONRY ., WIRING - - . STONE ON FRAME ' _ { j �C' R � �y SUPERIOR JW �'IOOR _.✓}�/�.� jf1.�L3�.tI1i�i�.�I ti I!:J ADEQUATE NONE 5 ROOF 10 PTLTMBING GABLEHIP BATH (3 FIX.) GAMBMANSARD TOILET RM. (2 FIX.( - w '� , a 1I�! I REL FLATF—d SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY __ t WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 8 GRAVEL STALL SHOWER ,J 3 ROLL ROOFING 4 MODERN FIXTURES - ' TILE FLOOR TILE DADO 331 VAN 2ulaAM 6 FRAMING' I 11 HEATING 331A012M 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 P RADIANT H'T'G UNIT HEATERS NO. OF ROOMS GAS �' `•�' _yt EYT,, OIL,, B'M'T 0 2nd I� ELECTRIC 1st 13rd , jam' NO HEATING C7 O Z Cf) m D =1 O z �i'Mf.H, i C C = -I Q ..y O C y = Lo —CD om 0 m n • o to m z m -* o = y = CD ?."o H --I'v saga = m tD CD CA CD -40 CO3 �. c ?o 0 m O = =CO y: m C=„ 110 ca O y L7 . CD C'� Z y r m a n c CL C') CCD g y : CD d � Ctf CL Q CO) ;W: O O y n mCL_ CD raj CO) i 0 U2 : v C2 �" Cn CL _�W: CO3' CCDM CO) y O :� CDCV.dCD 0 CD r y CD nn 7 N CCD CD r Q v CO)CS CD p -yo o T,: •j Z O'� FJl �G CD 0 v;. x c rrr rc: Oma: O , - O ,-.. � � �n 3 � �• � � < � "� it=s. AK CD �« Wim= CD :R CD � ...f :iC2 its CD js O o o CD y: a tnoo - O �J M= v )MM3 0 9 0 P=h CL O C CD ►s �, � w 10 z M o n! m i�7 y � O w C z O obi - oGv '0: 0.O z t O cn 81 O o y� )MM3 0 9 0 P=h CL O C CD ►s a 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 local or state law, regulations or requirements. ****************''**Applicant fills out this section***************** APPLICANT: T X 1, a /(�� a� L r LOCATION: Assessor's Map Number Subdivision �2T L2Qdd Street Phone Parcel Lots) q ' / St. Number1�� ************************Official Use Only************************ RECOMMEND TIONS OF TOWN AGENTS: Conservation Administrator Comments Town Planner Y Comments Food Inspgctor=H�jealth Septic Inspector -Health Comments Date Approved Date Rejected Date Approvedp_ Date Rejected ` T Date Approved Date Rejected Date Approved Date Rejected .� Public Works - sewer/water connections - - driveway pe it Fire Department a Received by Building Inspector Date .._ P 'i cn m DO D m T z 0 m z m m O CO) 10 co 0 Z CD O c. r n� � o v CD cr CD O .. .. CO) 10 CD 0 O Lei CA F -N O N! .0 n c O c CA n CD 0 0 r� CD y CD CO) L O CCD 0 CD n In O CA cr (a �. O So y = � c � 0 C -)CA CA n O.0 m CD O� .Oi CD H TI CL o y =r O ��d = W O O y p O :EW m : - n > > N • O -p O C9 0 o Z5."' O y 0 . F _ .o :V c ?off Y CL a o ; �cc co o =r E : CD rA sa �c»� C a0 CD m o CA 1 GH H G �1 : � ' yCD v•� C : H ? cnCD CD C W d H CSD .' CO ,0.� 0 O O . W O V , :r- 0 -02 CMCf c�a3: H .7 :O moi/// �= o fu oQ CnMO Q • Z � c :r v a = ;pOc o 0 CO � CD Z o c� cn d. z .GZ7 "� l77 � y N C o � w rD C a- ` � H aGi x W S -< G C 7 C C" d rt p a x n 7 0 IEJ 0=3 0 9 0 c No —H#r Oft YAI* >& �,,, A,.&- q 0- W- V. � jo CIROUR, "'10-002 P.og/09 PAGE r) 1 ENI IT OT"p frekt, wDkrt;.JfiL- gwrmr CENTENNI L ENGINEERS TEL No. Aug 1,94 13:20 No.002 P.-08/09 08/01/1994 12:32 6172794448 MZU GROUP PAGE 04 i tib dT�1� , cr' C0k�v�'a+�) ' or W1sy C4 utp � arl.� 141 P o' Va'LLEY Ld w�u►rrr� ft MO P .t ,. I LL Ilii , L�/©1/1994 12:32 6171794448 Rug 1,94 13:20 No.0702 P,07/09 h1Z0 GROUP PAGE OG ,i I 00, dpWo Uid .0A !i e spa , WA"w . Mon * ft MW -I -ri l l IL - Li, _, ILL llu . p8101/199a 12.32 61 i 2 N 448 Hug 1,94 13:20 No.002 P.06/09 MZU GROUP PAGE 06 \IALW r.kL,� SAT Le FA UE Uj 1. 'para) 62 .�:0 F.Sri E: 2Y00 million p.tr.i r11JL.Pi. PAF 7 . UN I , UN I F . tWbtw;0nuF� (W) LIrIBEri 2.00 Members Fco,vic-L-d type t14 + yob ti 4190 . (: + b)�".ari't: !<�tornuvs Rr► j)sir'mer' Dblt"r's� 4- + +• + + f- +• + + + f• 'W + .4. .t. + .t • A. •10 .VU 4 Jn(t,r 1 1 .1W? "J 11-13 U'T ',"I �• ?tV11 V r 0"*'.) pUTF'{�'T C`l1 ft.11b. 0.40 in. P;)6 C)rC►r► 1. 1b. 3 Rtoq'd L.i ,,:ct ipC;lrw) 1 it,!ft I (wati I Dead 60.00 1.1b/ft S rm,tIti. 1! 0.00 llb/'ft.max M Max 1. IR.Q4 ft. Max e / 1 1.. 1� 6.00 -ft �) Ari@ali ing A 1t 0.00 ft. Searing Ir F'b cSC►':).0i) P..S.l riic'Y.Cta• perp 39") . t„!1) p • � r �. Lam( 12" ) I�C, ti�._Ckad 'para) 62 .�:0 F.Sri E: 2Y00 million p.tr.i r11JL.Pi. PAF 7 . UN I , UN I F . tWbtw;0nuF� (W) LIrIBEri 2.00 Members Fco,vic-L-d type t14 + yob ti 4190 . (: + b)�".ari't: !<�tornuvs Rr► j)sir'mer' Dblt"r's� 4- + +• + + f- +• + + + f• 'W + .4. .t. + .t • A. •10 .VU 4 Jn(t,r 1 1 .1W? "J 11-13 f r Svl ',"I �• ?tV11 V r 0"*'.) 10.63 495j9.1$ ft.11b. 0.40 in. L f- 4.85 E( i n2 l .l b . ;j- 189t_) 3.46 1 n2 ].1. b. i 10- t:► U incr~eaainq E! 160' uniform 3 PC, i I -i t F1,63 11b. 40-OCI p.s.f'., LIVING area~ 30.00 p . s / f , SLEEPING atr ea 30.C10 p.S.f'.. ROOF load MENUt Alt --A.................. t.it1t lt•1tdW!.4wLj1nwlojw d4!Wt•WWWWWt4WWt-.IWWWWWW!4WWt4Wi4W,r1t.1tJWWWt%,.WWWWWtgWWb4WWWWW1J 141'-li•!t•}W!•ltti1W4lWWt�t,N�ibJWr1 , rrd..w er as go r.p urn. rip. 6.Q0'Ft i 6.(") ft C).!:►t:! ft Ht1 t A :RPjF 1 . . . r r • r . r . , n ■ ■ . • r . i Y . r . . tn,EN0 H m' 1 2 n (-D D ft. r . • RO-•L^41= I a* Ftj 1!8 0.t►0 for 12" r,n1.r 10 12S 26.9 1 Y Q2 i Q. !.')C) E4857. 3 ,t P. or-'^tr-j it 1, . 1 1 . C')Q 1. E', r <.►r,;► P800 r Ei 59n 72. -0" 9 116. Q ) e / 1 1.. 1� Is N1`:+;; 9Q.8 1J .X36 16 • 00 2676.7 t'ar'e Adjl..%5tF_-ti Aci:, djjjg tilt (12/h)"q/7. 6 1 Ac::t. 1.75 Act;. Width 16.2 S.M. At:: t . 7.215 Act. f -it • . . , r n n • r .. . r r . ... n • . . . n • N . • r r . r r . . n • . • ' 11 . . • . . . . • • .. r V • • • . • r r :I n Y • r ::a .1 1 . Ey a.! ii ►�� s;lq r�3 . r;.)�;► _., r►t.► m . _ F�t � ►1 ' rJ • . . r u n 1 r r N u • • N n • Y • • u i I • .. . • . . . 1, • n n .� ,. ,• _ - . .. _ . _ _ . n CENT.ENNJRL ENGINEERS TEL No. _ Aug 1,94 13:20 No.002 P.03/09 o8/olil994 12:32 5172794448 ti�0 GROUP r+�uc �� I --D1'CS e 54', �).•;-0 11b. • . • 5a9 ., a9 i Ytr+ d 94.E13itti3 A l i .(:) x (!i.t '11 t u f t 1 `� b. 4t b �! �t�ctiC{ o. t;►t1 I lb/ft p ■ ;J61 a8 l lb/t t --MA. 0, 67 IR 61 L•. 20.00 f t r ilne� 11.k�.'. 1'745 t 01.0C) f t . �► c,).ru► ft. E� Fb .6,0 p■s•i(perp # 1 1 3'45 U'..) p - S • ] E1�►C,. t.IC F: ;!',� 1((`0.(yc) p.VA - i i F 1r80 m!111r,'tl pN�►.i • t+'"�, Y►`.' t3.1<+ 1 PO I IST '7" r 91. 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C.� .. •l -16"" • 06E3 g1. �l 1 °:int"' w .� ( r `��'.;IC►•'1 1 t,tu 1 r'4+1. 1. 3E►"� . X35' lyl 1'iC"�! 1ct f,?+.:1^?;3 h3;✓1F� t_'3F'''%N�+ ':i'34i.;�t-, 1.40R-01 1(:}•,1.t3 ✓t r, 1t "�i ((r Cjtij+ 4,.+. Pit 56 4 rw .'Jn 1,�i WAME WRENLo"m .. X11 (t(4 MOL t2t4r A CENTENNIAL ENGINEERS TEL No. 0,8/01/1994 12:32 .6172794448 NPUTS s MZ0 GROUP Aug 1,94 13:20 No.002 P:02/09 PAGE 09 , °1 I Mid 1::31.0 !M* P f";io . i.` 0 1 Pb. I multi A.05 r��.i.rrrii W Dead M.13 11bi ft t•,U ou 11b/ft-max L 9.00 ft. �! 0100 ft. l:i�., �•. i rip to 0.00 f t . Fb .850.00 p . 5 . l S129 W4 esip spruce f'(Pst'a) 1r no.t.0 P•sa E 1.a4_► million P•wri CIPMR-AE 011F. I NCR .UNI . 4x6 (W) (Wft) PI! 04BE R E.00 Mepburs r . .. {,. + + . . *. . + + + * . . . + 4X61.11 Fo Y,LNr_`od I.,y p 30,661 ►• job 4 414e0.1.Q _ {, teoma VA11ray/5MAl1 SR + 400 E10.04 49.91.1. Aug 1,94 13:20 No.002 P:02/09 PAGE 09 , °1 I Mid 1::31.0 !M* 9 Rwq,d 60.91 W3 I multi A.05 r��.i.rrrii S multi 2.00 • (y' r'�(�' M Max 4107.18 f t. 11 b. 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R,1:,1n � 'W.W.'I I eleAMcY 727 74*1e 7-174C 1,(1SeA1V,,C4VP Rz or Rz.4& /.-'& -114;- ;-,ve /s, GACATEO aw TME tvT.4S-,CWW.VA.V,0 ,W17W jWe 0,- oVj 4.114g bl,-e Z,0111W10 lewn""/14 4"I"ri"c1tv OF ?SV&"S 7d EY S. hill A47W �!" -ssio Sslo,L SURV Olt N CERTIFICATE OF USE & OCCUPANCY Tow, n of North Andover Building Permit Number 294 e . - 0 1 0MI-Mi; _ _• • THIS CERTIFIES THAT THE BUILDING LOCATED ON 38 FUX[M ROAD - IAT J47 MAY BE OCCUPIED AS TYPE I - SINGLE FAMILY DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Foxwood Realty Corp. W .. 1 A z O N G) "� cop) .O - y` o go�CD� NCDac C � Z =-o co) Z s d CD y •O C) O DCD Z CCA CD N CCD O 'O = CL r C'). - MM o ^• y co o O G N. R3 co �y� c CD CD O CL CD cr CD C-) CD O CD C) pp pp :Q m CD, EK v y y D —I O O Q d O O co CD" I W _:ARM S7 O .Z •d O H O Z : & C) O ...F O o \ CD n z J3 C c D .vim CD O O0-9 ^J V � r Q O N AI "� -. N Q d O CD .O - y` o go�CD� NCDac m 3 m m Z =-o co) s r CD W O CD y yCA � CD N o CD G CD = > CD": > o : - a -� co o O W G N. R3 co �y� " c .L CL CD 71 c» uj sa c d CD CD CD :Q O H ca OJ N �: Q d C c C W _:ARM O .Z •d H _ i CD LU < U2 N : & N N O LD,oCCD 03 N , co ' O O0-9 CDo V � � : 10 o :oft ob co ..:1-- iv 0 -0o Off. co 1_ cC�a� �CD N :o OO = :E CO:n-� ZOO- =EL :� Q • p- r v OR E :Z� :D.0= 0. ooZ�o :0 fncc CO Z= CO m r� cn (0\` AI "� n7� 0 p- (D � CD z� O � qwb r r n � r s a � " cn "0 —, /1 ,/1 41 0 I C5 a KAREN H.P. NELSON Town of Director _ E NORTH ANDOVER BUILDING'' CONSERVATION eQ�CMU8f4 DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT s DATE J / LOCATION a �1 1 - OWNER'S NAME BUILDER'S NAME MASON'S NAME M s 120 Main Street, 01845 (508) 682-6483 PERMIT #Q� MASON'S ADDRESS MASON'S TELEPHONE e!Q j(� o%0J MATERIAL OF CHIMNEY /�/, INTERIOR CHIMNEY C X±± j F�e EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH Ia Will chimney or fireplace conform to requirements of the code and have rules d r gulations been received: DATE SIGNATURE OFMASON ` �„CONTR. LIC. #Z�/t/ EST. CONSTRUCTION COST/CONTRACT PRICE��OL/ DLA PERMIT GRANTED FEE b ROBERT NICETTA, BUILDING INSPECTOR _ INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 0 WILLIAM J. SCOTT Director (978)688-9531 ,tune 25, 1999 Mr. Stan Sivori 38 Foxwood Drive North Andover MA 01845 Dear Mr. Sivori, 27 Charles Street North Andover, Massachusetts 01845 Fax (978) 688-9542 Enclosed are copies of the original building permit for your property, which was not included in the permits distributed at the recent meeting concerning Foxwood Rd. and Weyland Circle. Please accept our apology for any inconvenience this oversite may have caused you. If you have any questions please call the Building Department at 978-688-9545. l Enclosure (1) DRN:jm N (Very truly yours, D. Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 z 09 #� Fax (978) 688-9542 Enclosed are copies of the original building permit for your property, which was not included in the permits distributed at the recent meeting concerning Foxwood Rd. and Weyland Circle. Please accept our apology for any inconvenience this oversite may have caused you. If you have any questions please call the Building Department at 978-688-9545. l Enclosure (1) DRN:jm N (Very truly yours, D. Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 P. Kj Date.... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ........... r...... . ..................... has permission to perform ........... wiring in the building of A ....... Pf:� t .. ....................................... at North Andover, Mass. Fel-A6 .... . ........ Lic. No&�'�-z . ...... Check # Z,(,?/ 5558 L au4 a.alt►La►LIJa T r►ar+&� as va' a►�rau�7[�IiLLVJLSl l J vww��ac Hwy DEffiXMIDV 0FPURUC-S,AM Permit No. / BOARDOFFMPREVEMONRh UJFAIiONS527a RIZO Occupancy & Fees Checked APPLICAnoNFOR PERMIT TOP ORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MA ACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 _ O (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) \ Date ^ 2 Town of North Andover The undersigned applies fora permit to perform the electrical Location (Street & Number) .3!R /,�E) Xvia Owner or Tenant .v below. r To the Inspector of Wires: Owner's Address S Is this permit in conjuncti�pAith a building permit: Yes" No (Check Appropriate Box) Purpose of Building (y / Utility Authorization No. Existing Service Amps / Volts New Service Amps Volts Overhead 0 Underground No. of Meters Overhead 0 Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work I /io _ f` -'_/►� r✓� C'C��'' 7. No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures I Swimming Pool Above 0 Below Generators KVA round 2mund No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and ' No., of Disposals No. of Heat Total Total Pumps . Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other Nle . 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 =11! 11jj1jpjjjj;�1 Instw=c)ovaaga AmmiDdEtegn n bcfN%md>usetlsCanaalLEws Ihmaa=tLiabUyks==PokymdulkgCcniOmOpembcmCoNwdper&mbEutdepvalat YES NO IhawsuaniWdvalidpuofofsxw1Dd eOffica YES Y)wmhachadodYES,ple=nJc*theNrofccvwVby INSURANCE 2 BOND (TIMER Efti mdVairdE Wc& $ Welk to s art 1 -2o --o bspeWmD&ReWmWd Rough Final �i'g�edurnda�iePt3nitiesof C {� FIRMNAME �r ~ LicawNa 47 OL / �v Licat9ae MDQ � l%.l`Dh j� S Idoa>SeNo ��7 �-� a . T %� Q Btsk=Tel Na _ Tel Na 9,1 . V y `� 4 OWNER'SINSURANCEWA1VEP,IamawaethattheLi=wdomnothavetheir&mncovedailssubSMWegtrivalaltaslegttmedbyMassadmMGalaalLaws acd that my sgr�ae on this parrrit applic�al waivfs dlis legtmarlalt (Please check one) Owner Agent Telephone No. PERMIT FEE $ signature of Owner or Agent 1 The Commonwealth of Massachusetts Department of Industrial Accidents OMCS of Invesdgadlons Boston, Mass. 02111 Workers' CompenseUm Insurance Affdavit Please Print U 2 15-5— I SS I am a homeowner perfuming all work myself. I am a sole proprietor and have no one working in any capacity VLt - e-2 4 o I am an employer providing workers' compensation for my employees working on this job. Comtranv name: Address Clty: Phone t Falk" to smears coverage as required under 3ecdon 25A or MOL 152 can Isad to the kr"1111an of aknkW I wWft d.a Ane up to:l.sW.W andtor one yam' Imprlsorrnarrt.as Wd.r.chiN.panaOUJOlbsimn dA STOP V.WM.OF DER..aod.a.fioe d.(2140.CG)AA" mgglft.ma 1 understand that a copy of this statement may be forwarded to the Office of Invndgaftw of the DIA for coverage verNkdlon. I do he►eby csrtlY umtsr the P94� an Of Pad" the lnftme m provbled above Is bum and correct. Print s --a6- o T - Oft 8'yy- e7G a OAt W use only do not write in this area to be completed by city or town otlider City or Town F I ra []Chock M tmmedete response is required ❑ Building Dept ❑ LkMShV Board Contact person: Phone ❑ Selft-Umn's OAke ❑ Health Deparbrient ❑ Other tAi aivl►ilr1VIT ►rLJlL AA WA 1J vtx—u mac Hwy DFPAleMWOFPII WSUM Permit No. BOARDOFFMPREVEMONREC>Z LmoNS527C11'1R12.110 Occup ancyy &Fees Checked APPLICATION FOR PERI ff TO PERFORM ELECTRICAL WOMC ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 n—JrLEASE PRINT IN INK OR TYPE ALL INFORMATION)Date 2 o + 05" Town of North Andover To the Inspector of Wires: The undersigned applies fora permit to perform the electrical work described below. Location (Street A Owner or Tenant Owner's Address 5 -,— Is this permit in conjuncti�mith a building permit: Yes jo No a (Check Appropriate Box) Purpose of Building CA— Existing Existing Service Amps�Volts New Service Amps / Volts Utility Authorization No. _ Overhead Underground Overhead Underground No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Mifr No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners 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 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 Si s Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER- hmuanoeCoverage. PlttaranttDthetegtwanXiSdWi% adW tsC=WL Ms IhaveaamalLiabkyhmmarxrPbt ymdxiggComplete ritsatgade4w Covmpcabt YES NO Ihavesiilarm1edvalidpudofsww1D eOlii=YFS ffywha%eclrdedYES, pimetlrl3Fof covmWby drddrgthe box INSURANCE BOND r7 OHM M (Pl�eSpacdy) ExpirafirnDrme %— 2v EstirftdVA x Wc& $ W«k6DSW kVaWonD*FWquesWd Ftough RRMNAME fir^ A) LoaneNa Li=Mh S _ _._. Lioa►SeNo ��s �-� a / 13ttsulessTelNa Add=v --rte- mo- AltTdNa "'tK'SINSURANCEWAIVER;Iamav/wthattheLioawdoesmthavetheir =*Olmageails l WNmvahlasmgxWbYM=}MC=rALaws W.�rat rrry sigrla�ue on this peatrit applitxtian waives this tegtriterrlat (Please check one) Owner a Agent Telephone No. PERMIT FEE $ signature or Owner of Agent