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HomeMy WebLinkAboutMiscellaneous - 41 SHERWOOD DRIVE 4/30/2018 She��,.�oc�� `1�c-, `ll i I i 2 X IO TL°r'tER @ 1611 O.C.� I X 8 CCLLa TIE @ 4'-0"O.C. 2X120nGE-\ I � > i 101 9"MLLMON-, APCH 5HI W5 25/51,X10 PLYWCOVOOF -2 X 8 @ 16"O.C. �- 2 X 01ZK.WER aLING JG155 alLING a g F2 X6SLI�O.C. A. CFL$Z I — 2 X 8 FLOM J0155@ I6 OC. 2 X 4 5TU7 N&L-\ - 9'IN5LLATION \ 9"IN5"fION 2 X 6 511V WALL 5112"INxL.A11ON-\11N ^1 A 5V FASCIA BOKO- ; 2-2 X 6 fGP FLATS MA5 I��^ PATHP\00M Q VENTEt7 5OFFK- 2 X 6 Sna�WALL 910pl00M 6"INSILAiIONCONt7FL00R g Q 1/2"PUEPOPWI1Mf Sf5 — �_ 5/51,FLYWoov — z FAMILY p00M _ 4-2 X 12 2 X 4 STIG WPLI � O BUllf lP BEAM 31/2"1N� A110N� _ U 1/2"PLYWOOt) coo C,r 4 0 fJN V 4"X 91121, 5LL PLATE FIR5f FLOOR '2161,Oc. 1-2 X(2 KP, FIRSTFLG'01? - I-2 X 6 Pf, rJ 4"CONCmTE SLAB Q w � FAMILY VOOM P911AAM d %tv TOP OF FOOTING 4"CONCT�TE TC?OF FOOTING EK IN9,LNSLLAiION PUILPING 5�Cf10N i i �M^� �n .5��„� Date. : :�'.�.. .. .. . . :a ,aORTPI f Of ,ao ,n91.0 °p TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 09 _ �9SSAC MUSEtIC f9-1 This certifies that . . .�. / . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . G�-'.1. .�/�:& . . . . . . . . . . . in the buildings of . . . P,?? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . �r'. . . aS.��! u. �. . . . .?�11. . . ., North Andover, Mass. Fee. .L>.. Lic. No.. .c1.`(j. . . . . . . . . J . . . . . . . . ,GAS INSPECTOR Check# r 3 . 7 2 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date. -5—7—Z �Z NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# 3 S 2 Amount$ ��-- Owner's Name New Renovation Replacement Plans Submitted B t/� U SUB-BASEM.E NT * BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH FLOOR STH. FLOOR LL I I I I I I I I I I I (Print or type) n/ 1one: Certificate 11' Company Name 6�/ T Corp. `T Address cs� �' Partner. Business Telephone — �! — �� /J l ❑ Fimr/CO. Name of Licensed Plumber or Gas Fitter �i/�.n✓!? � y�� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M Noo .If you have checked ye_s .please indicate the type overage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ , r• V Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance overage required by Chapter 142 ofthe 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 ed under Per Issued this application will be in compliance with all pertinent provisions of the Massachusettsz e Code and�C}rapt 142 o e General Laws. z By: Signature of Licensed Pl ber or Gas Fitter Title Plumber � > City/Town Gas Fitter Icense um r Master APPROVED(OFFICE USE ONLY) tj Journeyman r .q rZ------- il , r7 II II II II II I I li • Ii II II II I I L J \ I I II Ej II QS I I II Ii II I � II ��--F1---- � I Lx WD, II II I I II I I II I I. II II . I II . I II I I I � I � II II . II WD L-L Of � r` ���`0"�" �crm ; 5H' PIWOOn t?I:IV� Of - 17nn,�: ��r: C�UILn�t; O� �If�t� I�OI�l1�5 r : MON1'� VA110N mm�Y. �wslors: A, � I T,G,N, � r i I I ry I I II Li I I I I . I I II II I I I 11 I I I I II I I I ilk r- ILJI I I ii FTI FRI- -d ILLJI I-H MELJ ii II I i i I I iI I I I I I I I i I I II I I I I i I I I I i I I Lr---- sc� WI L-L I.4. 3; °I � P" 5H�P /001? nI;IV� of - 11'1/8 11=1'-0" PATE; I3UL bF-I? OF r-I Nr-: HOWV -5 I r IfAI? �L. VA110N ► nwnl Py: -�vlsloNs: T.G.N. n ' II II II II II II II II II II II II II II II II II II II II II II II II � II II ' II II � b� 0 it II II FL -- � � II II II L------ II II II II II II n ,�,, �o.;ecrrm�:SN�I:W00b nt;IV� 1.01' � 17 I3ULP [W OF FINN- HON�S �rrin�: MCAH "�l lION RAMOY, f.6,H. MVHONs: 7 i , � I �n II I I - I II II II Ii II nL--- II II II I I • � II II ' II II ' II • II I b� II u II II II II n 11 II II q14 1414 4HF II II------- II n I ; ii II II II II II II II II II Li------ PR0 l�Lf ii11 E: SLI E: DALE: SLEET: WI L-L- I '% 5H�PIWOOn 12FIVF 1/ 81 I-I '-O''l MV N 13Y; ffVI51ON5: BUIL-MM, OF FINF- I-OMr--5 SrEETTmE: I2IGN1 L� VA110N 221-0" \ i i 6EAM PKf 3' O" 6-51/2" —— t STEEL(TEAM —_ r---.. i i------------ — ----------------------- -- I e i q i 7Z c� 10"X 20"COWNLM �- I I FOOTING<1rPICAL) I I rO' Co r J ( \ I L J 4 fiMf LP MAP& r SEAM PKf 7"PVC? I I 61" 5--6" 4-2 X 12 I I I'J"-4" L L J L_J LL J L_J - -_-_-- --� I _ I Rl 4-2XIZ� I r RV LF LUM 4'2X12 ; I sill� f�Wl.f1P DEAM I I I I r 4"CONmfe 9-AO I I 1 6"COMPACTED amm I I T ADOVE PEM Q 1 L J W.W.WC5H MIN. I 8"CrW1 4-2 X 12- I I a l cs I I fttf-W KAM r—� r � 12'-61/2" 14'-101/2" I 1 j -------DEAMF'Kf_ --_-------- -- ------ Q� --- -s� a EA V PKf i i s iI l ---------J v _ 4-2X12 I I 4 —— - DW-w eEAM 1 i I • I t J L L�1 CONCIM 5fAR i. 1 6--2 a , FOUNPATION PLAN I I 11-011IT-O _ 13'-7" 2y1-011 24'-10" o 2'-0' a O� - -- --15"-0" t r F_ ---I6'-O'1 - I CI II I Z I b b I 'it I iI I a I I II i p I i I II I 3:: I J ra �J a -------- / §`---------- 2' y. C.O. l 3' b"C.O. On b b b � � � 1 U d `� • 7Q Z - 77 1//2" I Z J v rn w U1 a d Q b 777o 0 LW5 7 5ti V'nOdviJ �� a a 2'10 ----————————— i E] M-1 F I I b b (3 a -0" 26 -0" ,-R O m� b� _-Pw,9cf TMI!: scatx: -1 nnn: WH b4\M 5H�FWox rmyV Lor - I�� I/ 311--p-0111 �l.G1 V L f\ OF I'I I V L HO/V!I�J 9tEf 11iI E: t7KA1NN f3Y: IVIyIONS: FII'5f FLOOD pLAN5 14-.9 ..E-.5 110-4 0-11 '10-4wig z M,6 Wed ADO I�QNO-)S Q 1101-0 Oh b X'h4m _ n 3006155M - 115017 MI"m N 1101- Iz „o-,z1 --------- 01 Nid0 a,b1 RT 73 b WOOM111- G115V V A 1 l573 � O � N — I � l _NS d -� ti — � Q T L Xlv_ a N = I i - � I I WDDmilo I# 1 l I WOOMIlO Z# I i { I 9 bl 9 i b I— O bl S � I I i W00�I',ilm i 1 1Z 1 1 � 1 1 1'MM a115 9� z i 1 I 2-2 X 10 N N X N O BADGING- ra x O 2 X 10 @16"0.C. r _-7x 7Z LC OO BADGING L�-Fj. I I . I I I I I I I 1 1 5 m 7� O— � Zg_X 4 BUI - BEAM h-22 X 12 J r� 2 X 100 16"D.C. BADGING 7"STEP DOvMI II AT 16"O.C. fil-31/2"X 117/6"- - — -- fR R 2-2X10 �crnn :j— -D-A-E-;-- -----r---Ei: � 5NWOxfpIVLar - ,0 ----- 1ef ThE:.t3UIL-fi��p OF f INF- HOMF-5FIp5f FLOOF F MING FLAN DGAWNBY: 1",G,N, - o I 2 X 8 X I6'P,f. UMMR FOR OA IC { I ,�- { OPEN f0 BELOW FII I I I - ! I 2X10a1211O.0 \ it j I I PIWC41NG I I I I I RIM #1 9'4-2 X 10 3 3 I I I /9 X91/2 L.VL, ®e BEAM31tf IP FLUSN FRAMED 6E.Nvt -_- HANGER FLU`1 FRA1v1E17 BEAM Ilililllli 5IW50NI of 5.59 > II � IIIiI ! i j � � 2-2 X 10 c,16"OIC n/- FLUSH MAW BEAM J v 2-15/4"X 911211 L.VL. _ OPEN f0 BELOW n U x 5-13/4"X91/2" LVL.OMM fO SUPPORT ROOF LOAV5 2 2 X 10 MI6"OC. { POQYI 13/9"XII 7/8" I lu l' ORIGGING - L.Y.L.BEAM 2-2 X 10¢16"O.C. 5�CONP FLOR FLAMING PLAN Lu 5C&t 1/8"-I'-0" B�DCJNG �� � � O 16"O.C. - 2 X 10 CEILING JO1515Ll — -— �l � FLllkl FaAMED�� Z I6"O.C. -� 22 � X 10 CEI.ING-01515 c�� N X L FLUSH FRAMED DEAIJI �u X b 4-2 X 10 415P.P. z ib"D.C. 2 X 10 CEILING-01515T. c�c x N LUSH FRANKED(SEAM 2-2 X 10 j j j i 16"O C. r---- Q — - 16"O.C. I 2 X 8 CALM TIES rn - 2 X 8 COLI!R 1f5 I I i I I j `° k' `� - pIN00n pplV� L0 - 17 i DAiE: 51E1: FPo.�C1Ime; W L-L- D��.g s G��"If"�` 5H�P 1/8.1,1 _GI 1 U Lt��p OF r i'NNE. ��OAAF-5 SNEE111iLE: OILING J015T PLAN D�� �Y. 1 ,G.N, VISIGNS: • zz p> u5;P'Pr-`V"Ti ppoxc 5HWWOX IXIV� Of - 1 I%�"-i '-�, - .__ i — 13UILb�p Or- FINN- { OMF-5 5fer�: poor FMMING PLAN I—� ,�Y.T.6.H. I ffVI51ON5: =`,U N Location �5 i�el L j� O No. bpi, Date -7— / " NN N . ` .MQRTq TOWN OF NORTH ANDOVER Ln M Certificate of Occupancy $ Building/Frame Permit Fee $ aO '.a A k' • Off. � , b �'�S' •Eta Foundation Permit Fee $ a- - SACNus " Other Permit Fee $ -Sewer Connection Fee $ 5 Water Connection Fee $ D _ TOTAL / �^�� ✓ Building aspect r 12 5 6ob2m 12:21 2,091.00 PAID Div. Pub)corks . BK 5554 PG. 173 Sherwood Drvelopmext COMPOSy,LLC,a Maasachusetta Limited Liability CoR WOW wtih a weal p1me of Maem�at Turnpike Street,North Andovor,Essex County,Maaaachwatta, in comderation of FIVE HUNDRED SEVEN7"YFIVE 7WOUSAND Slit' HUNDRED AND 00/100(077,600.00)DOLLARS grants to Joupb H.Batt surd Naxcy L.Barnes.husband and wife,of • ShavoW Orin,Waa*Amar,Sam Cowdye as tenants by the entirety, WITH QUITCLAIM COVENANTS PROPERTY ADSa Lot Ii,SLcrwood Dr.,No. Andover,MA 01845 flee lead,wdb dw b ftp*man.in NW*Andover,Boat County,Maersach+ns4etta, drcrbM M WWI: Lots 18 as shown on a plan of land tattled"Planned Residential Development of'Ierad place.Phare IV',deaigwd for Timberland Builders,Inc.,40 Sunset Rock Road, Andover,mA 01810. Dated SW=ber 1, 1995,Rev.to March 12, 19%,Thomas E- Neve Associates,Inc.,Engineers-Surveyors-Land Usc Planners,447 Old Boston Road, U.S.Route 1,TopsSeW,Massachusetts,01983,508-887-858611,and recorded on May Z, SEp 11613 µBa' 1991 as Plan No. 12805• The fee to the roadway shown as Sherwood Drive on said plan is not hereby conveyed, however the Gator hereby grants to the Grantees the permanent right and easement to . pass sad repass OM nand$bevlwood Drive:,and the right to use Sherwood Drive for all purporeo for which public ways are customarily utilized in the Town of North Andover. The:within conveyanoo is wbjeet to easemtea%reoWtions and conditions as shown on 9 the Plan reaoeded as P1aa No. 122 and the terms of the Special Penmit PRD Approval reeordeel at bent 4464,pap 309.. Also subject to a Declaration of Restrictive Coven ow for faead Place-Phase IV,dated August 28,1997 and nwfded at Book 4830, C Page 97.Alan subject to any and all outstanding Ondera of Conditions. v This connroyen"does not constitute a sale of all or substantially all of the asrets of � Sberrswod Ikwlopft#W COMM",LLC, y COHEN LAW OFFICES, P.C. 873 TURNPIKE STREET NORTH ANDOVER, MA 01845 �\ Key Map r a w o B� -Tpp' Table Of Drawings $ @\ o 'D R o$a ( \ 1 Title Sheet �` u o G1 2-3 Survey—Lotting Plan "A -- 4-5 Topo — Utilities Plan o ;y 6-8 Survey—Lotting Topography 4a fa 1 9 Profiles — Dromoge Plan 10 Construction Details d5 -9I Definitive Subdivision ConSYionvl Approva.c 12 5Apspia/Permit pR.D. CDondihona/Approvelp a 51 17 i� a __—_ So'Np Cpnsfrucfmn Zene _ 0 6 ^'°^a eynar Jwn No wo..r rNa Jp rr-p �✓ \ B a ' p�µ WefbM B+I/er zan ______. O r`" .eoerppe ���• �141N\�r' 1,' � j \:\ . fn,m9°meera � k Garan earma wlfn o-a,a9e ld,er .®r� i � 5, •, et .a� �,./� ] } Contexmus row of fated MY eabs ^'�' Aq'� •^�o.. ` ;9�, I aym euro x e w,n Idler%,c,eho Lmif p!Wwk. O ,.id g, ..• ���„ I✓�a `•. ,a• - ',• L>P:.r9e.eche,l ercn /w.l _� .. ay. •� . ��'1•� f,isrin9 goer ��iso's+_--_ °S ®ea�_Q��� a __ __ IL'• _— __—_—__/ ___ __^'> �'�� `risfm9 sfom wdr g�•' nuMd 9odes R,:n/r or Let a i ti .....aed.NA. oa,r,an rest wnn maroe, e,,,� E o°w ° �°� Z8C �' a • �,`� a a �1°�\` \ OFFICE OF THE T ANDOVER �u>y��S gFF p �. wN�DEaIr so rfrr f ndo.er rM1m➢ b \ t Locus p SR9°'ee;a;o Nee P °;Pea rrpm As����s ors a / A Ma $g` ar aa�—tevE _ k Akp No. IOSC tr 14 d•IS FEMA Fb°p nun Lme rafen Fram Commuufyr mel ••^�' d o d y that fM1is l Y 8 b Na. 1o5C Pmce//o o.zBtm94 0009[Renree Jo,Fm 0 1➢➢; Se ac n�I anon a °'�ewo eP 0 tl (N°Batt np°d f/aronons etermirreeJ eWn ' w/f�f s sr on 1hf[m,h arty A Gr,pMc RepresenmGon. requlafbru or fne re 41,of deeds. Zonin District (� (P�ma,ed aesnud waenPmenrl �/ 1JsA f�..-Lf v �o R-1 Res denPe/a'sniPr Dimensional And Density Computations ui, '�'As 4 ti 'o ca/ o TGtl 400 600 Bop 3 W Nl "1 Requirements For PRD III=A Arro .._._......._.._._... 4.,92)94 sr. 9s.o2 Amer dB, <ar sl,.-nlep sr dwe voeei A __....—......__....__..1-,1 11 42 Amee+/- n "n>rvn CBA-rC,M Sr. LIera Lof le C 169 Anes = =O : 0 600 IT00 IB00 Top O O Q b 4 SerooM's(Fran JJ4163 SF, p RWeem_s�imB,.sermef��a Tor L/PRD Sunil iaront..................2,014099 IF 44JJ Acer _ pV ,Wr2pBOS AOillepfL Re'�a'dd0. RoaM' reo.................................._ aJ.51J sF T 11 Aves J,.y e�/JJ•eA Z °41 u�1 mtr r rs........................_.___—BBaws sF, aa.rJ Ames o €,b oven sbpce Area............._ __9B44J1 s.. TTps Ames o�OC$j;tf e Ben ahm rks: a tl ba l Sfofap BeKhwF-IWe Bdr M A FH Nybmf TOTAL(PRD S�EGvLNaet�__201$099 Sf. I$JJ Ames '•.7�..�� N Q N¢ Pof�°f d Lea or Cmferrex Reee O fnrrxe Te �r40e9°s�:X.s°/ ee ---_------__._�>o6..u5 sF 16s1 A,,,ea � t '',• ;F19 e'er>•.z7w. �� .� a N ,urea vee.-arm.l(s.efr-r1aJr•MAGA , I Lpbb BB"UJT--NRbOoanf aBoPorlm"e8R13aW4/IfBeP vOaa tbEnn.Wfr-x-(reJ:IqWAT,v1e�4��fa f%EPoGDSw9GAS CwW(>opet)mn Y (0%1p ril $Ri are Rprd_ -319.)3,$F 1116 Am ee' FX1hPe JaV �OAro R .............._.........._......9o.J,SF204 Ane �L �NC 4� [psananf FbvefMn-r2Gp1'LB4C.S Dafaal Far Open Space NovMed..........121,..1 SF 1—Ames IO2Z 11y0 Job No.1449-IV 4 Kt Sc( \� R o a d O� Ppwer C � Pad Flood D P/ain f '► IUll &S.ihlssa ' NOMAD as 1 1 19 18 ►\ rA . ' �r t t ✓ul e Clark dr Michael Cronin L/so & Janes Winslow } -/ 17 _Sheet 2. 4 LIASS 16 i° id �"' �� JL s t 't t ntisel 1i s `� .lL. F. St I 0 4A fr 14 R 9 tib���t ti a oo o �fo d i �� •k100010 at tt i 8 i 4 BASEMENT AND AGREEMENT FOR f-0 SUBSURFACE SANITARY pISPO Lot #17 and #18 Sherwood Drive North Andover, MA THIS EASEMENT ANDAGREEMENT made this _ALLday of 1999 by and between L� of Massachusetts, (hereinafter called "Grantor" ) , and �- of ''"� Massachusetts, (hereinafter called Grantee" ) , WHEREAS, the Grantor is the owner of the property known as Lot #17 shown on a plan entitled "Planned Residential Development, Jerad Place - Phase IV, designed for .Timberland Builders, Inc. , 15 Clement Court, Haverhill, Mass, prepared by Thomas E. Neve Associates, Inc. of Topsfield, Mass. dated September 1, 1995 and revised to March 12, 1996" said plan being recorded at the Essex North District Registry of Deeds as Plan No. 1284.5. WHEREAS, the Grantee is the owner of the property known as Lot j18 shown on the aforementioned Plan No. 12805. WHEREAS, the Grantee proposes to construct a septic system to service said Lot #1B, which system will entail installation of piping, distribution box, septic tank, effluent connection lines with appurtenances thereto and/;or sewer pipes which shall be connected to a series of leaching pipes, (which hereinafter shall be referred to aswthe "septic system" ) , which septic system shall be located on Lot #17. ` ^U ';' WHEREAS, in. order for the 'Grantee to effect such construction, it. will be necessary :to enter upon the Grantor's property. '.. NOW, THEREFORE, for and in consideration of the sum of One and 00/104 ($1 .00 ) Dollar, and other good and valuable k, consideration, the receipt and sufficiency of which is hereby acknowledged, Grantor does hereby grant, convey and release unto the Granted, its successors, legal representatives and assign.$, a pexmanent right and easement to enter upon certain property f known 'as Lot #17, to construct, lay, operate, maintain, inspect, repair, remove and replace a sewer pipe and leaching pipes and to lay, operate, maintain, inspect, repair, remove and replace any part or the whole of the septic system as described in plant; entitled. ' Sanitary Disposal System designed for Timberland Builders, Inc. , Lots 17 & 18 Sherwood Drive, North Andover, Mass ., prepared by Thomas E. Neve Associates, Inc. of ToP afield, I Mass . dated October 1, 199611 -and approved by the North Andover Board 'of Health on 10 `7 ..,,_. 19 9 7, together with a right Of ingress and egress for any and all said purposes, including the removal of, growing crops, trees, or shrubs, therefrom, and the right to bring upon said Eaaement such equipment as may be noce:Qsa.ry to do any and all acts deemed necessary toymaintain, operate, inspect, repair, excavate and replace sewer and leaching Z i.ne s or an other Y element of the a®p tic s stem- in v Y r over that portion of the said property which is owned" by the Grantor. Grantee agrees` to return the premises to its present state following construction of the project and following each subsequent entrance upon the property for the purpose of maintaining the system. Grantee agrees to maintain the sewer pipe and leaching .:. pipes and all other elements of the septic system, including necessary repairs and replacements. Said elements of the septic system shall :be the property of the .Granteeand shall not become a fixture to Grantor,a Property and shall forbid the in of hazardous or toxic materialswhich may interfere with the proper operation of the septic system.. Any action by the Grantee pursuant to this Basement and Agreement shall not be deemed a trespass and the Grantor does .hereby indemnify and hold harmless the Grantee for any and all damages incurred by said Grantee as &' result of this Easement and Agreement other than willful or intentional acts of the Grantee, its agents, employees or assigns. The Grantor, his heirs, successors, transferees and assigns shall be prohibited from placing, constructing or maintaining any driveways, fixtures, structures, tress or shrubbery onthe easement area, and shall be prohibited from placing, -constructing or maintaining any underground utilities or fences on the property that would have the effect of impeding access from Lot 18 to Lot 17, for Pur po$es of maintaining, 1 inspecting, operating, repairing and replacing the septic $YstQmIII It is the intenVion of the parties that the Easement area shall be loomed and' seeded, and shall remain a lawn area. This. Easement shall terminate at such time as the Grantee extends and completes a connection .to a public sewer or treatment works, to include services to Grantor's property and the properties shown on the referenced Plan No. 12805 It is expressly provided that this Easement is appurtenant to Lots 1T and 18 and shall run with the land. To. have and .to hold the aforementioned described Easement to the proper use and benefit of tha Grantee, its succeeaors, k legal _represent atives. and assigns . t Executed on the day and date 'rat, above written. ' GRANTOR• 6th GRANTEE: COMMONWEALTH OF MASSACHUSETTS Then personal]. . Y appeared the above-named, - w .and acknowledged the foregoing instrument to be'�he�Y frees �' and deed, before me, ✓f Nota public MARIA N. BOND My. Comm. EXP. Notary Public COMMONWEALTH OF MASSACHUSETTS My Comm: Expires-0ct. 23, 2003 Essex, ss . 1497 Then personally appeared the above.named, and acknowledged. the foregoing instrument. to- be Free act and deed, before me, r Notary Public My Comm. Exp. VE'I MIT NO. _ c a APPLICATION 1iOit I'EItMI"I' 7'O 13UIL1)**** ***NUR"1'll ANDOVER, MA At\( a(). �(��^� LUGNO. / 2. XlCOXt►OFO\cNlXSitIP DATE BOOK PAGE 7UnE p��lld I1 N'.LOf Nf). / 11If A I MIN /1 DD C� �0` _ WIHN(OE111�IX IIIINNti — UNNER`S NAME m).OFsroRms fSIZE — 1 NVNt:R'S ADIRtt SS G,n 2 ^ / , ,v /✓ / L UASENtENfleft5lAll:\R(1111ECI.S NA1.IE SlIki(*F►(XIR I1)uRIFRS I c>)- 2 Nn c;2)<"�C� 3 HI III I>tR S NMtE _ �7S SPAN /LG DNSTANCF.TONEAREST BUII DING 'Yz rxktENSi(XJSt t.S11.1 s \/� - INSrANCEIROMSTREE'i' �Q I)IAILNSIONS(7FIYDIs IMS VANCE FROM LOT LINES.SII)ES AR '�7 c t DIMENSIONS(F GIRDERS AREA OFI.Ur Q° Ou IIEICA frOFF(x,NIMYION ISUIMAXTIIICKNC•SS .�'� <• N(iNEW /�� SIZEOFF(xitINCO / /� , X ISUI111.DINGAfXATIUN /1.6`© C✓ V MA fERIAI.( CI IIAINEYIS BI111.DING ALTERATION � ,( IS DUIIIHN(;ONSO11Dk1RFit LEDhM) Gw 1! Wit 1.DUILtIING CONFORM TO RE(21)1REMENIS GF COf)E /y J >r/ ISB(IIIDINGCOt4NECIED'IOTCYNNWAIER �C IX).*.RD OF APPEALS ACTION,IF ANY J !6 ISDIIILtANGC(INNECIEI)rUTOWNSEWL-R16 IS BUII DING CONNE(-'1 ED TO NAIIIRAI.GAS LINE INSLU('f1ONS I PROPERTY INFORIII.�TION ` PC /CPS a S� l� LAND COST av-o P1GE I FII.I.curSECTIGNS 1•3 ( E51.UI Ix;.COOT :74 � Es r.Dl.lx;.COS r I'tR SI2.F T. Ei.ECfRIC NIEfERS MUST BE ON(xRSII)E OF 131111 1),M; ES r.at ix;.C'(is r 1'EX HO(IM SEPTIC PERMI f NO. A n'ACHE)GARAGES MUST CONFOR&I rO S rATE FIRE RE(SOI.ATIONS ;• .iPI.uo 'E1)BY: PLANS MUST BE FILED AND APMOVED BY DI111.DIPIG INSPECTOR BU11.111NC INSPVC- )R DA I E Fit FI) OWNERS TF1 M �2-a CMRAEI M $1(iN.4 PURE(F O .R t IR Atli l M)RIZED AGENT - CTWTR.1.1(* ��'—(� Z It.t.C.M PU RMI T GRANTED47 c;2L q 19 G X,3 65 4 H q, :3 -3 oa OX 3q X `31 = lac,) 31 ORTH Town o Andover� 0 No. 3 3 c;� I . �O AKE O ndover, Mass., Amy /.2 C 0 C KICMEWICK DEC .9SDR'4TED P' SAC HUI T SE 1 FOR EXCAVATION FOUNDATION THIS CERTIFIES THAT C ®O ��V' 4./ ..........l.. ............................ 06 has permission to excavate an our foundation at ... w 2> ' for the purpose of.....4 .. .... /1'1/Y.....�w .... �aP�/.. ........f .P The person accepting this permit must return to the office of the Building ector a cs ertified lot Ian show P of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. c f .. ..... ...... .........(! .....................I ..... BUILDING INSPECTOR z RTH own of OdoverL O 33a F- 70 * r c� dover, Mass., 7/6, 4 / g? g 0 -rE D P'?Y1 C7 S S! 4 BOARD OF HEALTH ijEnMI iI T Food/Kitchen Septic System THIS CERTIFIES THAT......... '!.h w..m ® BUILDING INSPECTOR ..... .V...........wL...�.�............................. Foundation 1 ,. ....C. ). .................... Rough has permission to erect.............4.......................... buildings on .l�.O....... ,I �W OOd to be occupied as.... I.N .. . ............ �.�.. ......t>w.e`l 1.N. ...... ..... all..... '{ . C. ,O Chimney provided that the person acck#ing this permit shall i every res ect confor� to the terms of thea application pp anon on file In Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough !�S C PERMIT EXPIRES IN 6 MONTHS Final P UNLESS CONSTRUC OWTTS ELECTRICAL INSPECTOR I� Rough r/t ......e Service ILD' 5 y BUIN Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Growth Management Bylaw Exemption Statement Town of North Andover Building Department This forth shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building /Permit(/below) Address of Property for Permit(below) fid` Map and Parcel :los' iyPurpose of Application (check below) PhonePpmber oofA Applicant • �Single Family ,Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. f Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit ig issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. _L1L The lots)were/was created prior to May,6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning y1aw. - This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a property executed and recorded deed restriction running with the land. For Purposes of this Section'senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved forth U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the.Building Department to issue a Building Permit. au ure whet or Authonzed Agent who si ached Bwlding Permd a[e This form must be attached to the Building Permit upon application for such permit. i AA' 1 FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtainedT This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. 1 ****************Applicant fills out this section***************** APPLICANT: A 511ecGc18-d A Phone -LOCATION: . Assessor's Map Number _/6!;:/c Parcel r Subdivision �TA eLki. Lot(s) Street _ �he�(,�iDo� �(� �� St. Number �_,>✓ ************************Official Use Only************************ R ENDATIONS OF TOWN AGENTS: Date Approved ation Admini trator Date Rejected i Comments Date Approved Z S� TAwnI C1 ne Date, Rejected Comments i Date Approved Food Inspect-or-Health Date Rejected Date Approved l 2 Septic Inspector-Health Date Rejected Comments X//Y) M Public Works - sewer/water connections �W - - driveway permit �- Fire Department ` :ii 'rs .�.i �; (��%�o /����/ry«% �� `/ ✓1��, i;�����' Received by Building Inspector Date i' MAScheck COMPLIANCE REPORT Massachusetts Energy Code ; Permit # ; MAScheck Software Version 2 .0 Checked by/Date ; CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE: 7-22-1999 DATE OF PLANS : 7/22/99 TITLE : PROJECT INFORMATION: Sherwood Drive Lot - 17 North Andover, MA 01845 COMPANY INFORMATION: William Barrett Homes 1049 Turnpike Street North Andover, MA 01845 COMPLIANCE: PASSES Required UA = 881 Your Home = 825 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2608 38 .0 0 . 0 78 WALLS : Wood Frame, 16" O.C. 3726 15 .0 3 .0 249 GLAZING: Windows or Doors 943 0. 350 330 DOORS 16 0. 350 6 FLOORS : Over Unconditioned Space 2800 19 .0 133 BSMT: 4. 0 ' ht/4. 0 ' bg/0 . 5 ' insul. 80 10.0 12 BSMT: 8.0 ' ht/7 . 0 ' bg/0.0 ' insul. 75 0 . 0 17 HVAC EFFICIENCY: Furnace, 86. 0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310 and J4.4. Builder/Designe'r Date Cl- IL 14 '""'y'•ro f `"o ► ,� ,,152- \1.9'��.;�r�s\`• \ -' \ `��; �`a .. I \ \ �e � i' /fjOp FNfj DKAI►J � BIle IN - l ISO - a I' ------ _ PRo_ �g =Por,1 " ;. • �` l SE o • DSS ;'�1 DV1l$tt: ' ---- Z � a G I ToP oF'Fw 1y - ' 9S-T i X154.0 ' M1;FL ALL 1+465 ' 15� CaAR:Fb i:• I I I I OI � , ` w r ,� I FILL `\ 1 1 I I ' RtQIT N� `� 1 j�.• ,53 \ ---- -mak \ N ` ' J 95-29• - - ------- 93- IK a• Z - FALL ♦. x' iZ. 15 2417 N fi Existindc �yood 1-�48 73. 18 R =3 75.70' '.1 00 ' ,-------- Side w4/k ---- 11 .9S' r� W 7 C/ 1 I h ti 4 N2 8 8 APPLICATION FOR 1h/ATER,SERVICE�CONNECTION` -` North AndoverMas 1 ' 19 C 95. Application b the undersigned is he made to connedwitf the town-water'main in pp Y g Y subject to the rules and regulations of the Division of Public Works. The premises are known as No. Street ' (o or subdivision lot no. �, , �oZ'Zs7z) Owner : . Address r.. ._ Z - Contractor Address r € x= V- 11 r rr plicant's Signature- — Y :A All p m _ c e►� zz 51 SII: - - _"_.. - .. __" �•_ __ � PERMIT TO CONNECT WIT WATER MAIN Th e Board of Public Works e b c o s hereb rants- ermission to � hereby P to make a connection with the water.main atStreet- -- subject to the rules and regulations.of the Division-of Public Works. and_'of Publ'c Works By Inspected by - Date See back for rules and regulations TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 f AORT►f 9 O ti [o ,ar tiQ QL ' 0 ..i_. �g1YF0♦Py�S 9SSACHUstit DRIVEWAY PERMIT Date: v19? 2 LOCATION: , U0_DCD_ &4 BUILDER: phone: OWNER: ��r�r�o' �G�✓ phone: 2 -Z32Z The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: a Date./.'. . ..'..©.. . . HO RT/y •�� TOWN OF NORTH ANDOVER a -`/PERMIT FOR PLUMBING r � r I'SSACMUS� i - This certifies that . . . . . . . . . . . .° . . . . . . ' has permission to perform . plumbing in the buildings of . '°'f . . . . . . . . . . . . . . . . . �, North Andover, Mass. PL' SING INSPECTOR Check # 6534 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS _ / �)eT f p Date Building Location ,//j J�7 (000J ��,Ve Owners Name r ' 80'/'17P—"� Permit# 6 Amount c3� Type of Occupancy P-es'j Wc-*-- New Renovation Replacement 1:1Plans Submitted Yes 11No FIXTURES W. Cr sS>B M B�glv>Fru' t BE R" anr� 4M Fl" sM>U 6MFU= t 7Ml" sn3K (Print or type) Check one: Certificate Installing Company Name �CI Corp. Address r✓u r l eaPartner. BusinessTelephone �F- -77-)- 6999 Frm/Co. I Name of Licensed Plumber 1,,Dkr;S f O Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ® Bond us 11 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 perfp rmed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St a P bing Code Cha ler 142;ef the General Laws. By: igna u o ice a um Type of Plumbing License Title City/TowniL�nT TNum5er Master Journeyman ❑ APPROVED(OFFICE USE ONLY o14 r � Location 9 /� No. / Date - r NORTM TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee �cNus I Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # , r 1 7620 AN Building Inspector Sent by: MVW Accounting 878 960 1372; 08/05104 6:14AM;JetifiX #966;Page 213 AUC-05-2004 08 :4b AM LIBERTY CONSTPLICT Ihi 19 c$bB439a`ti P. 02 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT AP o11 M—NOVATL OR DIMOLISM Bun.rMa PM#Iff .: /�� 2 7rsstJEo: ruIGNA�"t1RB: _ BWLdin Ct>mat a_NaA BWgime B ' Date SECMN I.SITE »+ORMA1"lm 1 y Adout: 13, .1srocearo q+end PW c d mi ml w —Nil � Parpof Nutgher 1.3h InEuemelioo: a y ' Zarin 17Lrt�iQ Ar .Ua Y.et Acre p� 1.6 MqL0VG SELTAC From Yard Side Yazd Rear Yard Rx fired I ProvideRe red Provided ipd �y �- t.7War 9nypb M.c�C.1a 3i1 1.S. f+l■m Te■s Fr11& 0 Pyiwbn p maw- ovomw Flood Tea 00 air 0b oml Spam 0 SIMON 2-PROPERTY O'WMiksEi iATiJT1[i0EI7,T.p AGWXT W. 2.1 of RaW k,—ve-. Sarvitx; LWLaN& a ♦{o�D� l +itnr• telephone �2.2,00wswdRacow: t sher •Arint Addy=for Se vmw - X78 z5-WU 5i to Tc10 a" •SIMON3-CONSTRUCTION SERVICES 3.1.LiiimmeeW Car<al wk ao Bupw%iw.���y+ y ♦ Not Appfirablo ❑ V Liaenaed 06arcvan1on/S�upavivr' 1 ! ® � ��/%�/I���/ ✓� �� /''J- �2C�v/7 J Yy� L;cooao Number E�iretian Date S��anue ot■phan• 3.2 Regis 3iamo Impravanant Canfx o" "big ❑ Umpaey Name . f1 hD-x1-11awy RaWAvdm Numbw Addreae (-3, 2 Sent by: MVW Accounting , 978 960 1372; 08/05/04 8:15AM;fg(ffix #966;Page 313 A. UG-lD5-.' aeq c8 :46 AM LIBERTY cor4srRuCTIN 15,rS6&4zkaaq P. 04 . VMV4-WOWWW COUINBA ON(K&L Warkats Campeonteon Ltwraawo affidavit;00 oaaploud w d"bofte W&this ttppl i:wbre to provide this affibMtwriffrnu t ig the dnisi nldta Wu4nm of tate !W0vit Ytat. •.❑ 0 1-/ m-, flyeOtr{t New Cart bvdiaet D Existing BWding 0 W3) 0 Altetrafi w3i ,Addition Q Accessory Bldg. ❑ Demolition d Cnitet f7 Specify B D tteriptioa of Pt+opoaw work �Gls Z� U��S' (429LLI; 61 U-0 L l.4/0-,' �<L 2C�aJ. 0 SPH S v� V`v dG 5$ Id iATO CODS COSTS fteYn Esdmated Cwt(Dnflm')io be —WA d t keattt I. 92ding tau tt) BmiuldiwngPermit ee jot. 2 Elcoa Z S D — (b) ►wd`fow coif of l�` 5-6o --— 3 Flora Bedding Pernat fee(s)t td) / 4 ;W AC °u � 1, 0 S Fifa� � v'� ''�' d Takia! f+ r3 M+5 C SltCnOitl 79 owNzn AvTmD tIEATf N TO 331 COIt3P'LlMV WMN OWN=AGENT Olt CONTRACTOR AY+P1�'VOR BMDINC-PRRMI7' JanwBa es _�._- as UwnfftAuthorbzed Agent of subject property o Hereby authorize /s �'�l ` to oat on My be i, nal}matt ative zA k atuthorizw by thio bnildis*ptxmit application- 3ilau� of F f' 51CTWN 7b O R1® _ _tD D At3�,"NT DZCL%RATJ N V i nu,d nit As OwntWAuihori2,ed A$ent of subject Prope"HmbyAso1w Uw We statemem"infgtmotian on the foregoing aWiwtm are but and ancatrate,to*a bm of my knowfextge Rud befitd' r�$ nt it9 a� fit tore of Owls lA ent � Aare OF STOPM, S7ZE BASENAI "f OR SLAB SIZE OF FLOOR TFMSERS I 2 3 SPAN f �X)N8 OF SILLS Df]►ENSI)NS OF PWTS ONS OF OMDERS mffff Olt'foUnXT O—N TOCK SIZE OF FOOINO #C MATERIAL OF COY 15 BI IIf_lKG ON SOLA)OR FILL, t af�m IS BUII.DWO CONNEC'rL-D TO NA �(N INCA FORM U - LOTEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *"""APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT VA-UN J A P/I) s S PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET �� � Q �'� ST. NUMBER USE ONLY******** ********** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED. DATE REJECTED , COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOaINPE OR-HEALTH DATE APPROVED DATE REJECTED Sr T -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT • RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number:wCS, 075045 r Birthdate ,06/18/1956 Expire.06/18/2005 Tr.no: 13246 Restricted:,<00 STEVEN M BROSSEAU' 4 ANTHONY RDe�i N READING, MA 01864 Administrator �r Board of Building Regulations and,Standards. 4IOMyMPROVENLENT CONTRACTOR Registeation: 133858 E, IQn: 8/20/2005 ._. Types IA.diviftal STEVEN M.BROSSEAU. STEVEN BROSSFAU 4 ANTHONY RD. N.READING,MA 01864 iVdipinistrator Sent by: MVNJ Accounting 878 960 1372; 04112/04 12:32PM; #558;Page 111 a c> _.._. ... �; lam-' ,� ��r' �...a_A. '..—.. � :e•.-it' •.y...•.,. v,... .. ' � vw'«w�'rwt���wY+MW�1.rit.Ar.' .:�, x,.. .�n:i.►iriv� wn � � ,.t"I'N""�'"Mv"J�w�'•t+'.��."�"r-. 7F.f'�.LE �"�'AQ i':7S':..::. ,. � _I" ..1w�� '.a'•"r',o'•,'r''Fw-•y.,' •� dgf'F,.�' :+.rMM��ay.ars.r... i I.r... .... rwa:.•M:i ., "r',i'�r,"n-it i4•i10..:.i��J;`.'Tq� yy:a� "��. d,� •uwr.+ t � '•_ ', •YL:'aulw... -(` •'�w eM.rpl.. ..•�W.1.Y..ii•i•.� •� v11e�.'" •�„.q.�1'`��J. ' / 4. -77 X1,•.1 ... ...�+. . �,••,.•.�-- .-,.xe_e. 'd PD M a o7 f f North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant � v Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector . NORTH o -o _ 4 over No. - LA E dover, Mass., COC KICKS WICK ATE D 5 '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ........... 8A..em.4.4 .............................. Foundation has permission tout. AFiva.A............ buildizoom on -7...�...f M^w • • �........................... �...... *W.. Rough M 1 �f Ali f ,s# ,��r• ��rM V i Chimney to be occupied as.... . ....�..5.�...... ........... • y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /00 S C / � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough FinalPERMIT EXPIRES IN 6 MONTHS LESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .�............................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner. Street No. SEE REVERSE SIDE Smoke Det. Location Al/ SA pr LD OC)d Jf. No. Date `Y o�7"o7�DJ r 40RTN TOWN OF NORTH ANDOVER f � + ; , Certificate of Occupancy $ �'��''••�•Eta Building/Frame Permit Fee $ ACNU S Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 11 17 Check # �/ A 6 ' Building Inspector TOWN OF NORTH ANDOVER y BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING This:�:for Off>�ciai I#se©nt BUILDING PERMIT NUMBER: l DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: - � S�P;1r1J�Q�� �r')d'Q✓ {7[x!1 ' / � __ Map Number Parcel Number 1.3 Zoning Information: 1 1.4 Properly Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RequirET Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 7 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record .Name(Print)i Address for Service /z- Signan& Telephone K 2.2 Owner of Record: O2`j O Name Print Address for Service: Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor: O License Number Address Expiration Date E Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name rn Registration Number r - r Address Z Expiration Date v A Signature Telephone �+* t HORTF., ��►o r► N Town of North Andover o4. Building Department p 27 Charles Street North Andover, MA. 01845 '�A D. Robert Nicetta SSAC Set Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE JOB LOCATION <1 pz Number Street Address Map/lot 6 "HOMEOWNER Name Home Phone Work Phone PRESENT MAILING ADDRESS i City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered.a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE— AIL- APPROVAL IGNATUREA ,vvAPPROVAL OF BUILDING OFFICIALJAL SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) �Wo6ers 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 building it. Signed affidavit Attached Yes....:..❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other C Specify Brief Description of Proposed Work: AiLd SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be of OFT�IAI.USE`ONLY Completed by permit applicant , 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of ` Construction lJ 3 Plumbing Building Permit fee(a)x (b) 4 Mechanical(HVAC) /I 5 Fire Protection / 6 Total (1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT O SIP—p4 i I. �p,(n�S as Owner/Authorized Agent of subject property Hereby authorize Advo (-,P— � �` to act on My half, i t al matt s relative to work uthorized by this building permit application. 3 `o dl Sil a ur of Ov<ner Date SE IO1N 7b O ggqWNER/AUTHORIZED AGENT DECLARATION I, �St� G t nt°S as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief �d5e/�h TT . /JQ�n25 Print e �C) Si at of caner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1ST 2ND 3 SPAN DIN ENSIONS OF SILLS DUV ENSIONS OF POSTS DiN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFUN NEY IS BUU.DING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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. APPLICANT ����'J nJ sue C 4 1` S PHONE °l cam— OA 0 1 ASSESSORS MAP NUMBER��G LOT NUMBER SUBDIVISION LOT NUMBER STREET �'Q�� o® �- STREET NUMBER — OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS r` je DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS T t 6 U'/ ^ ���y�� w�s✓I/ DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH f D TE REJECTED COMMENTS � .� � U4- PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED. DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE �' ` NORTH F Town of , Andover No. a ..... ..... ti - y -Q3- ,Rofo o = LA o dover, Mass., COCHICKEWICK ORATED 1 S H BOARD OF HEALTH Food/Kitchen PERMIT. T D Septic System BUILDING INSPECTOR O�� P ..}..� � Y....... 4�MPJl............................ Foundation THIS CERTIFIES THAT..S • has permission to erect.....�.�1 ..��. ....... buildings on .... ..'........6.4tPWO.044.....PRIA)�• Rough � �o014- 106J9 N . .......P.. �0 . Chimneyto be occupied as....IN6rN. ...... ... ... ... . . . . . ... . . ..... . .....r . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M 1 o s P n r PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR • Rough ......... .. .............................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved b the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. 3190 Dated.-..`�!. .g...... NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION F � p .ao•�� 4`� t` �9SSACNUSES . This certifies that .f /.�. t./,./;I. . . . . . . . . . . . . . . . ..• has permission for gas installation in the buildings of . . .( .�!='/�./;. ! .7. . . . . . . . . . . . . . . . . . . . at . . .f . . . . . , North Andover, MSs. ,. �. Lic. No.F. . :?. . . . . . . . . a._.).t. Fee. GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer LMAP lU s� C - 10 PARCEL -2 �2 t —' CH SETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Cate G/ Permit # Building Location All - Owner's Name2!/ Type of Occupancy New fa Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ ¢ N W in Y Z Q N y N u N ¢ N ¢ O N = H W ¢ o u r_ _ 2 0 ¢ !� < Z O ~ W < m of ►- <ir w O W > LL ! J W z t W t C F- H >. N m Z O O u S a W > ¢ w n < a < o o W o w �- ¢ 'Z O c9 2 u ; o il J U C > o a F- O SUB—BSMT. BASEMENT O -� IST FLOOR _ 2ND FLOOR ARD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR ..,, ���� Installing Company Name —&.46, Check one: Certificate Addressy �*�-' . Corporation ❑ Partnership Business Telephone 6 A 0 9 —4 L3 Firm/Co. Name of Licensed Plumber or Gas Fitter EGyi7tL INSURANCE COVERAGE: I have a curreS liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 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: 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: owner[] Agent ❑ Signature of Owner or Owner's 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 permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws. p�= A By T of License: l�Y.�1.435 J Plumber gnature o cen Plumber or s titer Title slitter INP '7 Master Ucense Number City/Town Journeyman I .4 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES I F FEE a NO. i s APPLICATION FOR PERMIT TO DO GASFITTING 1 1 , NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. i PERMIT GRANTED DATE — 19 GASINSPECTOR Date.61. : .'`.` / . .r 4050 .40°T: TOWN OF NORTH ANDOVER f q 3j •`�� ��OAC PERMIT FOR PLUMBING ,SSACMUSE` This certifies that . . .roq has permission to perform . . .,V e.�Vt . . . . . . . . . . . . plumbing to the buildings of . . . f``?/I ac . . at A . . . . . . . . . . ., North Andover, Mass. Lic. No.. .7)... . . . . . � . .jS (PLUMBING INSPECTOR 06/15/99 14:43275. PiID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MAP �5 C, UNIFORM APP ?J PARCEL` 7 5 FORWARD ..._ U L1CAI10 �'1117TO MBING (Print �orr Type) An� —, mass. Date—6 / 18 "Y)f Permit # Building Location —e,� 6� Owner's Name G�/�i• � Type of Occupancy New Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z z Z Y F• ] h N N O Z Z W W W in J a r u < V) n o aW. V) z N < (A < r' z O _ z — a N — H VI S W VI a. U 5 m N W Y < r N Z < yr Z S (t W WO 7 W J — D 1 W 2 ~ ~ O = 3 Y a. ¢O f. < Y q W LL Y W r u < 3 = a z N r O a Z Z W H O u 2 > r O N a O z 0 a Cr O < r- N u. U < 3 LL aI O SUB—BSMT. BASEMENT 15T FLOOR ^l 2 N 0 111.00A (� 3RD FLOOR r54 TH FLOOR TH FLOOR 6TH FLOOR 7TH FLOOR BTH FLOOR +H Installing Company Name �`L !�-�`/Y —/ Check one: Certificate Address 2 ' r ' ZCorporalion ❑ Partnership Business Telephone G'aL3 d'�3�33'Z ❑ Firm/Co. Name of Llcensed Plumber JFLIJ/7` "LG� INSURANCE COVERAGE: 1 have a current Ilabllay Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yea 2 No ❑ If you have checked yn. please Indicate the type coverage by checking the appropriate box. A Ilabllfty Insurance policy A Other type of Indemntty ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee docs not hate 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: Owner ❑ Agent ❑ Signature of Owner a O+mer's Agent I hereby unity that all of the details and information I have submitted for entered)in above application are true and accurate to the best of my knowledge and that ail plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Slate Plumbing Code d Chapter 142 of the General Laws. s V— m By gnalure of t5eensadPlumber Title Type of License: kAasler � Journeyman❑ Gty/Town L License Number T G Sg�� r BELOW FOR OFFICE USE ONLY { r L FINAINSPECTIONS �• � 3KETCNE3 PROGRESS INSPECTIONS FEE. NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME;TYPE OF BUILDING LOCATION OF BUILDING s r t. I� PLUMBER r � a 3 ' f PERMIT GRANTED l� DATE 19 PA �w PLUMBING INSPECTOR CERTIFICATE OF USE & OCCUPANCY Towyn of North Andover Building Permit Number O 76 9 Date aq THISCERTIFIES THAT THE BUILDING LOCATED ON 71/ MAY BE OCCUPIED AS 5�- i �d� U��e IN ACCORDANCE r WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. pf MORT,pyo CERTIFICATE ISSUED TO ADDRESS Building Inspector ._ . tAORTH o fdover L E D ' lown0X No47e, �- CO Hd®ver, Mass., o� A RATED PPa41 S F,{ SE BOARD OF HEALTH Food/Kitchen PERMIT T Septic System it THIS CERTIFIES THAT...uC ..I�CI�W � �e V. �. C BUILDING INSPECTOR .................. ....... / Foundation14A-�_ has permission to erect... . ......................... buildings on ..�o... ..1.. ..C.. yl, "Wood �� • Rough '!1 0 L to be occupied as..`�,:I.N . . ,'! �A/1'11 N/,���� �A J /�j?1 y..... .... ..... ..... ....... 3.... ...........1.......0,10 / . Chimney provided that the person ac epting this permit shall in every respect con06 to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of rinal /���C�/ /� ' Buildings in the Town of North Andover. ,PLUMBING INSP CTRR VIOLATION of the Zoning or Building Regulations Voids this Permit. ' / PERMIT EXPIRES IN 6 MONTHS I anal S S UNLESS CONSTRUC N S � S ELECTRI AI INSPECTOR ,. 0. r Rough--. 'z i .1 1*11:006004011(goo ..... Service UIL G INSPECTOR Fi Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough ,g S No Lathing or Dry Wall To Be Done G Until Inspected and Approved by the Building Inspector. I FIRE DEPARTMENT Burner J Street No. SEE REVERSE SIDE ��� ��'1" smoke yet. N22 00, J 1 Date..4.....................� . NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMuSE� This certifies ..............,............... .............................. has permission to perform--::1 wiring in the building of...�.. ` at.. .......- ...........................................f......,North Andover,Mass. Fee r:Y... �.�...... Lic.No�e:�'" z/. ...............;/Zr. ................... / ELEcmICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer C,ornmonweaIg o/Vaeeacliwelb 01fFicial Use Only 2c e� Permit No. 1 a-rlmenl a�,}ire �ervicee r � Occupancy and Fee Checked �f BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in aecordancc with the Massachusetts Electrical Code(EIEC),527 CNIR 12.00 (PLEASE PRhVT LV INK OR TYPE:ILL hV1---01Lh1,-l77ON) Date: City or Town of: X110 41u0 n UR 1, To the Inshectot•of I-Yires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) y Owner or Tenantj b,j ,P Telephone No. Owner's Address Is this permit in conjunction with a building permit.' Yes No- ❑ (Check Appropriate Box) I'urliose of Building t()(J,t fI l,n L Utility Authorization No. Existing Service Amps / 1'olts Overhead ❑ Undgrd ❑ No.of tlIeters . Ne%.v Service Amps / Volts Overhead ❑ Undbrd ❑ No. ofiYleters= Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 17 n h`, fJJ Completion of the/blluivinc table may be waived by the hes cera of{Vires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans !No• of 'Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Futures Swimming Pool Above ❑ In- ❑ t o.o mergence Lighting rnd. end. Batte •Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARNIS No.of Zones No.of Switches No.of Gas Burners No.Liit utinQ Devin es TotNo.of Ranges No.of Air Cond. Tons No. of Alerting Devices Heat Pump NumberTons Kw _ No. 01 Sell-Contained No.of Waste Disposers Totals: - Detection/Alertina Devices 4 No.of Disl' asliers S ace/Area Heating K`V Local itilunicipal p g Connection Other Heating Appliances Key Security Systems: No.of Dryers No.of Devices or Equivalent No.of Nater K►V No.of No.of ' Rata tiJiriug: Heaters Signs Ballasts No.of llevices or Equivalent No.Hydromassage Bathtubs No.oi%lotors Total IIP Telecommunications Wiring: No.of Devices or Equivalent. OTHER: ilitach additional detail if desired, or as required by the Inspector of Wires.- 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"covera,e or its substantial equivalent. The undersigned certifies that such coverage is iii force,and has exhibited proof of same to the permit issuit -office. CHECK ONE: INSURIWCE Er_BOND ❑ OTIlER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with INIEC Rule 10,and upon completion. I cer•tif},, under the pants and penalties ofperjrtr)-,that the information on this application is trite and complete. IrI12i\I NAME: Buddy Electric Inc LIC.NO.: 12017'-,A Licensee: Virce nt B. Landers JR Signature4LiC.NO.: 23684 E. (If applicable, enter "excnlpt".in the license number line.) Bus.Tel.No.- 975—4 4 5 5 Address: 24 Colgate Dr R7_lindnvPr , Ma .O1 41i Alt.Tel.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 ain the(check one) ❑ owner ❑ owner's anent. Owner/Agent ' PIsR11IIT FEL: ` Siignatue I'elcphon e No. c• '17 3 7 Date...... .y ? . F` °RTH 3:° N '41 TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSwC MUS ` This certifies that .... �.! ........ �.... .. �. ... ......................................... has permission to perform ..... .�,� ......... ............................ wiring in the building of.... ...... v .......................................................... .................l � I...................................� North Andove r ass. o r` ELECTRICAL IN eECTOR 46/23/99 14:09 390.04 RAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 1Q�THOFM4,SS4CHVS= Office Use only MAP Z DEPARTIKFIVTOFPUBLICSAFETY Permit No. �— OFFIREPREV=ONREGUL4TTOM527r Occupancy&Fees Checked 90 rPARCH Q ' PEIZAlff TO PERFORM ELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 coat 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To th4sp , Wires: The undersigned applies for a permit to perform the electrical work described below. f �f Location (Street&Number) Owner or Tenant Ga e— N Owner's Address l 6 y Vial�S _ Is this permit in conjunction with a building permit: Yes PM No ® (Check Appropriate Box) ((�� Purpose of Building �,;/vGL� /01 ty ��� ` r�iL Utility Authorization No. (b Existing Service Amps / Volts Overhead O Underground ® No.of Meters New Service Amps /,C G Volts Overhead ® Underground No. of Meters —� Number of Feeders and Ampacity Locution and Nature of Proposed Electrical Work A,,,5 TA',L W A,Aetg� u/ ,'S_ A16 c- 5 Gu,vb N,o.of Lighting Outlets No.of Hot Tubs No.of Transformers Total x KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground eround No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumos Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local a Municipal Other Connections No.of Water Heaters KW No.of No.of Sins Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTH�,R: e IrmrarreCoye'a4e Ptasl�ty�ther�ana;tsoflvla�sad�>s�C�enaalL� I halve a anUt Liabu*ksiw e Prlicy icb±ng Carr��" ' Covng!:or its sal aau g YES ® NO IharestkmxedvandprwfbfsanetatrOffi e.YES ' i NO If}cuhatie YES,pieendcm hetA)e,cf raaQpbyd>ezkirzgthe TpqmV bcc NRRANCE O BOND OTHER ftaseSIMHY) D{mr D.W Eslrm&d VakjedE cbcal Wait S Wak io Sw hrpec6m Dai Requested Raigh Final Signed wdeM Pt3la�—)Ca$-. FiRMNAME /p I ( C LbalseNIa Lra>see A) 1 bhb,�tyy Sgroure Liar>SeNo A 16�',„ — I Btair�ess Tet Nh 4 , 3N1�Cil(oT iyr�Q 1)) L v.�Aj Alt Tet Na —67177 OWN 't'SN�WANER;lamawN=thadrl- 3sedDestnttn n thec race aus t le v�tastt mEdbyMas at Lams and fArmWn�xucnfspamkappfic wv4isesthis (Please check one) Owner ® Agent Telephone No. PERMIT FEE S �� "v .0 } Oomm ont.ftalth of'Massa,chusetts --- , , pial use only DepartmeW of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked. Pa cY [Rev. 11/991 leave blank O APPLICATION FOR PERMIT TO P R RM ELECTRICAL WORK All work to be performed in accordance with the Massac Electrical Code C�5 7 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: � � City or Town of R� P ; To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. , . Location(Street&Number) 4 j H r-/L w60�5 Owner or Tenant ty ANC y ' Telephone No.`),Jz6 Owner's Address SA M Is this permit in conjunction with a building No -'•(Check dmg permitY Yes ❑ AppropriateBoz)��t Purpose of Building �„�� -� ��,`.�- CNY—N Utility Authorization Na Eiisting Service L a o fps t to I .t Volts Overhead❑ Undgrd❑ - No.of Meters New Service Amps / Volts Overhead Und No.of M ❑ eters Number.of Feeders and Ampacity Location and Nature of Proposed Electrical Work: iyTo i.j nc, %��scz C le6on the ollowin table may be vvived by the Ins for of Wires. No of Recessed Fixtures I No.of Cal.-Susp.(Paddle)Fans No. formers XKVA No.of Lighting Outlets ?j No. Hot Tubs Generators KVA No.of Lighting Fixtures 'Z S ' g Pool ❑ d• ❑ Bo.a Units ly Lipting No.of Receptacle Outlets Nb.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No No.o Detection and 1 V of Gas Burners Initiating Devices No.of Ranges No.of Air Coad. TOtd No.of Alerting Devices Tons g No.of Waste Disposers Heat No.of Beff-Centained T otafs: mon/ Devices No.of Dishwashers SpacelArea Heating KW Local ❑ �� ❑ Other Connection No.of Dryers Heating Appliances KW ecur�ty �s6teaa�as No.of Water No.of Devlices or Equivalent. Heaters KW o• Si No. Data Wiring•. Na of Devices or Aptyalent No.Hydromassage Bathtubs No.of Motors Total HP elecommumcafions whining* Na of Devices-or alent OTHER Attach additional detail ifdesbrd oras negwred by the Inspector of Wire,9. INSURANCE COVERAGE: Unless waived by the owner,no permit for the rmanee of electrical work issue unless leo �Y Me hcensee 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.O BOND [3 OTHER C] (Specify:) Z v Z j( G U 5 Estimated Value of Electrical Work (When required by municipal policy.) (Expiration Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I caft under the pains and p naKa ofpe j&Y,that the information.on this appfiaation is true and cw9deft FIRM NAME: ST�v�N 1 of p 2 LIG NO.: y C7 Licensee: ac_s�taar - �� 5 Siguatu _ LIC.NO.: O (Ifapptfwble,ent "ezeinpt"in the Ucerue munber line.) Bu&Tel.No.•. �_ � Address:- `'Y wt,�L 5,2�,�q„� i��.w g �„�;,,.� 1 ) !-�a Alt.Tel.No.• . OWNERS SURANCE WAIVER: I am aware that the Licensee does not ha►�e 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. Location No. 00 Date ,Z4 i� ;r TOWN OF NORTH ANDOVER Sol,c? opCertificate of Occupancy $ # Building/Frame Permit Fee $ ©� $ �'�s' •Eta Foundation Permit Fee $ s�CHU (( Other Permit Fe'� f Is- 'r $ d , — cl Sewer Connection Fee $ N9. Water Connection Fee $ /q •� TOTAL ! 110 1,AL B ildin- Inspector. `� Div. Put Ii Works 0�t1 r99 11:26 (:I,=70.00PAID�) 1'ERMIT NO. a17 6 AITLIC'A'1'ION l<'Olt'I)'EIZMI'I' "1'O IiU1LU********NOIZ'i'II ANI)OV1:12, MA 4 + e4 2'RIECORI)OFON'NFRSIIII' DATE BOOK PACE 7/Ih! g Pp); Ll 1.()( A1111N /C/J � D' 1'(1KP(DEOIAIIIIII)IM; �j�_�, // ( ^ t / �T� . vl/'� /AJ l)\\'NER-S ADDU t V� ��: �/ C NO,OF SFORILS ) SIZE ()\VNI:R'$ADDRESS C�('» BASEMENT()R SI All Lr���e � ✓" ARL 1111EC1'SNAME SIZE OFF1(X)RIIKML-RS �X�(1 1 �`J 1 2Nn 3 BI 111 DER'S NA►.IE SPAN �/ 10 I)1SI AWE TO NEAREST BUII.DING 06) DIMENSIONS OF SILT S � INSI'ANCE I ROM STREEI' t� 1 7,1 DIMENSIONS OF IN is I S INS I ANCE FROM I.OT LINES-SIDES�/1 _.REAR DIMENSIONS OF GIRDERS � x/ ARr:A OF LOT IS Bll1I.IHNci NEW� a FRONTAGE IECIrrlFF(x1N� t6 � ) __.- i lTHICKNESS:` e) ;r; SIZECFFO()IIN( X '7 � ISB1111.DIN(iADIN71lltJ MA[ERIAI.OFCIUMNEY !/ G� IS BIJILDIN(;ALTERATION IS DUIII)IN(i()N SOLID OK FII LED LAND v6a Ll Wit I.DUILINNGCONFORMTORE(,l11REMENI'SOFCOf)E /JG ISBIIILDING CONNECIEnTOTOWN WATER BOARD OF APPEAIS ACTION,IF ANY /)�` G/ IS BUILDING CONNECI ED TO TOWN SEWER (f IS BUILDINGCONNEC1EDTONAIAIRAI.GASLINE � s INSTU('I"IONS 3. PROPERTY INFORMATION LANDCOST I D rs PV ESI.BI IXi.CY1AT PAGE I FILL okrr SECTIONS 1-3 EST.DLIX;.COST VL•R So.FT. ' EST.BLIX;.C(S f 1 ER K(Y)hl p ELECTRIC KIETERS MUST BE ON MIr SII (Y:BIIILI)IM; SEPTIC PERAII r NO AnACIIEDGARAGESMUST CONFORI.ITOSrATEFIRE REGULATIONS APPI(Q\'EI)Bl" G PLANS MUST DEFILED AND APPROVED BY D1111.DIN(i INSPECTOR B1111.DING INSPF.CrOH :�kZ4 DA E FII ED / �/1 jy^ f(, ) >. .,,,_T}�^-..� OwNERS I Ell 2 0��� � bi)p"", `L r i� y� f? = 1 o CONIR.IEI.a SIONArII .OF OWNERI)ItA1rIIN)t21ZIiUAGENT — C(N(TR.I.IC/ef .° :-L'i Ca Etf. 4� " 1'f RMIT ORANfED ' C 3 19 t FORM U - VERIFICATION 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: APPLICANT: �2�lat o 0►� e-11y�0In �C- Phone LOCATION: Assessor's Map Number / Parcel Subdivision re-.(,L a 11L_ Lot(s) Street h0"N6JDoejL bI\ 1 �e, St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Admini "gator Date Rejected R Comments Date Approved G . awn Tanner Date_ Rejected Comments Date Approved Food Inspec or-Health Date Rejected c/ I Date Approved S i I nep ector-H th Date Rejected Comments Public Works - sewer/water connections I —� W �j �2V - driveway permit 57 24^g Fire Department Received by Building Inspector Date Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Property for Permit(below) Map and Parcel :/ �ZPurpose of Application (check ��x �r Phone Num 3 Ze f Z licza�nt �Single Family —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or an from the requirements of obtaining other permits required prior to the issuance of the Building Permitpermit Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit irk issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. ylaw. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning -e This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction,dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family parcel. dwelling unit on the This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. gnatur wner or Authonzed Ag o signed the Attached Building Permit ate This form must be attached to the uilding Permit upon application for such permit MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # ; MAScheck Software Version 2 .0 Checked by/Date ; CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 3-23-1999 DATE OF PLANS : 3/23/99 TITLE : Lot-18 Sherwood COMPLIANCE : PASSES Required UA = 598 Your Home = 596 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 2417 38. 0 0 .0 73 WALLS : Wood Frame, 16" O.C. 2238 15 . 0 3 .0 150 GLAZING: Windows or Doors 735 0 . 350 257 DOORS 21 0 . 350 7 '^ FLOORS: Over Unconditioned Space 2297 19 . 0 109 HVAC EFFICIENCY: Furnace, 85 . 0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR 1310nd J4. 4. .� Builder/Designer Date i ORTH Town o . . ,� An over 0 No. � y �, No YY ndover, Mass., T Q LAKE T COCHICHEwICK �DRATED P'PF`�,�Gj SSACHUS� IT FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT . .r.W.00� DLV' ................................W.............. ........ ....... .. .. .... .... has permission to excavate and pour foundation at Q • �,,� . 1..' .... ....... ..��........ rwrbn..... . � .. . .. . ..... for the purpose of.... N � FA W . 'DW t11,vv 3 b�tkll UPJ...................................................... ..... .... ......- .............. ........... The person accepting this permit must reo the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. 'Z•c 4L 1 *1S3 4 r A... ............................... ... .................... BUILDING INSPECTOR rY - tAORTH • w Town of over No.Q,G 0 �ocL " dover, Mass., oZ ORATED P,Pa� S H SE BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System j� BUILDING INSPECTOR THIS CERTIFIES THAT...�.. . .C. wdQ .,,.t/C V 1 , C �/ ' ' j Foundation has permission to erect............/......................... buildings on .10. .�.. .�,#7� r �!. rW00J-0� Rough to be occupied as... .I.N . ..I tl.....Fa 1A��.� ..... .... � // �...... ... �A // .....VA)PA Chimney provided that the person ac�bpting this permit shall in every respect conform to the terms of thea application on file in pp Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough 1L 'a' *V3 Y PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC N S S ELECTRICAL INSPECTOR �1 Rough U..... Service UIL G INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. n IL—————— ' If II II H II II II � II II � II II II I 1' II II II II II II T II II II II II II N III IL------ LH II II I II 11 II II II I. I. II II II II II II II II II I I €a II � II IL II II II II _ T i sQ o �C1� lO L-L - 1�� � ���"�" r oEcrnnE;5HWW00n l.Or-I� /g•1 I ,o.i "A": �/24/ 99 sI ET; SET TI1LE: I3UI L PF-P OF �I N� HOMES S MONT�LFVAIVN MANK NMP Q � i loll, K o 7 o II Li II II � I . I II � I � I II � I it I . � ❑II II � I II II � II II II r-1II I . T 11 II Il II it I. I I � II II � I II I � � I H N II II d 0 W 6.L— ��� � ���'�" r o�cr rrn�:5N�1W0012 1.01'-18 /811.11-011 nA : '5126199 SI�ErrM,E: I7tzAWN6Y: � Ll—� OF F I N� NOME S PVP � VMON FLANK N�121 V n------ II II II � . II II I-1 II II II U H 11 II I I. II II IL------ N II I� IF � II F------- Cp I � II � II II I ! II II II n II II II II II I. I II II II II Ll------- n------- II Li II 75 II II II II II II II II II II II II II II � II L II ------- � � I I a 77 I ------- e C'CC H � II II z II f I- II II LJ II II II II II II II u II i II II II � II II � l�� 5 � ���"�" rrzo>�cr,m�; {'1� 0012 1,01-18 5CALE, W L- sl ur, I/8"-I '-0'I x/ 26/ 99 n X�Ef'IYIL�; t71ZAWN 6Y: [3U l�P � OF r I N� HOMF-S 51M �L. VA110N5 rr\mK N��1 r, �/ �a 1'4" d'2" - 10'-0" QSN lZ I i � I I I i p N 1U L --- BEAM POCKI f- --- BE POCKC-f L --- - - C3�AM I I fl _ Q 6"W r<6"OP X 9"N POCKET I SHIM BEAM M 599 Ji L J SHIM OR HARD BRICK IF 3242 I I 1L NV-IF KAM Q m r I J BEAM FOCKI;f 1 \ L-1 I I r 7 3-2X12 r -------------� -- -- BULf-UP BEAM I � QO —5-2A r---- --- --- --------- = I I BUILT-UP BEAM I i 4"CONCM9 VV 7 CoNcwt 51)w I I BEAM POCK11 ; I i /� I I SLOPE I/8"PER POOP •1 I I BUILT-W BEAM 1 O L J 1 1m I I I �I I , I I 3-CAP,GARACE I I 1 IL I I I I I I 3-2X12 I LP BUILT-UP BEAM -BMMPOCKET I I BEAM POCKET _ VT- �flI I L GARAGE FINISH&L WOOF CONMRUCTEO WALL5ANO CEILING fO HAW5/8''IM'E'X'FIM MTVWAL IBOAkt7 INSTA(LEnI I -FOUNDATION _____-_ - I I10"CGNCIE WPLI I BEAM POCKETI I I I 8'-0"POUR(+/-) I I I I 1 101,19P X I'-8"W/ I I I I I CONCWtFOOTING i L------- ---- f\/ I I I I L I �-- I ---- ---°--J I ------------I L--- L----------_-.- ' L------------ s FOUNPAION PLAN SCALE 1/8".P-O" 12'-0" o o � U a b Po N � N � a b 18'-9 O Q - 9' 8'-6" "� z ❑ N I rn I � i = w N W I N W a T-0" 7LT cp 0 aQ) FRO.�crnn�; �; I_ I, i I "A":3/ 24/99 ��r; 0 L-� I A� � ���"�" SN�pW00b L01' 16 1/8, -I 0 r-� �E1"rf1LE; I�IZAWN6Y; �3LIIL f��l? O� Ifold NOME FII?5f FL001? PLAN FMK H�MFt 0 II 42'-0" N a oser ILA o 0 Cit oom = _ OMNI MLOW P m 0 �' N C m fl nN K. CLO56f iv 6EC7t0OM MA5t k BEROOM MPFOOM �� :�7 INAjv V 0 �Offov�N fO�Ow a ❑ 4II = K; MASSIZ 6AiN5�\ 0 — 15'..7 rn 6'-0" 8'-0" 2'-11" 9'4" 6'-6" 5'-4" r-2112" e 5�CONn FOR PLAN 5C&I I/8"-I'-0" 0 I , o� �e 7tT v Z -75 PlZO.�CT 11TI,E: X,A ; 5f��f: 5Hwwoot) Of-18 1/,: 8"=1'- T 02/ 251 99 [31..111-PF-1; OF I I F- NOMF-S 5f"' '; FIp5f FOR F MINCAPLAN DKAWN6Y; FPA% WMp • s V �C `o &Dill � o a� x� ao � J I� i I I WOICT t'M E: XAl�: nA1�; SN�ET: 0 L-� ��M � ���'�" SN�t oon I.0�'-18 118 -I ,o. 2/ 251 99 o O [�U L-t2l�P OF F D WE-� HOMF-5 5�CONP FOR FMMING PIAN n�A aY: FMK NMS P, O 1 O BOO o WH L- I/W � no`r"�` pIZ0 CT111L�; 5VWOOn I.Q1'-i� /8 I -o., "A" : 3/ 24/ 99Aq 113UIL-pr-pl or F I NF- Hole 5 „'��: POOF FPAMING PLAN FAWN 6Y: FpANK HMMk r � Wa V>Nr N 2 X 12 RIP66 RAM A�'HALf 511W5 5/8"51 ,AfHING 2 X 8 COU Ai 11E5 2 X 10 @I6"0C, �+ 1L @ 52"O.C. Il TOP OF PLA9 2 X 10 W/ R-30 IN51.UL, N � v 6RROOM co 5RCONP FLOOR • z �-2 X 10 @16"O,C, O O v - LII3RAtZY LIVING ROOM FAMILY ROOM O z 4-2X12 S� DUILf lm'GRAM 2 X 10 0I6"O.C. P16r LOOK M51 Mwjf O G fOF OF FOOTING �4"CONC121;fE SLATS W/6X6XIO/10 WWM OVER 6"MIN,COMP,6F.AVRL GULPING 5�C110N 5W 1/8"s I'-0" 0 9! *416 2790-1 1.100' V 36 ,- 7, 69,5'. ` I 0.87 r . -AGr•C3 /Ole \ I - .40 r, 69s.-s.F '`- Of Or .000 so i --. do 00 me Ago so r• OL I �i ♦ `�� \ oft" 0.0 WOO" N S. N SON . - - -- I A ,. N� �-�••_.- 11 � I b I � - ; .�"r fes;,,,..r.' 43 �. ' , .� I I � I �� • .t } _ '� ,.,, r ',fir' � 1 V ���•� S $SLlRFAU SANITARY OISPOSA%. \ 46 - •. �. ' •• •.. .....•• , $ D�IGT1�•.E IRON �r----�` , �` `� ♦ owl PECUM f -07 I 23 .2• . , ;, • 00 . . �- �tOp ` .000 doo � de _ / doop woo Off Ow f 'ri�. . ... ' • I wide R 171, 00 r / / ` o No 2192 Date.................................. 3 VkORTH .D 16 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING CHUS J This certifies that .72'—"� .............................../.................................. ................. has permission to perform ... ..�� ....................... Hiring in the building of i at.....�.... . ..........................A .. . ...................... ,North Andover,Mass. eel "eek.....:......... Lic.No:za'" ............................................................... ELECTRICAL INSPECTOR 12/28/9814:29 50,00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ice.\ TAECOMWIQAE+ L77IQFAL4S&4CHU + 7S Office Use only DEPARTMEYSTOFPUBLICS MY Permit No. f 2— BOARD OFFIIREPMI — BOARDOFFIIREPMIM I ONREGUL4TIOM127ClIR7 UV4 Occupancy&Fees CheckedPPL,ICATIONFOR PERAff TO-PERFORM aECTRICAL, 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 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. �1 Location(Street&Number) L � (�T� r��>o It)ob.� Owner or Tenant L c , rJ£e-v�pM5-,'_ Owner's Address 1/Q V Pl - Is this permit in conjunction with a building permit: Yes X No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Do Amps 41e./ t Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work7�✓`�0V,° No.of Lighting Outlets No.ofRot Tubs No.of Transformers Total _ KVA N .of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pum s:. Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices of Dryers Heating Devices KW Local ® Municipal Other Connections V of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hmrarreCo Ptltst>ant�thenagtmama3soflviG�taa!Laws lhmeaomulLiabtldyhtsxwxPbbLyuAAMCanplete CovemWorits a*ivaictt YES El NO IhamestrbmmedvalidpiodofsamelotheOffa YES If}whnedrdodYES,pleasemdic*theiW fwmagebyd=kingthe WpoINK RAID ® BOND ® OI ER (PleaseSpecify) F�arirn>� E VahxdEkc ncal Wait$ WaicbSMn hpecfimDaieRegtxsted Rough Feral Signed underlie Rmkies cfpe;jtay: C FIRMNAME D � LL / lioaiseNa Lira. --f7f-0,0 Sig,== No /� t07-� Buki ss TeL Na ar tecc vLGe 'a U)6g�/_ _ AItTeLNa � P `� y 7 —� -- OWNER'S r4SLIRANCEWAIVMI.anawae-drLlheLaoense mgardbyMmsadmq&0r=lLava aadtatmysi@m s aithispem*tappficmmwairesdmm*mienifft (Please check one) Owner ® Agent Telephone No. PERMIT FEE$ �� P.-/......... NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SS CH S This certifies that . .. ...................... ................. has permission to perform ............................... wiring in the building of......... .......................................... ........ .North—Mdover,Mass. 6V- -' .. .. ... ..... .................... Fee.. .... ........ Lic. ....... ....... RICAL CTOR Check # 5475 COMMOI:-.4 ///1 Of-Ma'�SSc C/1uSef ,:,`rcial Use Only Departmeift oaf Fire Ser4' - Permit No. 'BOARD OF FIRE PREVENTION REOccupancy and Fee Checked Rev. 11/99] leave blank) APPLICATION FOR PERMIT TF RM ELECTRICAL WORK All work to be performed in ac or&mce with the rical Code C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOter City or Town of., �`t �� the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) f 2waO\�) Owner or Tenant ,ANG y ' • Telephone No.`7 �- Owner's Address Sh rv� Is this permit in conjunction with a building permit? Yes 9 No ❑ (Check Appropriate Boa)# Purpose of Building Utility Authorization No. Existing Service 2-,6 o Amps i Lo/ 'z.t o Volts Overhead❑ Undgrd❑ . No.of Meters New Service s �P / Its Overhead❑ Undgrd❑ Na of Meters Number.of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a�-rvo �',�»� •'�frs4..M�N� iu-ro i.,.�,nG �:'Pscz: L.0 ttC 5 p i Completion.o the ollowin table be,vaivedby the Ins ector o Wires. No.of Recessed Fixtures I Q No.of Ceil.-Susp.(Paddle)Fans NO. Total KVA of No.of Lighting Outlets No. f Hot Tubs Generators KVA No.of Lighting Fixtures 'Z Swimming Pool ove ❑ - ❑ o.o Emergency ng grad. d. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones . No.of Switches 10 No.of Gas Burners No,of Detection eter Devi ces dd InitiatinNo.of Ranges No.of Air Coad. Total No.of Alerting Devices ' Tons g No.of Waste Disposers :' Pump Number Tons KW No. Self Totals• I I DetectiodAi ' Devices No.of Dishwashers SpacelArea Heating KW Local ❑ Mum al ❑ Other Connection No.of Dryers Heating Appliances' KW security y � No.of Water Na of Devices or 'valent, Heaters KW o. f Ballasts Data Wiring: . No.of Devices or valent ' No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsrang' Na of Devices-or valenf OTHER: Attach additional detail frdesired or as required by the Inspector of Wim. 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"ceverage 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,@ BOM? El OTHER Estimated Value of El (Expiration Date) �ricat Work (When b municipal policy.)�I�� Y P�Po CY Work to Start*- 'IT Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penaffim of perjury,that the information on this application is true and completes _ .. FIRM NAME: �T�L/�N `r1 oe g 12 LIC.NO.: Licensee: Signatur LICA NO.: (if applicable.enter"exempt"in the license number tine.) __ Bus.TeL No.•6� Address:_ y Y'rr r t L ;R 2Rwt �r�t J 6 1�?"« s t�;�.� }-�a Alt.Tel.No.: OWNERS SURANCE 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)0 owner ❑owner's agent. �.. 99 No -1749 Date.... .......... ... .... �� NORT►, TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4 i # ,SgACNUSE� ....... �`� �� '..........G, .............................. This certifies that_.. .. has permission to perform ...:` 2............................................. wiring in the building of. f ............................................. f All ............................... ................ .North Andover,Mass. Fee��.................. Lic.No � ......,.::...................c�!. ` .........0 �........... `ELECTRICAL INSPECTOR 07/09/99 12:45 35.00 PAID WHITE:Applicant CANARY: Building Dept. INK:Treasurer �-�-� Office Used�y� 1!; WnWt# IIf 3,SS3r4u131:##S Permit No. 7 +43f:trArtment of Public _Afetg Occupancy& Fee Checked5. E PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 4� — 349 _191q City or Town of A/ - .09 ill 4241 U f A To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 7 s�'�`G✓o� �r Owner or Tenant �� •� Owner's Address Is this permit in conjunction with a building permit: Yes Ce No ❑ (Check Appropriate Box) r Purpose of Building Ae S i W"-n Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters i Id # New Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work /moi'/' /�-�G ✓� No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA Above In- No. of Lighting Fixtures Swimming Pool grnd. ❑ grnd. ❑ 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 Zones No. of Ranges No. of Air Cond. Total No. of Detection and a tons Initiating Devices Heat Total Total No. of Disposals No.of Pumps Tons KW No. of Sounding Devices No. of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal ❑ ❑Other Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs y� J No. of Motors Total HP OTHER: /11l/Gy A d', INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 2!0'NO ❑ 1 have submitted valid proof of same to the Office. YES e NO ❑ If you have checked YES, please indicate the type of coverage by checking the appy priate box. INSURANCE V BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work$ 200- o 49 (Expiration Date) Work to Start G - 3© -Cl I'll Inspection Date Requested: Rough Final Signed under the Penalties of perjury: ��pp FIRM NAME f A, �� '� �T cF�� -b LIC. NO. Licensee ��� Q,,/�/� /� _S[�I J/ f/Gr^ Signature �`/� /�` LIC. NO. Address c2 /Yl//� L A ,yAaJ -57" e g'A/'l2�/1ml- /3!� BusAlt. Tel. No 779•-60 �J 2—6 OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE$ w -- (Signature of Owner or Agent) x-6565