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Home My WebLink AboutMiscellaneous - 39 KARA DRIVE 4/30/2018lit 2 7 9 Date./ nz/ ... t.. -,>— TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... .............. % ................... a .. ....... ..................... has permission to perform .... .......... wiring in the building of ...... —,::�,,2— ....................................... at ............. ............................ ..................... . North Andover, Mass. Fee 111�3 ..................... Lic. No . ............. ............. ; .................... ....................... Check # ELEcrRICAL INspEcrOR 11 _ Commonwealth of Massachusetts Department of Fire Services BOr%RD OF FIRE PREVENTION REGULATIONS Official use pall Per nit No. t/'Z -7 Occuoanev and Fee Checked t� Zev. 11/991 �tewe bIa^_RC1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wort: to be pe,tarredit`z tie ivLssac is acccrc:.ce w , ,�„,_s Elea. -;cal Ccde C), 527 Q,,a 12.00 (FL EASE PR -NT LY LIKKOR 7-fPE A'1L LVF'OR.11LaT10m) Date: . iz •,31- o z - City n of: N. �� / ^ or Tow /�h To the Inspector of Wire,. B V t-liis aop!icacon Lhe undersi=-:ed; oes notice of hs 0r he: intention to per."o . a`�e e!e ct-,cal v;ork desc.�bed below. Location (Street & Number) 2 Owner or Tenant p ,,� , S Ivt 1� Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check AppropriateBoz) Purpose of Building S ^ Y�M� �y ��•� '�� - Utility Authorization -No. Ezistiag Ser,ZceAmps / Volts Overhead L.- ❑ adgrd ❑ No. of Meters New Service Amps / VOIts Overhead ❑ Uad;rd ❑ NO. of Meters %tiumber of Feeders and Ampacity Locatiaa and Nature of Proposed Electrical Work: - No. of Recessed Figures �.ur .u,r.::ir. or Ire lGuO'.v:r_ •::;,': 2CY �� :vC •:�� v -Y !f:2:rS�eC:Gr O% Vir'_r. INo. of Cel-Susp. (Paddle) Fans - '�0' °tTotal Tran stormers RVAN0. of Li�hrng OutletsZ- INO. of Hot Tubs I Generators b'VA No of Li_hrn; Firtres o Sn'immin_ Pooi Above In- ❑ .,C ❑ II: 0. or mer?e^ ". lrsnnn= orad. orad. IBattery U nits No. of Receptacle Outlets ! INo. of Oil Burners •— FIRE ALAR NIS (No. of Zones No. of Switches Ilio. of Gas Burners — No. of Detectioa and _ Initiating Devices No. of Ran; s - INo. of Air Coad. To — iY0. of .Alertia; Devices !` No. of Waste Disposers I eat FUp 1 Number I ons I Totals: N0. 0t pelt- oat:une�d I I IDetectioa,'Alerna_ Devices No. of Dishwushers - ISpzce!3r•es Hearin; KW -- ILocal ; I�tilunicipal ❑ Otber Coanectioa `io. of Driers - (Hearing Appliances R-� I `ecunty �Vstems 'i �0 Of N'o, of•De,,ices orEauivaleat Her I,YO. Rotator$ � �� Of 1y 0. Ot Si_Ms `� Ballasts (Data NVirin�z: NO. of Devices or Epuivalent No. Hydromassage Bathtubs IN0. of itilotors --Total HP efecommunicstioas inn,: `+'o. O of De•,ices or Eauivaleat i'HF R. ----.• __...-.Cr.C(de.:( f Ce-sfr? CraS rzcuirzd cy he IRrsopfecI s.p�i rleof L.G.lrezINSCF��CE COVERAGE: Unless waivedaowre, no ce:at forthe perf:.-=Cwork t„e pr-,videS proof OCl:ablllC!inSiCeC!id'C :-iece operation ssS. or its subsza.Rt:=, ectdvallent. T•ne L--rsi� = { C Ln Sikh COYe�� - is in for , a.nd Ins exhibi[ed ^roof Of samt :J -'e v`. •. c ISsL::n$ OL Ce. C ECKO1E: ItiSLR�vCE C�B&N-D ❑ -0 7HER El (Spec -)_ �L/77'T) -� - Est:,:.aced V' �e of E!e-,:-ica+f Wcr'.<: S / S-Od. 0 v (Veil ;,..> . (Ex r�_cr. Dat_) a reqs..ed b;• ml:rac:.,^a I poli::; .} wcrk to S z -c• 12 -31 -o -L- Inr,ecdons to be r^ueaced in ac_er. :uce cult:, V��" R:1!e 10. and upca completion_ ce: , f;, under if pctrs and per.�!^:zs of perjury, that the ir.FormCior or. rh:s aj7g, :n or is true anti corngleta FLCN NA_ti1E : .Ci• %ilQ ck� LIC. NO.: l� Liccr�ee: (r "•'•'==•;i : e�'2r 'e. zmpc" in he (icz.-:t nsrbe- (i Address:_ 0 tiER'5 Cr req ..ed bV la.� 010 nerlAgenc SignaCure _ Signature L-1 LIC. ti0.: �� Bus. Tel. No.: / '7 'Z-� L,, mg pr g AIL Tei. ilio.- I- 78 -Ss ft-DGL(' W Aiv t.K: i am a« -are Mat License_ Coes nct rt_ -� L:_ habil:r:; insurance cover ?A t v Ey my � u � a_.. nart:�•1, sib i.:eY he!ow. (he eb� wr;:e Lhis requ e..._:a. I a:i (_hoc?: cr,el ❑ owre: ❑owner's a�ea� Telephone No. PELWIT FEF: 3�'Location k4l,-'P% *)eIrc No. Date ze�,A`OFRT�-,.. TOWN OF NORTH ANDOVER Z'n C� 8339 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 1 614-5t� - Building Ins-p—*ctor Div. Public Works A PERMIT NO. 353 l� i% I� L- I. - APPLICATION APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP K -4O. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION 31 Knu-m- bett ur PURPOSE OF BUILDING Ta OWNER'S NAME1QE nc tme s • NO. OF STORIES SIZE //`,1'~�1r'Yj'Y �� OWNER'S ADDRESS 39 ri '✓ BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD 'BUILDER'$ NAME \4,4e rMC SPAN DISTANCE TO NEAREST BUILDINGS i MENSIONS OF SILLS POSTS DISTANCE FROM STREET lO a} � DANCE FROM LOT LINES - SIDES �7 S p� REAR 7 Q O GIRDERS AREA OF LOT '7 l bG+T FRONTAGES I HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X S BUILDING ADDITION �/£�'S 7 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE `/� 7 S IS BUILDING CONNECTED TO TOWN WATER 40ARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES L 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 REGI/LATIONS PLANS MUST BE FILED AND APPROVED BY BUILDINGs7NSPECTOR V/ L Q q ' /DATE FILED t� S l ` V SIGNATURE OF OWNER OR AUTHORIZED //S�AG NT J,& -#-- .1-1 .4 F E E PERMIT GRANTED �G 19 r AUG 1 g i 3 PROPERTY INFORMATION LAND COST BLDG. COST ' 1 Z ' , SO EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNERTEL.k-�s CONTR. TEL. # �o 3 '3 / -3 CONTR. LIC. N. H.I.C. # BUILDING RECORD OCCUPANCY 12 2.INGLE FAMILY s ' _OkIES MULTI. FAMILY [C) FQF'I'C E S APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE HARDW D 8 f I 2 3 I CONCRETE BIL K. BRICK OR STONE PIERS PLASTER _'FRY WALL _jNF IN 3 BASEMENT AREA FULL FIN. B M T AREA 1/1 1/7 1/1 FIN. ATTIC AREA t!O 8 M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE EARTH WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING _HARDIIJ D COMIAGN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR_ BRICK ON FRAME CONC.OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR �00 R __�DEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL I MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES - LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 Fit MING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER EMS. & COLS. STEAM STEEL BMS. & COLS. HOT W T*R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T*G UNIT HEATERS 7 NO. OF ItOOMS GAS [OIL B'M'T .12d Ist I 3rd ELECTRIC NO HEATING 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. p f� u aG b o cn a 0 W a e . o -C :1t U c w a o v W � a�' m w a 0 w F' U W W 0o U cin G w a O ¢ C7 a G w w w a G m' o cn v Ca. o cn �I O FMM4 c c CD c o 0 L C H • O C v C) 4 'CL VJ tom: ea ea m c m 03 n �Ea 'g o. 1Z fit: � E o 0 C t N O C N oL 3 N m 0) O J C C i m : = C N R - y m Em a1 O �• d V L o -o :a�oc IA acs mJR� w y o M '� Z c Qo F� y m C Q L L � 3 m m W C A +L•+ fl t LL •N m R O C H H •�_ L •E cam V N Lu m om=c -a COD CL o = R � 'i h 'O N 2I i. - I M U y coy E I— CL co O r.' CA O O cv .Q H C O R cc CO2 i O v a) C. OD^ i� J z_ Z Q �M LU cn z O cr LU } z w Q J Q z W Q Lu w cn 6x8 h,"OVOL44AHO 11301,01 -A HO WIHM14. 0 3.9101 -t, OF'r--H r—WHT 6HC, P"Vfc) �wF-L-r-- �jz(zvw) r-�r- 4;- JZAHP 413,0101 - V, f. -7Z" -,I am THE FOLLOWING SPECIFICATIONS COVER THE MATERIALS REGULARLY USED IN ALL OUR SECTIONAL BUILDINGS. WE RESERVE THE RIGHT TO MAKE CHANGES WHENEVER NECESSARY. FLOOR FRAMING: 2" X 6" , WALL FRAMING: 2" X 4" FLOOR: 1" TONGUE AND GROOVE, SPRUCE WALLS 1" WHITE PINE BOARDS, PLANED SMOOTH ON INSIDE AND ROUGH SAWN ON OUTSIDE, NAILED VERTICALLY TO FRAMING. JOINTS COVERED BY BATTENS. ROOF FRAMING: 2" X 6" OR 2" X 4" AS SPAN REQUIRES ROOF: 1" WHITE PINE BOARDS. ROOFING MATERIAL: BIRD & SON THICK-BUTT'WIND SEAL "80" SHINGLES. WINDOWS: CASEMENT TYPE, HINGED TO OPEN OUT.. SHUTTERS: SHUTTERS, UNLESS OTHERWISE SPECIFIED, ARE INCLUDED FOR ALL WINDOWS AND ARE HINGED TO CLOSE. SHUTTERS FOR PICTURE WINDOWS EXTRA. PARTITIONS: 1" WHITE PINE BOARDS. JOINTS COVERED BY BATTENS. CEILINGS: WHERE SPECIFIED, ARE 1/2" THICK INSULATING BOARD. STAIN & PAINT: DOORS, SHUTTERS AND SASHES PAINTED WHITE AND FLOORS STAINED BROW14.' INTERIOR WALLS AND PARTITIONS AND EXTERIOR WALLS STAINED AT ADDITIONAL COST. HARDWARE: 1/4" BOLTS FURNISHED FOR WALL AND ROOF SECTIONS. 5/8" BOLTS FURNISHED FOR FLOOR SECTIONS. GALVANIZED NAILS USED FOR ALL EXPOSED NAILING. SPRING LOCK ON ALL EXTERIOR DOORS. CASEMENT SASH OPERATORS ON WINDOWS. HOOKS ON SHUTTERS. THUMB LATCHES ON DOORS. ACCESSORIES: SEE LIST OF AVAILABLE ACCESSORIES ON PRICE LIST. DOORS: 3' X 6' UNLESS OTHERWISE NOTED - SPECIAL WIDTHS AVAILABLE. p AUG 1 5 1994 ¢` s � v�� r FAsp.i This ?ntrrGgage inspwtion plan is for morrgaX. purposes only, it 4s not an instrurnent survey, Hertee it is not to be zzscA to es!ablish properly lines, fen<w, driveugys, he dgiK, eti , err to be used for any purpose alter than its orig"na! intim., � l (2 :� 6D. Mortgage Inspection Plan 1 hereby m-tVy 7o 7Aiw v 5 Do"zA7- i that the prim-ipal building on this plan is apprcmnr wt—lly !xated on the ground as sh.oum, and it- o mifm7ns 0 the rid wnsioMal setback requirements of the zoning and building 'r :t* I the city%tatun . No's 714U V, q(when cinst nd to)he res an rmr& File # A review of the Flood In*-, rance Rate If,t Commu ity-Panel Number - _ _ ��ODr-30 00 JU t;3 I { 1 dated �UJC _� i 1 Ufa at Vixen txaulucted and to the beet of our interpretation this proprrt; t is �y1� located within the/ �KOF+ Locrtior. 3�3 ' AzA Diaiye -- I cosmo�y T�f _D� r' R, _ _ MA CAP091ANCG 6A $crie. 1 in. • Tvit Date 4�j ;j i. y 17704 / Plzr, Reference 'sItCISIV+�r'�� `3�� J •--------- -- ----- MORTCAGE INSPECTIONS INC. SWTE 11 :,266 MEDFORD 8-1,K)MERV'.LM PAU Job #______.___� , WALPOLE W00D%'V0PKr-RS, INC. -jslo BUILDING ORDE F E I At Wl.;-. i, !.',A .:2536 GTR DOM', bi'l R ANOH LVLq LAhF 42c r :k* -LL' PASE41C AVE E 6AWIU5( P. U TIN31�61. N� 1,1743 !�F.F;FILD. NJ '7004 Nu�sEhl F�o 5-;� N PU L)E41fi F'tiARTFORO, Cl AUFFIEW 0. 068)7 :0! 19 317, OTHER YES W - 1252 ORDERS F -I bill TO N'? STRH L EIKT o7ATF C17Y IP GW� P�A A; t r,7 HOME PHONE STATE "1 1 'f t I PHONE A) SALESMAN'S NAME AND W). CUSTOMER PiC,-K UP PARCEL POST VIA SH r—M-r) COLL I i F RECI • W "V �l MOTOR FREIGH I QUANT11) CODE i DESCRiPTION I/r ok. 0 CHECK LIST BUILDING COLORS ADDMONAL FEATURES ispi "IFY ARCH DOOR BODY DO TC14 D004 SPECIFY TRIM RoOf BL SOLO DOOR !,"INGLE -FLOOR C,)LCq SPECIAL DOOR 'Cl Ar )NTL610J it D0014 OPENOUT -'L LE DOOR EAVES AYMEN1 PC),. icy ONEWKI-F WITH ORE.'M BALJkN'-F 0.0 D. !;PON COMPLETION (34LVAW6P tWP%AHE. FINANP E.-CIdAAWS ARE COMPUTED AT A PER PATE OF WHICH IS AN ANWAL HATE OF AUG 15ME hAENT v 4 SUB 10 i'AL TAX DELIVERY ERECT TOTAL DAI-AN%^F- Insurance Adjustment Service, Inc. 139 Billerica Road, Unit Al Chelmsford, MA 01824 (978) 256-3334 Fax (978) 256-3354 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B TO: Board of Health/Building Inspector City Hall North Andover, MA. 01845 RE: Insured: Joseph & Denise McManus Property Address: 39 Kara Dr N Andover MA 01845 Date of Loss: 2/25/2010 Policy Number: 674275 23 Type of Loss: wind File or Claim Number: 59956 Date: March 7, 2010 RECEIVED NEAR ``J10 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 38 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file number. Thank you for your cooperation. Ve Trul urs, Yayden Adjuster Ext. 124 Insurance Adjustment Service, Inc. 139 Billerica Road, Unit A-1 Chelmsford, MA 01824 (978) 256-3334 Fax (978) 256-3354 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B TO: Board of Health/Building Inspector RE: Insured: Joseph & Denise McManus Property Address: Date of Loss Policy Number: 3 9 Kara Dr No Andover MA 01845 12/12/2008 HP0674275 Date: December 20, 2008 RECEIVED DEC 2 9 2008 TOWN OF NORTH ANDOVER HEALTH DEPPRTMENT Type of Loss: Ice covered trees fell causing damage to fence and cupola. File or Claim Number: 52001 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 38 is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, locations, policy number, date of loss and claim or file number. Thank you for your cooperation. Very Truly yours, Tim Martino Adjuster Ext. 135 V, A Location No. _-3 Date jF go I TOWN OF NORTH ANDOVER 4 6 0 ;L to Aid,911ilk -Certificate of Occupancy $ Building/Frame Permit Fee $ f3dr Arlo Foundation Permit Fee $ CH Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 0!1 Building Inspector PAID 749 Div. Public Works PERMIT NO. 3( I y APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4J0. ZONE I f LOT NO. SUB DIV. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE LOCATION ^2 1/ 9 �.7 F► PURPOSE OF ��i Pdb L OWNER'S NAME NO. OF STORIES IZE �� 7 ♦ J OWNER'S ADDRESS �p ,LIQ jjZ02 �a ^N 1 �'t 1�ASEMENT OR ARCHITECT'S NAME F-KUOOR TIMBERS tST 2ND 3RD ofiUILDER'S NAME T� 29YtRarw%e-v rAA „ � IWt— SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS POSTS DISTANCE FROM STREET I 'f Q} L6 DISTANCE FROM LOT LINES —G�SIDES ZbI �2 REAR y 1 GIRDERS A-R3�_OF LOT ��i 1/ O t'�f FRONTAGE J 7 %!� b `�'�t HEIGHT OF FOUNDATION THICKNESS S BUILDING NEW � p-6�jAQ 6 -P IY 'C SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE �xS'�C C IS BUILDING CONNECTED TO TOWN WATER OWOARD 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 I ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS ` //P�L+ANS MUST BE FILED /ASND APPROVED BY BUILDING INSPECTOR �/ DATE FILED 7 t � / ' ?/ w 1xL4vV C.+ V�IGI.� 1\ SIGNATURE OF OWNER OR AUTHORIZED GENT FEE 8 f PERMIT GRANTED o' NER TEL. # 7s Z) S� q ' dZa0 R. TEL. # & 3 19 L� MNTR- LIC. #_/x7093 ,-Q-JL ov c:l 3 PROPERTY INFORMATION LAND COST ST. BLDG. COST /2' ["�/�/'� � EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE 3 _ 2 13 CONCRETE BL K. BRICK OR STONE HARDw D PIERS PLASTER DRY WAIL _ UNFIN 3 BASEMENT AREA FULL IN. BM TAREA '/ 1/2 1/1 FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ �— 3 _ _ DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ HARD"J D COMMON ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. 8 FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR — ADEQUATE l NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3BATH (3 FIXE _ GAMBREL MANSARD TOILET RM. 12 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ _ TILE FLOOR TILE DADO 6 FRAMING I 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 UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd_ t.r 13rd ELECTRIC NO HEATING 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. FORM U - IAT 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***************** Avz" 0-1 �PPLICANT: 1Jm � r��S� M-- �`"�WLtS Phone LOCATION: Assessor's Map Number Subdivision �treet Parcel Lots) 2 St. Number _ 3 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Town Planner Comments Date Approved Date Rejected Date Approved Food Inspector -health Date Rejected Date Approved Septic Inspector -Health Date Rejected Co=ents Public Wcrks - sewer/water connections - driveway permit Fire De=artment 7A ��` Received by Building Inspector Dame c 5t-oPE� E�tE7tll' -X- 2tid-.0 A review of the Flood Insurance Rate Map, This mortgage inspection plan is for mortgage Mortgage Comm u ityPanel Number purposes only, it is not an instrument survey. � oo,30 00 I0 Hence it is not to be used to establish property Inspection dated s /se34aa been conducted lines, fences, driveuw.ys, hedges, etc., or to be used for any purpose other Man its amjinal intent. Plan and to the best of our interpretation this property isA10-r 44 located within the flood sone. tiA Of M(r Location 3,) ' " � DP- (V g Ihereby certVy% -TAtkb!S Al, DOH"rl N�jµD1�� MA that the principal building on this plan is approximately o COSMO OAMIANO40 Date T*IV 13 I q93 located on the ground QS shown, and iL• conforms to the 'SCAPOBIANCO N Scale: 1 in. _ dimensional setback requirements of the zoning and building 17704 Plan Reference laws of the city/toum Nod T 0 V f of when cans ntod res on r d '�y� SU Rv�yO MORTGAGE INSPECTIONS INC. Signature s ,. __, SUtTE311,265MEDFORDST..SOMERVILLE,MASS. File # J 3 g Job a -7 5t OPE DKEM00 KARA DR1\15 A review of the Flood Insurance Rate. Map, This mortgage inspection plan is for mortgaged Co ityPanel Number purposes only, it is not an instrument survey. Mortgage 2 �Od g 16 '00/0/3 Hence it is not to be used to establish lines, fences, driveways, hedges, eta, or to Inspection dated /yg as been conducted for any purpose otiter dean its original intent. Plan and to the but of our interpretation this property is A10T X located within the flood sone. \I hereby cerft . % CAU 05 Al, DORA47-)/ that the principal building on this plan is approximately located on the ground as shown, and it- conforms to the !imensional setback requirements of the zoning and building uts of the city/town N0�2 Tl i 0 V when cons nd to res on r d mature -:;�3e5 � A1A Of 1t(1� Location ry COsMO MA DAMIANO -�A-N r 3 �q93 CAPOBIANCO ^ Scale: I in. - 40tt Date p� 17704 Plan Reference �3, J �fCISTElk MORTGAGE INSPECTIONS INC. SUITE 311.265 MEDFORD ST., SOMERVILLE, MASS. Job # �, (1,1111VJ„rye �',� :i`; -t '' f '" 152--balton�`� . oad 1 , 1. ,,, , ., , , , - . �._ -j N/�fIENTAL. PO . L r"''�.11.4 . r:• j. 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OI A[SI�pSS'.' 'CITY STATE ZIP BUS PHONE;' ' S� bS.a� I.;R ��, ea- k .F,, tl Cq!'lfly.,t.{! i<al a(f, �3tI L°'trS t!'!y r. , x rhf iK5i {4'i- � . .'!ii.. A.Gk ms? -:"t •'' - .:tY . k 1 • _ f.? .? a. . i, i,:. e 1 _ lc, 1' 7 t -,. I �y'y� �J/� •.`�,\ �{•• 'fit'' 1 1 4k ? i I:•:; .j1 t iedi",ls-r "}. i. 1 d Tei.; ar. e, F i! -�. Y3 div t tt. , .}. i• '�ii'�• �.Sr.:►/' ./' � /: {.,.�"fr, +r. -.,, ` t t+E•' . `7r: � i;r iRlr:•!- .i.r .}S :_:1.{fit i�- V. jtfiil.'t r ,{•ta, ki, ••. * 7 :: t ,r - . i, .Y 1 t . r^ ..,9.'�.., ..`.1' 'fit r .?qi , r't+ ,:•I r --ie t; i ti,• t- •x t. ,r +.Y 1! ! .i' 'a 4, :3'• . ri,. ' ,. l..li,* ��7 iIlr; :ri+r� $ pUCTUFiAL 8PECIFICATIONSr- { t := FILTRATION EQUIPMENT SPECIFICATIONS ,:. s • .'a "X m r . wi}:. :i! .q,i k4.:>r s Ott �r :i t I .;r n.. i - �:. r • 'I. ., .i.7e ..,I., R':b , 1..• f v :#liti . 1;'ii Nt!':: .. ,,..., t;t, .i . n fr..4y `t r'':"(tf e.r e�t'f - . ^•. i,': S";': 1 En 'iiae red,Struc3r I.tul,�I;,P;Ianj# a d-, !king"Drawings ,,_ „: Included 35); N S.F. Ap1.proved Filter; T ,- .. _ Size � Make lek.46 Included i2 :Establish;8 tapei.Elevationiand.L,ocaton Prior;to Excavation ..Included 36) N.S.F.andULApprovedPumpandMotor Size Malo .:'Included :.. -�= . ' ,. 3) ' Perfo. Norma1.Exc09'8tion and IRemove Soil on Dayof xcavatlon.bnly :. Included 37) :Hair: and lint:.Sframet for, Pump Pot W , x�{ r: , i' .,Included 4 ''FHandi,Fbritt1.an&Shape:Poohi f r{t !*�.;4 : +:a� :. r'.I a:.e rt:. . Included � 38) : Natiorial Electrical Code,.U.L: Listed Time Clock Included I `5) ACCass.Wall or FeiiCe Remoire ' . ... i i,. a1�1.39) Electrical Wiring and Connections ... B Buyer $ r. •t i, e` '7. ` r r: n .. ,r;,:_.'f > > t 1'.: fa :• 137''fr f''"Li'X A,.1 {39.rb Eby' c}/jr' v d;hi., f.sl,a`' } rl� 1, r to + t Repysaed. By , • r , 1. 1.40) . 'N S F: ApProVed Automatic Chemical`Dlspeneer1. . �Y!kx�. ..,. it ...^ "� l7 h 7 ','tR' ":sd. dS }� '�+"Y:,7 i{ �';, + '�, i,t; _ ..,a -.` „} :'7�t . - ;, t 'r a 6) RemovA::from Site; ..Lbad9 of,: 7re8s; StUmpi,s�,:Shrubs, " 4t) ,Pre Formed Base $lab for FUttatio' .qulpmsn.t ,.r ...;,. ::inclu`!d``ed r2, n, -7 i4C�F�rY'F:It •. i -p.`t-., .:. +,. .�V�... :, A$0.halt, Concrete, Other bebris ,42) ..Automatic;P.00i.Cleanef, Make ,_;,�; ,1; � .� ,, teeL.Reinforcin 'Pec En ineered Pians':.,, : ) Stainles1.s Steel SI.eparatiort Xank,aSize • ?'� ,....�� .i) S-.. 9 9......,mw " Included 43 • _ � Q "` . Bon in of Reinforcin `JI s and ui me¢t 't" `B f3u er 44) : Sixwav Multi Port Valve x . ; . . lnclud d 8) Electrical; d gi q P Y Y ;;'r>' r r .g. .9 t, r`fij N{kta, ' 1y r:. -� c t mow. r:. - Monolithic1Gunite: Structure to: meet o`r'exceed 1.IoCal,or;state Codes). , !Included 45j `. Approved Heaterjype BTU : Make`. , l✓ I s o �Boad eam rand Skimmers) : Included 46" Fuel Connections; HeaterVenti%n' ,Fuel Stoia a Tanka, Perfntt ... B .1., ,__•E.. :�.!1,.� ,Ills.,x'�� ...,�, ,.� }, :.; 1;1.1. ) 9 9 Y..Buyer 1= is D for;Seven a B 6u er ' ,<: p ii , tta> t ;lfi x1•gscry t ' { 11 t WftleC I r l ,un1 f}$l �Tw11:., $1_ P u y y� r y. Y _. .,... + ,. .! : s _ -'.+ i*car}.;.. -,r 6 .�_ I t r ":r �1Jr t .: .t e- e ,.. . 12)i,YOne}Set,of;SheI ..Et)di$teps y,,ithi4', Hench..-• ; 5 t,;r.t ,:; ...:... Included. MISCELLANEOUS SPECIFICATION8 ! ifi •e' tX c..ir:;'A 4 t y W .'i _ .¢i}i}. •.,. } < . 13) , Swimoutor 4ove Seat ii.:'+ 3% "r. i F �, . al..n t =a"• .: .` ,I. 1.F, , '. B Bu er 47). `U.L. Approved Marine Light,:Watts. l.'li0. I 1`4) ii Grading or Backfilling f 3•;h , �+�o-� , ro z, r , c s Y Y 4'48 U to 10' of P.V.C. Conduit and .Deck' Box for light 15) One 6":Band of Water Liner7ile' {Golor� �Type7b � �*1.? UP AXL 1.`� 49) .Re. Routing Sanitation Water Supply Systems and Utilities... By Buyer 16) Deluxe Safety.GriplEoping , i�z: #. �t+:. 1, ;,4� :! r --�� _ `5 e; F t4.yi "'... .. Included 0) Flush Mountdd Anchors,'Safety Rope loats Inclu 17),' ' PI`ovide CantiieverFForma for Deck Edge :: , . _ ..... �" .. �), Payment of All State and.Local Taxes During truchon Included : r -='"t ., ,,. „r 52) Negligent' Property Damage,,Public:Liability, an�d'Wo'rkmen's . 19)& f.111ing'of Pbol PrQi'nptly,after Interior Finish Application•:: By Buyer. -, .. - ; , IR% .y:tz i;w�r til �:lia:..eirat' F :i y.:+Y W* ii . ' Compensation Insurance During Construction: Included Y.r 24 S} P+l�. r t } 0i I-,,,,,, . , I. L MBING SP[CIfICATIONS' S3) i Transferable Structural,Guarranty ; r t•:, , In'clu'ded ii,jE 6,,'u Micliia•,40 vYi&1 .•, t,t 1i�P .efr9r+t k ra;�, i . rte R tcrt i,:, 54) StairilesS Steel: Ladder. 20)'1f+foiiCorro$ive'Pluntbir.ngjand Eitt'.i` � ,.ichout -!.'--'14 -M-;:- Included 55) Stainless Steel Rail . ...... s...I.. ... . 21} `S811? AdjtiBtfrihjSUrfade SkimmerL ' ,j__ Included 56) Diving Board; Size' Type Color 9_Aja i� ► d- i. ,f'. '.iY �., -ur- } ii 9tfair i , p. r_- Jtt ; IiIncluded _ 24" {{Va'9uu �l�d'apter ln,4kim . 1 57) Slide; Size ''" ,'z`Color` ^� Cun.a , - . K.:'..:..... , . _.�_ 1''!l�fj, lllf'Ei..ri4 }i4+ L dvii,h'',ifii...�,;a :dt'r�ri Fi r! )'�iN i�r i.ryrt 1,(; Pi! .....` Included _ .. 23a , )Le, f a F a r. strainer Baskets far y� 58 Slide, Ladder, Rail, andwe`Board Jigs Installed . By Buyer 17 1 . f4 •1t39 AS IYt41f iFii fd* yq(t IYa ` %isr i �Et:X, ilx , ',l llfl,k? rl i 5i:' 1. 24)-°.reissure eturn Inlets to Pool ' .Included 59) "Water Condition $` 7 OO Charge Pay to Excavator By Buyer 4r 'i ,`r';it �21b.4. i ,r,euJ.A f t i e+•• J 1 `F ?. i 13 1 - .rv1 25) Directign Adjustable Retur nit c` Included -.'.. I .}n,ck+ ..}A,,..F... iri,:4"w.iJtt3Y:a,k:y-t. Y.-{r,x t %:41' , e -• .... `ri ,�i. �:: 26j, Locate Skimmer,( ,) a d E3e u ns ; . 3c Pcoi Surface_: STARTUP AND MAINTENANCE . �. 64+: 7. i� �XN.Fi _ M4.:' R r .,S'My - . .. .. _. . � - Cleanin Turbulence Included s< g ,. .. .... .... +, d 6) ,� l e4aintenance T ols u e 1 opi g ,..:,.. r•• „i; r.vpr.•ur innit t[�f3 >. * ,t. t""4 y+t,'t+'y �` ' t;{ ,� d ,*i ?�,, ^' iiri+i+ a►srf al a -'}, =ecd a w.. a t� .� .�a x . " Mcluded` , * V,�$a is , , ;, E)Ole, teS'r K1Y ttt7i utviitliut, vnGa:� I.•r 28):..D rest Main Orain;5uctio . l.inerL� > cuter: f: Included "29 .=Self•Seatin ;H drostatic:.Ptessury,fI.,• e:.:� a -!t:. Included 61) Start up and Main ten ance'Instruction: ' :`.:` Included ). ; ,.;.9 Y. . . 62) Start Up Chemicals (10 lbs: Diatomaceous Earth, 2 Gallons Acid, I :30) Install: Piping er.nd�Fittings',or t:u'.' r - 31) 1'Flexible'Hose for.Pres66te BdcicV';rc ' ' r Viedia�ft: ...... fl t :, :.. ... 32) Uo.to 20' Plumbind Run`Betwesi,',' : ), :=id er , . i ' . . Included ` : 1, ; ., ` .r,,..d' , � 5 33 "+P'ressure 7estiri yF of. Plunzbin Cir' i..i;ris:ruriiari ' ' ? ' _ . {` . 'Included. ADDITIONAL SPECIFICATIONS f I f7I. ' / ,1J6igt,ar t'fi1 iJ (YCP t "1.:./.1'vrV 1. +'..,Ol�'4Y t l.f fill � %:%t --5i;t l ,'$jl'b+t ,!,ff'�A'Xf . E e(•)'t(. l+,�t :'.i. pr f5 i.',:. r) {atl'i)• +1.i 217f't, 1 i; - .� w t/ 64) i i , 4d1/ i`J / t1 t X .v4:ro . q , i, r s , x / -vim 11 : .'r.'�' r 1. s er 4,`4 ,. r f.! - _, �. ..65 ,':.4i /` ,-,Pei b "Si9 ;nl},t ?tt:k-i: :.912,1,} 3,X!.I ifw,'G .yt,.t{.,:, k,�',, . i �i r . .I.I..}{«i9, i t.fFi Of d til:t:' 5i4: . rw:iei6 t f ti., {•r,a,s1tt ,,.[f{FifRia.} w 's { ). v' , Hirt I s :°9t'41r Iitkt.R,;'j`;iOii'igf3i',n">?,'.tlaq.I}I..iii4�• �i,iNi-I�r�'(3 ?, iit,jiC:72'1.S :.i..,ltre.•t 11:,ji i :,is,^. 66 - - - ,. �t fit, n..'� F 't - r. C[f' ' c. . a. YC)S .,,.•,f• ,i,h_ i1 i}Ir'�r:'.^i01,C 'fi io.,Y3JAII'{, }}:,Iyi3f ii,')i .ifY, $-r.+i,i,y[ a°,i i:.R'Y{f2t1 •..61 tl` :i La k<F}SEs i'Li 67)... j- .. ',`� 3i. '+ r - ..t . ,•, I .:1,r ,U..,. i. r,i !. -1! is L2= i '•1^ ' zs filh9 ltd t { e rt t.if 3� 4Wf ty, i 4' `j x+it *ti3"ii e!It n tt { f, it1. .. 68) (', .. y -,w, r r cif it i4r ,ri i 1 t?3 t f r,�. ;t +. +°,' �t``il/ 69) %, Mty l 1:. 1,.'r • r -1 0 j1�t)1.. ( t ri=,,. - i 1,11 . •• i ,t 5 7,v!,,1 . pF: ,'. i{. _ .3. 1. „tI,;., •:rt:,•- T.. iEI .. r,r; -_iS fin1 psdi;, i 10, t' fv . L 1 , - •-E; Pool Deck Prices (Grading. Not Included). }i 13 4.,,,9 Nin ,Ce .k ros , N0•VERBAUAGTtVEM NT ACCEPTED,4, j . .til fi dfi ,irk is rii sX 1,t.:5r thtt ;=>r, `, .• r c� '.:r 1 ..'a:. ROCK SALT OR BROOM FINISHii.p�`" Sq.`Ft 1.'L _You may cancel this agreement H;1t has been;consummated by a party, COOL DECK f FINISH 4" Sq Ft xX " ! ttihifa=' .IJLI < S� w F n 'ktr ( ,�f 1 , l thergtp,,a).,r3 Place,voL�lther ihan af►;artdress,of the;selier.,which' may be his.main :tt ,.; In 4'::`. " ," 1. r b anch'thereof: rovided ou' notlf , the..seller in::writing,at his main (Above prices: valid for 30 days. and^ are snot included..In. pool- , office o r ,.P • y 1.y ,. contract price:. Bluesfone,.Brick; Lockstone; Future Stone Decking ; , office or branch.by ordinary malt posted,, by telegram sent or by delivery, not I ;' ' prices available on request) r later than midnight of the`.thlyd' business day following.'the ,signing of this (' agreement: 11, C, i ,,. ° 10 r� . , . ^ I - : : _ - - / ` Owner agrees to pay the contractor the aum of ':.,tit S i:ae ,.iTrA is1vtl+i ri',).4v%iAt) sq 4$415 OtY t',1^<tj'+ f{- ,•t7.lj: Iro v t.i,.r..t ,;:i :t't d. ) } >, )'r - ` .. C, r r P } , •,� O~ 4 ;, t l,at , '.c! Its s,S.r '^?ri ij s r.-, Down Payment �' / ;.J -1 i h- .a,3'4'I �'4i llv1lb .;f114nC.4..i*.' $ hf•1;. t 1 i - , t i .t• -r , _ _ •i .L 1,t' . ` a. :•^`j�: f1 'i.(?' 9bk: It F, ").,5`{t'.Ki7 i, +eyq: .�r r`.iS +.."il 7Yta +i. -F1 r:, t' n• 2,v t - -a�:. .. i 'tt i .,' !?i.. �-. .{d� ,_.�1i W1<r•Contrc ed to by Co Tactor and Buyer - t :EtF.t =alx,a Ni r r r,,. fN -." .. C.d�;�1• k `f. � 1 i, Balancer ,i� // t:I I ".,tit ,i tr�=�+i t'7,tr,.�i,s t,a.(rop ,a tiuui't1. :;� k, w, ' bI.` :,t : ,r:ra .-.;,•. ; . .. _ t rv� ,�F'~ ► 2 I�..: ' :" t' 5 t :!�(: ,;`r i t _rX- 3i•' - 1•' •,w:• ,. i. .it , y>:, .y F; t.. a ...Y,. t .- > '" tt ;f n+a.:,,r Buyer' it + ,I, :,:i1!'ft ry,if; cYi �+3'i!/r!�1A/ner"i:3 Kqr e.E it..)i 9•L rJ '•c' '. t, ie71. riY ti x., , t. ,:.{'' - ' . ri -1' - u PAYMENT SCHEDULES _ a'- 1 / //1/1/i/,.r D .! •,R -;;t 3FY•.ii .t ii, t'ili dr L1a 'X dl;s }, 5', 21,.x•.9 , .f . .. , , { ar'1 ,I 1. t t. a *5 1 t, C9a. t=F'. ,`- Vv �../� I ', f}I-i,i,r,Buyeq.X i .r, 40% Day of Excavation 'i r : r;., ;. I Joint ner . . '1.q. / c- 55% Day of Gunite . $' fOb 7 Con Jac or, Ropfesentativt~ -, �, , :i1: ,, ,=a ,.F, aI. r r J 5�°-" i#aha r >►t�t,s f,,it tXt4crr;= t r ",�s. t :r: , _X. ? ,, { t 596' Prior torinterior FinishApplication :. ,r, S. ,. . LL sa jr:,' �� 0 "� pv Any' `arriounts' indicats�c` ;�ty''othor contracts with': '" ' Total $ this company are in addition to this contract amount. . .. //`�/ , - / . . • Accepte d ,his /' / Day of T, y ,3, . - (r' .. NOTE. kt; ,t _ 14j' l/{)! 4 dr1i6 F U t'), • , i % !'r ' . ,t : ',NO.,VE110A'.�A'GREc ACCEPT D,: WARRANTYS,.GENERAL TERMS AND,CONDITIONS,ON,THE REVERSE ' • `` . �TDE''i.T ':t. lil' OF `THIS AGREEMENT. BUYER=ACKNOWLEDGES THAT HE HAS READ .AND UNDERSTANDS , . DO�i'l ::: 'it: .. *3 RGR!`EMENT. . . s . . . _ .. 's' $0 F w m u oa, w° E V) Cd0 U z .00 m w U z z � w a O W z U a � cn w O w z 00 w 2 W x W v rig cin v o U) c c m c c � o i C H ' � C �". O C.3 V •O. d C M :• C2 L N co �: -- co co CL N Az,o °' C3 C rn co c Z(A �L ®CD m n O m3 � ee� m = c N R N m mu gli4 h C Sa nct ci '� Z J Cl F. co O CO L O O C) Z CD CL O y D C CD C cm H 'C C — • m g m am- OCD i � Q L t^C O cod CA C i=••+ C C cc v J-0 •m O cl) C Z co U NA O C •� C Q GO G J z_ LL I 0i cc LL z F- 2 LLI Q Q w wU) z 0 cc Z a o c m N = m m�3 W = 0="Rot uj .y MD �a= '� Lu .m c o� � ch a m '0 0 7� y m f- s go $ CL. m J Cl F. co O CO L O O C) Z CD CL O y D C CD C cm H 'C C — • m g m am- OCD i � Q L t^C O cod CA C i=••+ C C cc v J-0 •m O cl) C Z co U NA O C •� C Q GO G J z_ LL I 0i cc LL z F- 2 LLI Q Q w wU) z 0 cc G IASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) G VfV Mass. Dat L 19 Permit # � Building Location Q r Owner's Nam& ,)Oe_ U r �`/�" Type of Occupancy R E5I 7C,� N P C— New ❑ Renovation ❑ Replacement 2/11' Plans Submitted: Yes❑ No ❑ Installing Company Name--Ae-Aejg T A . :---lm MA T A X20 Check one: Certificate Address 3(-.) 0oA C H 1n A Aj 4 -KI, ❑ Corporation lid E T H U E fJ 01 rl 0 ❑ Partnership Business Telephone 6-f2 —q (7-7 f 2-, rrn/Co. Name of Licensed Plumber or Gas Fitter - () ja E P T A -- INSURANCE COVERAGE: I have a curren^t Imo' biiity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ted' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: - Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the pe ' i ed for this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne Laws. BY T of License:TC7C� Plumber n ure o cen u _ or fitter Title tter et License Number 933 City/Town Journeyman V • .. ■NEENEEMEM NEEMEME =MENNEN sm ME = = N Installing Company Name--Ae-Aejg T A . :---lm MA T A X20 Check one: Certificate Address 3(-.) 0oA C H 1n A Aj 4 -KI, ❑ Corporation lid E T H U E fJ 01 rl 0 ❑ Partnership Business Telephone 6-f2 —q (7-7 f 2-, rrn/Co. Name of Licensed Plumber or Gas Fitter - () ja E P T A -- INSURANCE COVERAGE: I have a curren^t Imo' biiity insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ted' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: - Signature of Owner or Owner's Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the pe ' i ed for this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne Laws. BY T of License:TC7C� Plumber n ure o cen u _ or fitter Title tter et License Number 933 City/Town Journeyman W W W n r I G. 4 TV- 4 436 0// Date ........ .. .. / .................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING K, � o.'. !�jh.f Ji..QU\J ........................... This certifies that ................................. .. ... has permission to perform ....... � s*d1k .......... ........... wiring in the building of .... .......... ...................... --? r - at ......... w ... ( ..... t. Fj. 1. (.(1 ...... �j' k .................................. . North Andover, Mass. Fee... .... Lic. No. 12�.�41 ........................................................... ELECTRICAL INSPECTOR ( V (� � I') V M1101% 15:51 15. 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Date. 2207 TOWN OF NORTH ANDOVER T: 4 \2 PERMIT FOR GAS INSTALLATION This certifies that .................. has permission for gas installation t, ................ in the buildings of . Ae�-. * * c- ...................... at . .3,ci. ,I.f P. K,�... !A ............. North Andover, Mass. Fee. & . . ...... 14.W LiISPECtR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File G(V 1)rpoitment of Public .Sufety(5 Pcnnil No, _ _ �� .__ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 C Occupancy & err ('lir•rkr•d r _ 1/90 (leave blank) APPLICATION FOR PERMIT TO PERFORNAI ELECTRICAL WORK All work to be poifonn,•,I in accordant(, with the Massachusetts Flea nit A ( rlr, ',27 FMR 12:00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dale, Y-'C4T `T / 9-1-6 City or Town of J the Inspector of Wired The undersigned applies for a permit to perform the electrical woe dosscrih�edd below. /� Location (Street R Nrtmber) _ / / ,,ell Owner or Tenant _ .0;/.SG /�G m4d)eS Owner's Address .S41r) E Is this permit in conjunction with a building permit: Yes No Ga- (Check Appropaiate Box) Purpose of Buildinyt I.hiliity Authori/ation No. _ Existing Service _ Amps / Volts Oveth •ad ❑ Undgrd ❑ No. of Meters New Service Amps /_ Volts Ow'die.ad ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity t Location and Nature of Proposed Electrical Work __�4t9C G h9GX)T _ ASH 4,o qS NE/e OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusites General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substanti.il rvprivalent. YES O NO n ! have submitted valid proof of same.to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 2 BOND ❑ OTHER❑ (Please Specify) —n4f/Lf Estimated Value of Electrical Work $ Work to Start Inspection Date Requested Signed under the penalties of perjury: FIRM NAME Fhmp A; Pagnemni (Expiration Date) Rough Final . -- -- LIC. NO. _0 ./ g .LicenseeBox M 23 Main St _. Signa _— LIC. NO. _. Address _ _ ____ Bus. Tel. No. 1403.362.4M Alt. Tel. No.DD3-Rod' g065 - OWNER'S INSUR N(T WAIVER: I am aware that the Licenser does rot have the insurance cnvvi.wo ir, rrhoantial equivalent as wrluiwd by Mascachuaetts .General Laws, and that my signature on this potmit application waives this requirement. Owner \ !r•nt (Please che( k one) ___._.. Telephone No._ (Signature of Owner or Agent) PERPtII FFF $ t, 08 __ TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA AboveIn- j ❑ [� No. of Lighting Fixtures SwimmingPool rnd. >nxl. Generators KVA No. of Emergency Lighting No, of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of 7on(•c No. of Detection and lot'' No. of Ranges No. of Air Conditioners Tons Initiating Devices No. of Sounding Dei ices Heat Total Tota No, of Disposals No. of Pumps Tons KW No. of Self Contained _ No. of Dishwashers Space/Area Heating Detection/Sounding f )rvir ea K\V n4unicil ❑Other No. of Dryers HeatingDevices KkV local❑ Connectipozn No. ot No. of Low Voltage No. of Water Heaters KW Signs Ballasts \Virin No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusites General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substanti.il rvprivalent. YES O NO n ! have submitted valid proof of same.to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE 2 BOND ❑ OTHER❑ (Please Specify) —n4f/Lf Estimated Value of Electrical Work $ Work to Start Inspection Date Requested Signed under the penalties of perjury: FIRM NAME Fhmp A; Pagnemni (Expiration Date) Rough Final . -- -- LIC. NO. _0 ./ g .LicenseeBox M 23 Main St _. Signa _— LIC. NO. _. Address _ _ ____ Bus. Tel. No. 1403.362.4M Alt. Tel. No.DD3-Rod' g065 - OWNER'S INSUR N(T WAIVER: I am aware that the Licenser does rot have the insurance cnvvi.wo ir, rrhoantial equivalent as wrluiwd by Mascachuaetts .General Laws, and that my signature on this potmit application waives this requirement. Owner \ !r•nt (Please che( k one) ___._.. Telephone No._ (Signature of Owner or Agent) PERPtII FFF $ t, 08 __