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HomeMy WebLinkAboutMiscellaneous - 42 BUCKINGHAM ROAD 4/30/2018 (2) 42 BUCKINGHAM ROAD 015.0-0029-0000.0 -- --- - _� ._.� /, \ _ - r , \ Flardonal General Auto,t3ow&g;va ttt tis'assa�nu PO Box 1623 Winston-Salem,NC 27102 February 22, 2016 Town of North Andover Building Inspector's Office 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Claim Number: 2288499 Date of Loss: 02/18/2016 Insured: Mark H. &Elizabeth A. Rees Loss Location: 42 Buckingham Rd. Underwriting Company: Integon National Insurance Company Policy Number: 2003507776 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 313 is appropriate, lease direct it to p the attention of this writer and include a reference to the above-captioned insured, location,policy number, date of loss and claim number. On this date, I caused copies of this notice to be sent to the persons named above at the address indicated above by first class mail. Marl,C"e411r" Signature: Mark Charpentier, Property Claim Specialist 314-813-2916 National General Insurance PO Box 1623 Winston Salem,NC 27102-1623 a Date........ ....../O r e 40RTN 1 0 , TOWN TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �sSACHUS� Thiscertifies that .................. .. ................................................... C5- f F /L s/2 ry r has permission to per .....Q S "..x...11.......0............. r wiring in the building of........................E��................................................ at..... ..2.. `� ��fs`f...........ST.......... ,North Andover,Mass. Fee... .'`'�- Lic.No� ..`f �. ....... .. . ......1 !............. E�crxtcAL INS*eCTOR� k: Check # W° is 9398 Conanonweaki.a/MaddaclWath Official Use Only ��•i e.0 c�ePartnt Jim Permit No. _ meo �eruiced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]107] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN EVK OR TYPE ALL INF0kMATION) Date: lnjay %.3 , golo City or Town of: wo' pLlwim(— To the Lisp ctor of Wires: By this application the undersigned gives notice orlri�-AAIA or hentent^on to per the electrical work described below. Location(Street&Number) 4G - Owner or Tenant M lirk gees Telephone No. Owner's Address /M Is this permit in conjuilgliOn with 4 building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building s , taL e Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No,of Meters New Service Amps / Volts Overhead❑ Undgrd❑ . No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: &ak p&Y 4 0 6 Bo leo'�- C �dJ S b Com lesion qfthefiallotping table may be ivaived by the Inspector of ifires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In o.o Emergency ig tng grind. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and -initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat umpumber Tons.. K _ o.ofSelf-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection ` J No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent ( No.of Water KW No,of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring : No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of JVires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0BOND ❑ OTHER ❑ (Specify:) I certify,under the its and eua ties of p rjury,that the information or this application is tt a and complete. FIRM N /`d'1t5f— Ol LIC.NO.: '.170 th SSignatu e LIC.NO.: (Ifapplicable,e r "er'25f' i i the lice n s number line.) s.Tel.No.'� JJ Address: � �/ 4dap� l )l {f Alt.Tel.No.:) Y11- * *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner'sa ent. Owner/Agent Signature Telephone No. PERMIT FEE:S Date. ` !` ... . . NORTH pf „ao ,°,ti0 0 3� '` TOWN OF NORTH ANDOVER tl` PERMIT FOR GAS INSTALLATION 9SSACHUSEt L/ fr�/}� `(/I __ . f..1 .'. /Y. : . . . . . . . . . This certifies that . . . . . . . . . . . . . . . has permission for gas_.installation . . . . . . . . .-:. 41. . . . . . . . . . . . in the buildings ,of . . -: : ° . . . . . . , • . • , . • , . . . . . . , • , / f, at .- '-� . . . . . . . . . . ., North Andover, Mass. Fee . . . .. . Lic. No. . �} GAS INSPECTOR Check# � Ti 94 MASSACHUSETTS UNIFORM APPLICATION F R PERMIT TO DO GASFITTING IV A tiaya ,Mass. Date ' 2006 Permit# Building Location ,fTOwner's Name $ Type of Occupancy ! _ New ❑ Renovation ❑ Replacement flo" Plans Submitted: Yes❑ No❑ rn v� U p, O w w cn � pUMF, xr„Cn x c7 v~� axQ E"Cn f� U °o gW 00 w 3ac�1�4Ux � Hqc SIJB-13ASEMENT BASEMENT FMST(1 ST)FLOOR SECOND(2ND)FLOOR THIRD(3RD)FLOOR FOURTH( 4TH)FLOOR FIFTH(5TH)FLOOR SIXTH(6TH)FLOOR SEVENTH(7TH)FLOOR EIGHTH(STH)FLOOR Installing Company Name Address C-' / Check one: Certificate 146:a le rr tlA- [a^Corporation _ ;G' ,) Business Telephone - -7 ❑ Partnership Name of Licensed Plumber or Gasfitter '�j=F �,�j�„�;'( ❑ Firm/Co. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes L=1`"'"" No❑ If you have checked es please indicate the type of coverage by checking the appropriate box. A liability insurance police El-""'"��'' 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 MGL,and that my signature on this permit application waives this requirement. Sir nature of Owner or Chyner's Aszent (.hyper ❑ 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 wlassachsetts State Gas Code and Chapter 142 of the General Laws. s By Type of License: ( Ci Title M Prumber L7 Master Si a !of Licensed lumber/Gaslitter City/Town ❑ Gasfitter ❑ doumeyman License Number APPROVED OFFICE USE ONLY) Date. . .� . . .a "aRTM'' TOWN OF NORTH ANDOVER 3? �� • OL . PERMIT FOR PLUMBING ,SSACNUSf f This certifies that ..::- . . .` . . . '. . . . . . . . . . i has permission to perform . � M. . plumbing in the buildings of . .'��" 'Q-a-'. . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . .: . . . ., North Andover, Mass. z Feet. . . . . Lic. No.441 /a- 1 .•. � PLUM INS INSPECTOR Check # "�V`� 8584 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Z (Print or Type) ,Mass. Date 20 /Q Permit# lW_ ` Building Locatio V,IIA44ff Owner's Name Owner Tel# -_— Type of Occupancy- _At�s New ❑ Renovation ❑ Replacement e`�' Plan Submitted: Yes ❑ No ❑ FIXTURES z as 0 z z O n w F x x cn �, °w Z Z z H V Oar1 v� P. W u C1. 0 > Ed x 3 R W F Z d w0 W UH O d� ~ O O r2 O < x �i w C., Q .i x F n w �U a q i u O SU - SMT e BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4T"FLOO 5T" ELMR 6-F OOR r-ELOOR rtr ELOOR Installing Company Namee y�, ��� C � Check one: Certificate (Address � i C Y- 19<orporation �- f ------ f� a)L, 7 ❑ Partnership Business Telephone# � J �' 3 ❑ Firm/Co. _ Name of Licensed Plumber INSURANCE COVERAGE: I have a current Wily ity 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. Chock one: -_----- Owner 11 Agent ❑ Signature of Owner or Owner's Agent 1 hereby certify that an of the details and information I have sub ` ed or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations pcxforrred under -p tii.issu for this application will be in compliance with all perl.inent provisions of the Massachusetts State Plumbing Code and Chapter 142 of e 1 Law . By--- --- Sign a Plum -^- ------_-— Tiile_ Type of License:Master Gk— Journeyman ❑ Cityrrown APPROVED(OFFICE USE ONLY) License Number Date. .1� . .,lG �. . "oRTti o TOWN OF NORTH ANDOVER o� ° 'a PERMIT FOR PLUME SSAC04USE� 'S This certifies that . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f; plumbing in the buildings of . . .P.,'� . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . North Andover, Mass. 2 t Fee. 3 .'. .Lic. No.. .3. . . :~. ..li�- . . . . PL MBING INSPECTOR Check it `IDL ? 7054 MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING �3( / (Pr'nt or Type Mas Date. 20 Permit # 8 Building ocation - wner's ame Type of Occupancy New 0 Renovation 0 Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES B.P. # SEWER # SEPTIC # .. z LO L31 z Y � cn z z i- Ln zTa w o ~ = (D7_ �j _O L W LO = to F- U w to OL z z L U in z m < w } Q to Z a_ (D a � W O LL I Qin Q W 0to z a -• Q U > O UU) cao � i- z ° O z z W W Y w ED c=n o o 2 o ¢ 0 m LOU o~ SUB-BSMT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4THFLOOR--_.---- - -- -- - - --- 7= --- ----. -- ------ -- - -- + STH FLOOR y 6TH.FLOOR 7TH FLOOR 8TH FLO R nstalling Company Name Check ong: Certificate 4ddress Corporation Business Telephone 0 Partnership flame of Licensed Plumber or Gas Fitter 0 Firm/Co INSURANCE COVERAGE: I have a current 'ability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No . 0 If you have checked Yes, please indica to the type of coverage by checking the appropriate box. A liability insurance polick-le� Other type of indemnity 0 Bond 0 OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage required 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. bChapter Signature of Owner or Owner's Agent Check one: � Owner 0 Agent 0 Hereby certify that all of the details and information I have submltte o entered)In above ap lication are true and accurate to the best of y knowledge and that all plumbing work and installations performe u er the permit issue r this applica ion will be in compliance with I pertinent provisions of the Massachusetts State Plumbing Code a ha r 142 f Gen I Laws. FCi1ry1/rFown i tle S ature of License mber APPROVED(OFFICE USE ONLY) Type of License: aster 0 Journeyman I License Number A[J 33 ,Lpc-ation No. l Date �Y ' 40RT„ TOWN OF NORTH ANDOVER c� � p Certificate of Occupancy $ + ; Building/Frame Permit Fee cNUsE<�' Foundation Permit Fee $ Other Permit Fee $ y Sewer Connection Fee $ _ Water Connection Fee $ TOTAL Building.Inspector . 12332 Div,.`Public Works +""L+ucation r R., No. i °" Date 'L TOWN OF TNORTH AN DOVE i p Certificate of Occupancy $ # ; : Building/Frame Permit Fee $ y cMusEt� Foundation Permit Fee $ ;5 Other Permit Fee $ m t rE Sewer Connection Fee $ Water Connection Fee ,� $ TOTAL $ m Building Inspector s Div. Public Works V PERMIT NO. APPLICATION FOR PERMIT TO BUILD"******NORTH ANDOVER, MA 111APNO. ` !�`- I.OT.NO. 2. RECORD OF OWNERSHIP DATE BOOK PAGE ZONE *! SUB DIV. LOT NO. 'y? !� jq�OY`� LOCATION 4,4 -avoe,ria;y�M II D PURPOSE OF BUILDING ` — ' O\VNER'S NAME 1. .11_17 a v.- *_ AP U 3 J r y\�G" NO.OF STORIES SIZE WNER'S ADDRESS BASEMENT OR SLAB ST -ARCHITECT'SNAME owu1 /� SIZE OF FLOOR TIMBERS I 2 D 3 D BUILDER'S NAME T✓ ` SPAN DISTANCE TO NEAREST BUILDI DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRON GE I]EIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION � MATERIAL OF CHIMNEY IS BUILDING ALTERATION / 1�� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF ODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSVJCTIONS 3. PROPERTI"INFORIIIATION LAND COST EST. BLDG.COST d 0 PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ.FP. s EST.BLDG.COSI'PER R(XNv1 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATPACHEDGARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED Bl': _ 0A PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED �/ J3 OWNERS TEL# / CONTR.TEL# CONTR.LIC# SIGNATURE OP OWNER OR AUTHORIZED AGENT II.I.C.# FEE MAY 3 1998 PFRNIIT GRANTED /y Q 19 < I- .I i iD x' --5 - _J NI '?� r NoRrti Town of _ - Andover No. -172. Z dover, Mass. /�Y 19 8 �- 1 COCMICMELAKEMICK i�'�• 0q S E D `G BOARD OF HEALTH PERMIT T_ D Food/Kitchen Septic System , _ 11 BUILDING INSPECTOR THIS CERTIFIES THAT w. .... ....... !1.. �N.1�' ilq..N�..................... - ............ ;........................ Foundation has permission to ......4.!�7...cwZ.... buildings-an ( ..�, 6..1'' .}q�'`�..... .A...... Rough r to be occupied as............................................FA.�!!t..!...`. ....:..... ............... .. . rt ................ Chimney ..................... provided that the person accepting this permit shall in e ry respect conform to the terms`of the applica n 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC.'TION STARTS ELECTRICAL INSPECTOR Rough ..................................... .. Service BUILD G INSPECTOR - Final Occupancy Permit Required to Occup ► 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. T04�i of NORTH ANDOV AFFIDAVIT TX 142-.A. tit te 'ti-rrz�SrirYirny: yi17 - ofLt1f33D .tD , It, LCiZLIl� C7CLL1L � $.: ,h 3 7 ��'tj 'bJt L �bC't Cl'ft7 Z tatsS .'A[.t h st"il r- i PL L IIf�2�2 �-)a:ff t b ' si C t l t?S2{ CC uu-lc�iZj2tf,be 7..3.+ S "x a of Work. /p ' t Fst Address of i.'W' t Owner Npc ie �D U f x Date of,. Permit Apel .cation <` r I,hereby certify ,$ Ramis Craton:is not required for fo11 - . reasor(s) irr ofce Lie Qtly Stork excluded by: t rb t + k Job up&t $1;000 ' Tlt'P t s: pi�'1'.��1.��( 1�_ng u Other (specafy) Notice is, -here.by given that x: GWNEF�.S PL7I LiNG:;'II CW PFR,`LCT OR DEAi.ING G7TIH'UNREGISTERED,'CO[�TIRACI�RS TOR`APPUCABLE IUi E WRK DO.NOT HAVE ACCESS TO Tf3E ARK TICK PROGRAM SOR"QJARANIY`F W'l7Hlir`R $' F .;hereby apply for a permt: as the went of the owner Date Contrac'tor-Name Registration, tlo. CR No twi<ths tandiri� , the above. no tice,. .I hereby'.'appDI . t.or a oerrni t as.' thy. . owne-r' of the above- proper y Date Cwmer Name IIX NO.-it `� PAGE APPLICATION I APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. MAP,NO. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION - PURPOSE OF BUILDING - i3 ,J:4 y S'r��-t 6-144s—= OWNER'S NAME 13 Lit—�`' 1 I ,/� NO. OF STORIES SIZE Lrx . r OWNER'S ADDRESS M 1'1 N• BASEMENT OR SLAB 1-12- r3uC�/-)6t4 AM Re n o AqSc„ eiji-j/v &-&4Al v ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST A-_-c) 2ND ZX/V 3RD BUILDER'S NAME SPAN / �((// i, DISTANCE TO.NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET zo, POSTS 13 ALS /l y c /S DISTANCE FROM LOT LINES-SIDES t J REAR - GIRDERS ' lll.. /( 7 / 1 AREA OF LOT ��C - �f FRONTAGEho HEIGHT OF FOUNDATION IS BUILDING NEW. SIZE OF FOOTING X IS BUILDING ADDITION Y�5 MATERIAL OF CHIMNEY - IS BUILDING ALTERATION 7 IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE / IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY !JO GJ IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE (,n 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST A PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 13Q. FT. EST. BLDG. COST PER ROOM' •-; PAGE 2 FILL OUT.SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST AE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATEFILED - �-v _ (� r`�� O.3 �� 1 BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT - - F E E �fa oZQ PLANNING BOARC PERMIT GRANTED 19 BOARD OF SELECTMEN !� 'ter 1 1 INC'IN ECTOP t ON, JA Ali I 141 I I ' NORTH ANDOVER BUILDINGS DEPARTMENT 110Rth ,I ` 120 MAIN STREET +a NORTH ANDOVER, MA 01845 0 H p r • om s• ACHU j INSPECTOR OF BUILDfN08 T$,. 88$-8302 :3 ELECTRICAL INSPECTOR SS GAS INSPECTOR October(. 20, 1986' { Mt. W.c.P.P,i.am 'Suhnham 42 Buckingham Road Norah Andover, Ma. y Dean Biu: 2uesti.om have been raised again by abutteAz oA your pnopenty kegaAding the 6etbacks o4 your new garage. It tz tinpeAa rive that ,you hikea Sunveyon to de tekmine the exact z etbaefv6 4nom the pnopeA ty tinez. Th z must ,be done .cmmed i.- i ateEy " I anticipate that there w,iU be a heating on this tiattek .be4one the Zoning Boaxd o4 Appeatz on November 18, 1986. Contact me i. .you have any quuti..ons.. veAy t.uzy your, CHARLES H. FOSTER INSPECTOR OF .BUILDINGS , . : AND ZONING OFFICER CHF:a4 , i a..r•1::it^ ....:i. ,''IN .••-:9"fr�3^� }'!�.:. 3f,(.•G G.� '4`^ 'JG:�!.. 1 _ ``�i,< ' ,_`.i•~ if }9 ".•li 't.a.f.%(''c,.. :..Yns October. 9, 1986 At FA"en NeAA alz Road No, th Andov en Ma. ri F Rita 8�At-, 'dean �. -- 7n an6weA to your nequ¢et, 1 have once again reviewed appt icatian ljon buit.d ing permit 0205 iib ued jon 42 Bucking- ham Road. I atzo u-:in6pected the gavage and the .6etback.6. There ha6 been no change .in my pde:i tion 1.thai t the gaaage, as eon6t ucted, doe6 not violate the NoAtlt Andover Zoning By-Law.6. - ''� . r .YG• ^a- ;' CHARLES N. FOSTER f; v t_ ,r Vit• .� ,�' ,, .�;R.,,��^., .. � � :>, .. ;1 x+ INSPECTOR;.OF BUILVINGS= AND ZONING OFFICER CHF: ht . ey �, I 1 I • yye r / s � , , ��� `-gym. �o�� tea• o 4 �t•r; 7 } SEP 26198n y NORTH ANDOVER BUILDING DEPT. 2;6�C2 0 15 r Juty 2, 1986 M,%. W i.tt,iam Bw nham 42 Buckingham Road North Andover, Ma. Dean UU: You were auppoded to Locate the ,6tahe on. the Aight 6 de ob your .Cot bo that you couCd .e-how me that you had the hequioted 12 ,boot zetback. 'The netghbona teU me theyy have meabuned and that you onty have an eight boot eetback. 16 1 do not heat bnom you immed,i.ate.Cy, I witt have . no alleAnati.ve but to .atop att work on your addition. Very tW4 young, CHARLES H. FOSTER INSPECTOR OF BUILDINGS AND ZONING OFFICER CHF:ab. w _ _ . M lk _ G �a G 1 SIDE AND REARR SETBACKS INCREASED z:' FRON EXISTINfn BUILDING - N ti • Date.,,)-.�: of "oRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SsACMUS This certifies that .c_ .�.�. 4�� has permission to perform . . . . ReAr. , c.1- .11.c,. :',. . . . . . . . . . . . . plumbing in the buildings of . . . . .P?"(`'.5 . . . . . . . . . . . . . . . . . . . . . at . .v? . 13Y.,.6,�-'.��!11' : . . . . . . . . . . . . . .. North Andover, Mass. Fee. ./).1.7. .Lic. No.. . . . . . . . . �„ ... . . . . . PLUMBING INSPECTOR Check # 5070 Date. ," Z-. v . . s ' 0'<"��T:'�, TOWN OF NORTH ANDOVER 3r �. � .....!. 0 m PERMIT FOR PLUMBING ,SSACNUSE� � 1 This certifies that . . . . .'+. . ^� . . . . . . . . . . . . . . . �- has permission to perform . . a''� .�.r .-> !'. . . . . . . . . . . . . . plumbing in the buildings of . . . !*-f'" '. . . . . . . . . . . . . . . . . . . . . . . at .. ... . . . . . North Andover, Mass. 75 Fee,?. . . . . . .Lic. No.. '72.313. . . . . . . . . . . . . PLU BIN, INSPECTOR Check # 21-17 5670 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �� (Print or Type) , Mass. Date ��'�� Permit Building Location 'x"02 /"/�1.��D�wner's Nam e//J/re�/71�` � /V �G��'' �� Type of Occ�upanc"i.S DEQ Ti OL— New (.._New ❑ Renovation D Replacement 9"" Plans Submitted: Yes D No ❑ FIXTURES Z N Z Y a N O Z } t/f W �[ J )I- V Q Z W W Z N Q = < _ ~ Z OO Q0 N Z _ZD ff =x N Z W .7 4W N J .O Q W a Z T Y d C h- Q Y d W UL Y W Q F- r O tis m O H ~ Z O Q NO < I f- sI _ I _ a a o a J j Q ¢ ac la s O O a a S ¢ m O SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5THFLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing.Company Name m�4 7►Q�°7 Check one: Certificate Address s: j D Corporation �Y1 E TN v e--Aj 41 A 0 t ❑ Partnership Business Telephone �7? �-C/g7 2-K"/co. -� Name of Licensed Plumber I INSURANCE COVERAGE: I have a current Imo' bility 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. { liability insurance policy fid" 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: Signature of Owner or Owner'sAgent Owner ❑ Agent ❑ 1 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 ormed under the permit issu for this application will be incompliance with all pertinent provisions of the Massachusetts State Plum g e and apte?7 of the eral Laws. BY ,LLQ-d' Title re of Ucensed Plum er City/Town Type of License: Master % Journeyman ❑ APPROVED OFFICE USE ONLY) License Number � 3 5 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHE:i PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING l NAME &TYPE OF BUILDING I LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 ' 1 PLUMBING INSPECTOR J • l ly7y MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO ®O PLUMBING ftnj gr Type) _ 9 zoo, t 06 t' Mass. Date Permit # k5-0 f r Building Location ' — Owner's Name er eS Type of Occupancy New )zr Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ B .P .n. SEWER# Fi:CTURES S1,PTIC# Qj U3 0 O Z > .+ L4 O Z W F- W ¢ S ¢ N — _ a. y 1J J N m N 2 ¢ ~ d W N Y. iL O Q d < rl U = N W F N - O Q N O rL ¢ W O O W d N Q 1 Q W N H Y d =; Location .� f Date -� No. f NORTH , TOWN OF NORTH ANDOVER 3?O�t�•O ' MOO _ L C w F 9 • certificate of Occupancy $ �''°•.-.°.%�'�� Building/Frame Permit Fee $ �ss cMuse ,C Foundation Permit Fee $ ------— f Other Permit Fee $ TOTAL Check # � r 2 f Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. ` 2 DATE ISSUED: rn c52J �p / SIGNATURE: Building Commissionerfi for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: a 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: W Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard R red Provide Required Provided R 'red Provided 1.5. Flood Information: 1.8 Sewerne 1 S 1.7 Water Supply M.G.L.C.40. d ZIf 54) � �Po� System: Public ❑ Private 11 Outside Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record A�n Name(Print)' Address for Service: Signature Telephone (� 2.2 Owner of Record: Name Print Address for Service: Signature Tele one SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supe . or: Not Applicable ❑ Licensed Construc on Supervisor. -� � �� � License Number Add ess —7 �� ��\ \ "! G Expiration Date Signature Telephone 3.2 Registered Home Improve e t Cont ctor Not Applicable ❑ Company Name J U � Registration Number M Address Expi Si na re Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building V Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify s Brief Description of Proposed Work: AU �`C� v SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be IQSE OIYI: � , Completed by permit applicant u $n .q.x _ 1. Building 4 (a) Building Permit Fee S , Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing �y _ Building Permit fee tel X (b) � ( 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 C\ Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERSAGENTOR CONTRACTOR APPLIES FOR BUILDING PERMIT I, J l `�` ��e L� as Owner/Authorized Agent of subject property g J Hereby authorize Q. 1w s7lc(at�\A to act on My behalf,in n tters elative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief n Print Is- .'�L�('�c-'�q a&\ Si ature of Oent Datelgilillill� 111111111111 EMPIRE ti t NO. OF STORIES SIZE 1C BASEMENT OR SLAB SIZE OF FLOOR TI1VIBERS i 2"" 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS \ HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 'S 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 r c11, S150A. Thedebriswill be disposed of (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i � � t i d 1 i a� ( „h;o/ G ' I 1 /:� {o�oosv.�acvrzcuea�tlzt, ����aeaac�u{eet�� BOARD OF BUILDING REGULATIONS { fi License: CONSTRUCTION SUPERVISOR Number: CS 028538 Birthdate: 09/05/1948 €xp rA:09/05/2003 . Tr.no: 4193 6 - Restricted:'00 MICHAEL V RODDEN 47 PRESCOTT ST " N ANDOVER, MA 01845- Administrator ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE 10/12/2001 PRODUCER, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9 WAVERLY ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NORTH ANDOVER MA 01845-2415 INSURED INSURER A:NATIONAL GRANGE MUTUAL Michael Rodden INSURER B:TRAVELERS PROPERTY & CASUALTY 47 Prescott Street INSURER C: INSURER D: North Andover MA 01845— INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD/V DATE MMIDD/Y GENERAL LIABILITY A EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 500,000 CLAIMS MADE ❑X OCCUR NPP37395 02/01/2001 02/01/2002 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECOT LOC AUTOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS / / / / BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS / / / / BODILY INJURY NON-OWNED AUTOS (Per accident) Is PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY / / / / EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE $ DEDUCTIBLE / / / / $ RETENTION $ $ WORKERS EMPLOYERSOMAB COMPENSATION AND / / / / X TORY LIMITS ER E.L.EACH ACCIDENT $ 100,000 B 849K419 01/01/2001 01/01/2021 E.L.DISEASE-EA EMPLOYEE$ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSfVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION TOWN OF NORTH ANDOVER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Building Department EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL /`/ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT North Andover MA 01845- FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AU REVE ACORD 25S(7/97) ATI ©ACORD CORPORATION 1988 INS025S(9910) ELECTRONIC LASER FORMS,INC.-(800)327-0545 Page 1 of 2 NORTH Town . o ®ver 14 No. Z 013 _ W� i* I�o� COC HocL y dover, Mass., 7�S RATED BOARD OF HEALTH Food/Kitchen PERMIT T.. D . Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ......... Foundation has permission to erect...... !�!�!..5. ......... buildings on � �vc�'v 4k'1 2w..... Rough �...y�.................�... ��/1�I © //'G ��/^a Chimney to be occupied as/.... ................................. .!b............................................. . ..`e—..................................................... provided that the person accepting this permit shall in every respect�con formo 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. l�_ /6d ` PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations`Voids this Permit. L Rough PERMIT EXPIRES IN 6 MONTHS Final ' UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR C 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. N-° 2 i 5 6 Date.. :J ...0/....... f HORTp " TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,sSAcMUSE� I /l) �, z, :/� yds, This certifies that ...... C c ...........(../....................:2..t..................................... has permission to perform .....�&t.. Fes+ '/` ............. ......................... wiring in the building of...... P {� �j � ............... ..................................................... at............. ................ ....................... .......... ....... ,North Andover,Mass. . , Fee...�S.:Ur'> Lic.No.......... .......... ,.�.�............. 1!'..C............ s ELECTRICAL INSPECTOR Check 'I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer •\ THE09MMONWE4L11; 0J1,A14-i"GHU3 1It Umce use only DEPARTAIENTOFPUBLICS4FM Permit No. BOARD OFFIREPREVEMONREGU ATIOAS 5270212:019 Occupancy&Fees Checked .... �� "WAPPUCATIONFOR PfRW TO PERFORMELE MCAL 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-c o Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1/2- 2-cA i--C,A G�-111 Owner or Tenant 94 (�, f Owner's Address 1Sc�l,• _ �_ Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. I Existing Service 160 Amps /dam//0 Volts 0 erhead r7 Underground a No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work" &,,,trJ y k—k ;ff p 12(a FL/��r No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 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 Pumps 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 Municipal Other Connections No.Qf Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER In raceCoveage.Rasuwt1atbetegt>=enlsdMassad GffnW Laws IhawaomertLiabihiykmm=PbhcymdudTCmVideOpwdfi*cmCovwdgcritsskstitiale4ivalat YES Q NO Ihaw stbm1edMalidptoofof§8=lDthe0@i=YES M NO � rf} uha%ed,e WYES pimrdic*thetAxofwmaEpbY the INKRANCE F-1 BOND 0 MIER o ) D& Esbi ValuedEkcftxal Wok$ Wok loshah Irqiedion D&Ra pested Rmgh Final %tilks ���, FIRM NAME /b$-�-f O �?._ ZS S 3 , Lioa�sae Signature Lioa>,seNo Business TCL Na O7)to,g r-s-T7r,ro ASS.. A1<TeLN4 OWN[R'SWSURANCEWAIVER,Iatnawwfattheliamwdo not edreitman amapa ssubWnWeWalatasmILmWbyMazadudNCalaalLaws andthatmysionthis palrtitonwai�sd»s tacg.�t�t. (Please check one) Owner M Agent // l Telephone No. PERMIT FEE L,5 (/ N° 3 5L 9 Date... } NORTM TOWN OF NORTH ANDOVER O P PERMIT FOR WIRING -SS US This certifies that .� ...................S ........... . . ...................... ........................... has permission to perform . ~..� 'o.l v� ................ .......................................................... wiring in the building of............. `�.`� ........( n. ............................... .. ..... vf �I:'< rt�,�1�� /� . .. . �,NorthAdoy,A/ ....................Fee.c .� ... Lic.NoW. L.. .1..... ii %� ELEGTR CAL INSPECTOR Check # sd i WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE CO.1flf0.•ti'l ,E4],THOFMAS59(M5EM office Use only _-' DFP4MLEA7-0FPLWK&4MY Pewit No. — BOARD 0FFIREPJ?D2M70NREGM770NN527Cfl?12,00 Occupancy dl Fees Checked APPLICA HONFORPH VITT TOPERFOWELE=CA' L WORK ALL WORK TO BE PERFOPUNI D IN ACCORDANCE KITH THE MASSACHUSSTS ELECTRICAL CODE,527 Ci.iR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of. To the Inspector of wires: The undersigned applies for a permit to perform the electrical work described below. PARCEL Location(Street&Number) Owner or Tenant Owner's Address t-- Is this pen-nit in conjunction with a building pen ut: Yes L"J I"o (Check Appropriate Box) Purpose of Building �, ,7 �G �f✓-�.. -/ - Utility Authorization No. Existing Service 2 eV Amps V4 -ydVolts Over, d � idergro Q No.of Meters New Service Amps I Volts Overhead Q Underground � No of Meters Number of Feeders and Ampacity ~� p<- ".alert-:n2 •Location and Nature of Proposed Electrical work -r vs� ��k i No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.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 Oudets No.of Gas Somers 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 Tons KW Initiating DL%ices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection!Sounding Devices No.ofDners HeatingDesiccs KW Local Municipal Q Other Cormestions No.of Water Heaters KW No.of No.of Sins Bailasis t No.Hydro\1.issage Tubs N0.of Motors Total HP f OTI-ER L�za-.mceCvcragc PtlsrtrYtotl>eracl.>QanatsotMa,�r;#tsGairallat�s Il>a�eaa�uELiaix3t�'hnzrstcel Qitssttuil ak�i YES NO a Ihow%ftriiwdvaWFro o(sarnetofrO&c.YES NO r--J IfjauhTcd�dYES pLa�it�fflet)pedaaaa�Cb�'dlad�r�zthe INSl1RANC� BOI�ID MIER (Phase ) ETmmDaic Egniitd VahrdE=cal Wcd$ watt to start /2 —Z•P--a kY�U=nBLRe;}c�i& 3 Rrn& rar, %/ e Final 5is�t�riTi R�niti�of FIRMNAME S,� / / ?- lioascl b Li�tsr Ur kZ7, ��, Si G' v Litz�cNo i y�3 Btsu�TelNo y�� "'21epI Ad�tsti., y Y ✓:r�s ?— f y` A/ 0/y- All.Td Na O«7�Z'S II�ISI.JIZANCE wAIV);R;I am auele.$�the Iicmve dek.rtct hnr the irnu•,rnce ove�Q iG st�tit]e4�y as rta�tlQod b�•T�d>ta3ts Gcnaal IaHs aril ttu rrrn sie cmae rn t}zK}zin6 a ->s n want's tt>is rtx}.tiran n (Please check one) Owner a Agent F Telephone No. PERMIT FE timatule o �mcr of AFL:!,t