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HomeMy WebLinkAboutMiscellaneous - 42 JAY ROAD 4/30/2018 - - -- - - -- --- - / 8.JAY ROAD 2101098 00.0 i f i K North Andover Board of Assessors Public Access~ Page 1 of 1 NoaTN North Andover Board of Assessors F�• f 'sSwcHuset roperty Record Card Click Seal To Return Parcel ID:210/098.A-0004-0000.0 FY:2012 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e Search for Parcels Search for Sales - - Summary Residence Detached Structure Condo 42t 2JAYROAD � J Commercial Location: 42 JAY ROAD Owner Name: MITCHELL,RANDY&LYNN Owner Address: 42 JAY ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:6-6 Land Area: 1.03 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3609 syft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: { 499,000 499,000 Building Value: 291,900 291,900 Land Value: 207,100 207,1.00 Market Land Value: 207,100 Chapter Land Value: LATEST SALE Sale Price: 570,000 Sale Date: 06/01/2004 Arms Length Sale Code: Y-YES-VALID Grantor: CHITKARA,RAJNI Cert Doc: Book: 8827 Page: 289 http://csc-ma.us/PROPAPP/display.do?linkld=1893745&town=NandoverPubAcc 7/16/2012 Residential Property Record Card PARCEL ID:210/098.A-0004-0000.0 MAP:098.A BLOCK:0004 LO T:0000.0 PARCEL ADDRESS:42 JAY ROAD FY:2012 PARCEL INFORMATION Use C- �T101- Sale Price: 570,000 �a Book �8827���- Road Type: �T� � fnspect Date: 04/30/2008 Tax Class T Sale Date 06/01/04 Page. 289Rd Condition: P Meas Date: 04/30/2008 Owner: - a-- e---�- - - of Fin Area: 3609 Sale.Type: MITCHELL,RANDY&LYNN TP Cert/D_oc: Traffic M' Entrance X Tot Land Area:y1.03 Salo Valid: Y Water Collect Id:-- RRC Address: Grantor:"CHITKARA,RAJ " Sewer �'� InspecfReas CW.� 42 JAY ROAD _ _ _ -_ __..__ - _ o._ NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: _10 Main Fn Area: 2232 Attic: N ; NBHD CODE. 6 NBHD CLASS: 6 ZONE: R3 StoryHeight: 2:00 Bedroonis: 5 Up Fn Area: 1377- -Bsmt�A&a- --1062— Se9�aType Code Method '$q-Ft Acres InfIu-Y1N Value Class Roof _ ' 'G Full Batfis3{ AddfFri Area: Fn Bsmt`'Area: 1 P 101 S 43560 1.000 206,910 ". .. '�'. " _' �' - `�" •' Ext Wall: AV Half_Baths: AUnfin-Area:_ 2 R 101 A 0 0.030 228 Bsmt*Grade: MasonryTrim—- Ext Bath Fix"-0- Tot Fm Area 3609-1 VALUATION INFORMATION Foundation. CN BathOual "T RCNLDF-- 291873- Current Total: 499,000 Bldg: 291,900 Land: 207,100 MktLnd: 207,100 Kitch_Qual= T EffYrBuilt: _ 9980_ MktAd1: Prior Total: 499,000 Bldg: 291,900 Land: 207,100 MktLnd: 207,100 Heat Type: HW Ext Kitch.-- _ - Year Built: 1967 Sound Value Fuel Type: G -� Gra-d&-- Fireplace: rade Fireplace: 1 Bsmt Gar Cap_: Condition: A Att Str Val 1: Central AC: - Y""- Bsmt`Gar SF:" u� 'Pct Complete:. � �Att Str Val2: a ... Att Gar SF:"-' ' 441 %Good P/F/E/R: /100/10078241 _.._ Porch Type Porch Area Porch Grade Factor P 180 W 512 . SKETCH PHOTO k q6. 512 Sq.Ft 16 FM 14 882 Sq.R 14 12 63 R1 FM FU/FMIB 12' 24 288 Sq 24 Ft 1062 Sq.R. 27 15 315 Sg.R 25 42 L-2 JAY ROAD }} 6 180 Sq Ft 6 126 Sq.Ft 6 30 Parcel ID:210/098.A-0004-0000.0 as of 7/16/12 Page 1 of 1 r I PO Box 55098 ` Boston,MA 02205-5098 617-951-0600 . r l Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 I RE: Insured: RANDY MITCHELL and LYNN MITCHELL - Property Address: 42 JAY RD,NORTH ANDOVER, MA Policy Number: HMA 0366787 Claim Number: BOS00056016 Date of Loss: 2/20/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Mike Grauwiler Claim Examiner 3/17/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3530 Fax: (617) 535-5855 Email: MikeGrauwiler@Safetylnsurance.com I i Date.... ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS This certifies that ........ .......... .............................. .......................... has permission to perform .....A4.944;1. .................... wiring in the building of....................... ..G.. ........:... at.....f.1...?....... .........../../..7�............. North Andoyef,-;Nlass. ... .... Li ...... Fee. .......... ... c.No-141--�Pf*............ //'e LE IcAL IN Check #/ /, 67 10440 ' Commonwealth of Massachusetts Official Use OnJ l Y Department of Fire Services 77F /G y BOARD OF FIRE PREVENTION REGULATIONS d Fee Checked eave blank -- .. •� APPLICATION FOR PERMITTO PE All work to be performed in accordance with the MassachusettsF®��trical ode ELECTRICAL ®RSC (PLEASE PRINT INNK OR TYPEALL E&ORWTIO City or Town of: NORTH ANDovE]R � Date: 1/ By this application the enders' ed To.the Inspector of Wires: rgn,. gives notice of his or her intention top oim the electrical work described below. Location(Street&Number) Z _ Owner or Tenant c/ Owner's Address Telephone No. Is this permit in conjunction with a budding permit? Purpose of Building Yes Q No (Check Appropriate Boz) "k Utility Authorization No. Ezlsting Service ZL�el2v / Yt/Volts ,�/' �'�hid I.� Undgrd Na,of Meters Mew Service Service Amps _Volts Overhead n Undgrd E] No.of Meters Number of Feeders and.Ampacity , Location and Nature of proposed Electrical Work: No.of Recessed Luminaires Comon o the olloWn table nzay be waived the 1 No.of Cell.-Sus0.0f �' oro moires . P•(Paddle})Paas Transformers NO.of Luminaire Outlets N�. .f� ,: RVA t T b,,. L''..Jli .+is.3Blf''LY.i�1dA•e:e abovea Swimming pool grnd. "d. .0 Ba O mergency No.of Receptacle Outlets Units No.of Oil Burners No.of Switches FIRE ALARMS No:of Zones No,of Gas Burners 0.of Detection an No.of Ranges Initis ' Devices . No.of Air Cond. o Tons No.of Alerting Devices No.of Waste Disposers tumber ons Totals• o.of a ontam No.of Dishwashers Deteetion/Ale ' Devices SpacelArea Heating KW nni al No.of Dryers Heating � Connection El fie' APPliaacesKyr, Security terns: 0.0 ater o Heaters KW oNo. f evices or Enuivalent .of - o D$ Si s Ballasts. vices or nival Total HP ecent No.Hydromassage Bathtubs No.of Motors omni mnNa-o€cations ' OTHER No.of Devices or E uivalent Estimated Value of Electrical Work: `4ttach additional detail tf desimg or as required by the Inspector of wires Work to Stark (When required by municipal policy-) INSURANCE CO Inspections to be requested in accordance with MEC Rule 10,and COVERAGE: Unless waived b3'the owner,no upon completion. the licensee provides proof of liabrli Pmt for the performance of electrical u liability insurance including`°co Ieted work may issue unless undersigned certifies that such coverage is' operation coverage or its substantial equivalen• The CHEM ONE; INSURANCE ,and has exhibited proof of same to the permit issuing office. 1 cer&fy, under the � OTHER � (Specify.) pains and penalties of per.%7,that the information on this appgeaden is true and complete. FIRM NAME: . Licensee: - �; SignatureLIC.NO.• V,:,, (If applicabl r"exempt ,in the license number line,) LIC.NO.. „� Address: Bus.Tel.No.: *Per M.G.L c. 147,s.57-61,security work requires D Alt:Tel.No.: OWNER'S INSURANCE W Department Public Safety"S�'License: Lic.No. AIVER' I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this tY insurance coverage normally Owner/Agent requirement I am the(check one)0 owner ❑owner'Signaturis a ent Telephone No. ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR-DOUG SMALL 1.ROUGH INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date 2.FINAL INSPECTION: Passed— Failed—[ ] Re-inspection required($50.00)-f ] Inspectors'comments: v (Inspectors'Signature-no ' itials) Date 3.UNDER GROUND INSPECTION: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: I (Inspectors'Signature-no initials) Date 4.INSPECTION—SERVICE: DATE CALLED NATIONAL GRID: NAME: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: I (Inspectors'Signature-no initials) Date _ f t i i 5.INSPECTION-OTHER: Passed—[ ] Failed—[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. Date............ZS.......4. 3?0.4 'LORTH .�;�``.- 0 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING !? f�i2 /I Z7 Thiscertifies that ...............1 ....... .... . ................................................. has permission to perform ........kr e..77; .................. winng in the building of / . � r� ........... at.................. 7..2-'. ........................... ,North Andover,Mass. w Fee..//12.0 . Lic.No. A......... Pe.. �1,��' } ELECTRICAL INSPECTOR Check # l 8213 Commonwealth of Massachusetts official Use Only Department of Fire Services Permit No. `zl3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked kv [Rev.-1/07) (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 WINK OR TYPE ALL INFORMATION) Date: p City or Town of: NORTH ANDOVER To theI pec or of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No.A. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building `� t�l C tip . Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ ��Undgrd ❑ No,of Meters Number of Feeders and Am aci p ty 1 Location and Nature of Proposed Electrical Work: Com letion o the followin table maybe waived b the Ins ector of Wires. No.of Recessed LuminairesNo.of CeiL-Sus No.of Total 1 p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o.oh mer gency ig g nd. d. ❑ Batte Units No.of Receptacle_Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches L4No. of Gas Burners No.of Detection and Initiatina Devices j No.of Ranges ; No.of Air Cond. Total Tons No.of Alerting Devices Heat Pum Number No.of W Tons Waste Disposers l p __....__.................._......_. �' No.of Self-Contained it � Totals: ......._......_.... Detection/Alertinr,Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection Other n No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo. No.of Devices or E uivalent Heaters KW Noof of . Signs Ballasts Data Wiring: Y No.of Devices 2LEquivalent uivalent No.Hydromassage Bathtubs No, of Motors Total Hp Telecommunications firing: i OTHER: No.of Devices or E uivalent ao Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: y Sm (When required by municipal policy.) Work to Start: L o 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 roof y p p of liability mc,,,�ance including completed operation"cov erage or its substantial equivalent. The undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: �c.-ZL�•LCh-L EJ1LVt 'L LIC.NO.:,J j- Licensee: /-&"4-6L_ AA* ^ aA/A-�� Signature LIC.NO.: ��p (If applicable enter"exempt 11 in the license number line.) Address: L.TeL t�_ Alt.Tel. *Per M.G.L c. 147,s.57-61,se unty work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check Owner/Agent one)❑owner El owner's agent: Signature Telephone No. PERMIT FEE:$ ��, ..,� �, c9-�-E- y r \� f, _4 i �I N° 3103 Date... .?/............ Ot HORTIi,4, a: eet;�``• TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING �,SSACNUS� This certifies that has permission to perform wiring in the building of - ' f o� at.. 1,.2.... '.�,"` .'..:.:.:.............................. .North Andover,Mass. Fee: ............ Lic.No:%..., . T .......... .. _ ......... .............................. 'ELEGTRICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ` It1Cfir JV11&Ji,]f Ln(A3ZJIJ UuAce Use only DEPARTMEtVTOFPUB1JCS4FM Permit No. 103 BOARD 0FMEPREYEN770NREGM7Y0NS52701R 1200 II UVA Occupancy&Fees CheckedPPUCARONFOR PERMIT TO PWORMEZE=CAL 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 O Town of North Andover To the Inspect r of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant } AAQQ cS`/N C7/f Owner's Address Is this permit in conjunction with a building permit: Yes[Z] No (Check Appropriate Box) Purpose of Building �/`S�D�� Utility Authorization No. Existing Service Amps^ /� Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �1� 'EC'C/� /,(J�/C-"TS �D �1�/To✓l� No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool AboveBelow Generators KVA un 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 a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis Ito.Hydro Massage Tubs No.of Motors Total HP OTHER Iri✓u-moeCv Resttantbthem manertsdMmmduseftCo=WLaws Iha%ea=ftLmbtldybnurmxPohcyffdu&rgCa CovwdWcrits%ksuMe4ivalat YES NO Ihawstbnftdvandproefcf§m=YDtteO ioe YES rJ NO IijwbawdxckodYES pleaseirrc*thetAxofoova�Wbyd imgthe INSURANCE �)3� MI-M ftffieSpeafy) ETirAon D* Estim*d VahtecfE tical Wolk$ WarkbSw _-10/7/0 hs$peMmD&Rgjcs d Rmgtl // l" _ FM SignadundaSiePtirnitles pe;)tay. FIRM Lz'auee - //✓s %Mlh ne Lioa>9eNo _ 13t>SinsTd Na 7�/ -�,s� 1'86/ A l' ��o �.—,-?-/71e-,,,;;'L cS 1,/ AIL Td.Na OWNER'SINSURANCEWANFR,IamawatethattbeLioa>sedw put $einsin et orits%bs1m*lle*miatasmWedbyMassadumCmaalLaws and fat my soon$tis Darn$appt�wi�tt>is Iac�rta>t. (Please check one) Owner Agent u� Telephone No, PERMIT FEE$ �j Location No. 00 f Date NORTN TOWN OF NORTH ANDOVER 3? � • OL � 9 ' Certificate of Occupancy $ . i , ��s''••°•E<�' Building/Frame Permit Fee $ �' SACIlUS Foundation Permit Fee $ IV Other Permit Fee $ TOTAL $ 3 Check # 7 S 14645 Building Inspector .. y TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING z 13 BUII,DING PERMIT NUMBER: DATE ISSUED. SIGNATURE: — Building Commissioner/I for of Buildings Date SECTION i-SITE INFORM ATION 1.1 Prop Address: 1.2 Assessors Map and Parcel Number: n � UMap Number Parcel Number 1 t V 1.3 Zoning Information: 1.4 Property Dimensions: O Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.GL.C.40. 54) n 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ©' Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record WA R 8 A-L S N,c3#- V Z 77 AV Q AC Name(Print) Address for Service: Qv Signature Telephone 2.2 Owner of Record: \ Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervis 6 y 9 Z Z C) \:J License Number 1 Ad 0q 26 -3�7 Explration Date .� Signature elephone J3.2 egiste _,Of o provement n ctor Not Applicable ❑ Co any e Xc� Registration Number - "-X� jAddss Expiration Date ure Tele hone 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.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify B 'ef Descri 'on of ProposedW rk: d A qqq � r � SECTION 6 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF ICTAL"'USE O ;y om leted by permit applicant i= 1. Building (a) Building Permit Fee �f Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee ta)x (b) 4 Mechanical HVAC 5 Fire Protection / 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR.GONTRACTOR APPLIES FOR BUILDING PERMIT I> _ as er/Authorized Agent of s bject property H r y authorize ti to—a n My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1> As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name tBASENENT ure of Owner/A ent Date F STORIES SIZE OR SLAB F FLOOR TIMBERS I ST 2ND 3RD SPAN DM ENSIONS OF SILLS DIMENSIONS OF POSTS DNSIONS 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 U W The Commonwealth of Massachusetts d Department of Industrial Accidents `- Office of investigations Boston, Mass. 02111 5�lb workers'Compensation Insurance Affidavit Name Please Print Name: Locati —to Ci Phone # 9) 9 / 3 am a homeown r performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers'compensation for my employees working on this job. Company name• Address City Phone#: e Insurance Co.. Policy# t: Company.name- 4 Address E City Phone . Insurance.Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,506:00 and/or one years'imprisonment-as-well-,as_ciAl.penalties�n�form-of-aSTOP_WORK ORDER.and..a_fine of>r$]Db 0#)�-dayagainstme. I understand that a copy of this statemenmay be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify unde a pains and a alties of pequry at the information provided above is true and correct. \ `= Signature` Date i=a Print nam Phone.# Official use only do not write in this area to be completed by city or town official' City or TowEl n r Permit/Licensing Building Dept ❑Check if immediate response is required 0 Licensing Board i p Selectman's Office 3 Contact person: Phone#: E] Health Department Other 4 � *;�� �� - - p- •,•. �'���.aa,us firms . � _- �s a.'✓�ie t�Ja�ineu-nt��9�Lfi't o c BOARD OF B411L�RE{3ULATIONS,' E # License: CONSTRt#CT4614 WP,ERVISOR s a Number:CS 0+45.529 ;# z� �:i3irEtalate .t0/39N558", #: 'FU 10/39/2002 7r ne. 2907 .RP s Restricted To: 00 JOHN S POLIZZOTTi 220 YANKEE DIV_ HG1NY +-tet ` DANVERS,,MA 01923 Administrator m -7- • Town of North Andover o* �ttm° ib �0 Building Department o 27 Charles Street North Andover, Massachusetts 01845 978 688-9545 Fax 978 688-9542 �9V ACHu5���� DEBRIS DISPOSAL AL FORM In accordance with the provisions of MGL c 40 s 54, and.a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The d bris wi dispo d of in/at: Facility location 47� aturef Ap li ant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. N®RTH E Town of over 0 No. 2�8o �- o11 A�oCH,��P,,, dower, Mass., 4 - 17_av o , S TED H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR /{� THIS CERTIFIES THAT...:....... ...../4 .. d./................�.. ....... .......................................................................... Foundation has permission to erect...., .'.#..Q..' ......... buildings on ......�...1��..........�..T....=.Y.......k.o.a�.............. Rough to be occupied as /fie i^ar 1 .... . ��e P tae �+�,'� w�� ��wS o r Chimney ... ..........:�........ ................................................................................. 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. 17 SA/AI $ .39'o PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST S ELECTRICAL INSPECTOR C Rough 00 ...... Service 40 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. I i N° 3 2u'-- 7 Date.................................. ,�ORTM TOWN OF NORTH ANDOVER PERMIT FOR WIRING ♦ i : s 4 SS US I 4 1 This certifies that .... .... C.e�..�x.. . has permission to perform ................................. .................................................. r wiring in the building of '`�:.....�...��,r?'.`: --:............................................ at...:t/....., .... ... 1....... t�--�-.........................North Andover,Mass. 0 U Fee ....-...... ........ Lic.No........... ...........r<.............................. e/ /, ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer i ' Commonwealth of Massachusetts official use only Department of Fire Services Permit No. C9,9-P-7 UV BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 3� [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -3o--o City or Town of. N yl �,r To the Inspector of Wires: By this application the undersigned gives notice of his or ker intention to perform the electrical work described below. Location (Street&Number) ov 60A Owner or Tenant Q,r Telephone No. S Owner's Address 19 6 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 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: Completion ofthe.following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers INA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. grnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ti No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alertina Devices Tons b No. of Waste Disposers Heat Pump Numbcr Tons KW No.of Self-Contained Totals: w_ "" Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances IC+N ecunty vstems: ,�^ No.of Devices or E uivalent, 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 Equivalent OTHER: 14 Attach 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"coverage or its substantial equivalent. The ` undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (� (Expiration Date) Estimated Val of Electrical Work: 5q (When required by municipal policy.) Work to Start: - 30 "01 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ADT Security Services 111 Morse Street,N vo d,MA,02062 LIC.NO.: 1533C Licensee: John S.Bassett Signatur IC.NO.: 1533C (Ifapplicable, enter"exempt"in the license number line.) Bus.Tel.No.: 781-278-1131 Address: U Alt.Tel.No.: 781-278-1725 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)❑ owner ❑ owner's agent. Owner/Agent FPERMIT FEE. $ 35..0 01 Signature Telephone No. location No. Date NORTH TOWN OF NORTH ANDOVER Oftt�•° , �ti.O p Certificate of Occupancy $ ' n Building/Frame Permit Fee $ Foundation Permit Fee $ SACMUSE Other Permit Fees'&/ $ Sewer Connection Fee $ Water Connection Fee $ 1 TOTAL $ Sid Building Inspector 12/28/93 09.2• 13.00 ,'�� 68,25 Div. Public Works ;1 iER\irll3,N0. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP K40. I LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK PAGE — ZONE SUB DIV. LOT NO. OCATION 4 V -'r4'/ � .�� RPOSE OF BUILDING X IP NER'S NAME a EL F NO. OF STORIES SIZE OWNER'S ADDRESS Owl BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD tl;TILDER'S NAME SPAN --- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET "" POSTS DISTANCE FROM LOT LINES-SIDES REAR '" GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST v Jp PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. I 1 PAGE 2 FILL OUT SECTIONS 1 12 EST. BLDG. COST PER ROOM 1 �:# SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON.OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DACE FILED lbt ,LABOARD OF HEALTH SIGNATURE OF"ER OR AUTM D AGENT FEE /� 2 PERMIT GRANTE 0 R TEL.#46 O�^p/' IC)f3 2 PLANNING BOARD 12 `'-rONTR.TEL.# ArA4 19 - Z-el0NTR. LIC.# /\/a WARD OF SELECTMEN �a" BUILDING INSPECTOR R i BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY — STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL _ _ _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/2 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 71--; FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. C l STONE ON MASONRY WIRING STONE ON FRAME UPERIOR ADEOUAATE I� NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBQELAMANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC lit 13rd NO HEATING ivwrt I UAW: INOrtka; I IUIV FLU I FLw14 �. NORTHERN ASSOCIATES, INC. WO n~rKE STMET AWN AAWVER KA TEL. (508) 975-7117 c 29reASM SWARBHAN B KALPANAr^..�HATTERaIE' DEED REF. 3167/262 LOCA TXaV 42 JA Y ROAD PLAN AEF. 6987 TY, BTA TE? NORTH ANDOVER M4 N SCALe 1- 40' DAT) ' AUBUBT 2 .t99X JOB R 9305183 1410.00' LOT i LOT 2 45000 S.F. • avaasim 0 o 0 o o. S � Paget FDE;K 9P 2 STORY km DEW I 49' I I 140.00' JA Y ROAD fi RTIFIED TO: LEADER MORTGAGE COMPANy, INC ICs This mortgage inspection was prepared This mortgage in•inspection was eifieally for mortgage purposes only and D prepared in accordance I to be relied upon am a land or with the Technical Standards for Mortgage Loan 'e survey. auilding location and offsetartyinspections as adopted by the Nessachusette Board of Iwn are specifically for stoning determination � O Registration of Professional Engineers and Land 'y and not to be usedto establish property + Surveyor• 250 CMR 405. •e. The land shown hereon ie based on S I further state that in ■y professional opinion that r the principle structure shown conform with •rented Information noted and may be subject y y the local zoning horizontal dimensional setback 'further taking* and N momenta. Northern a (= a reauireaents at the time of construction or are ociates, Inc. accepts no responsibility for V ages resulting from said reliince by anyone l»fl C •tempt under provisions of M.O.L. CH. 40-A Sec. 7. er than the said mortgage• and its aeelone Jr, ` a I.property Is not In a Flood Hazud Area. ' 'nection with its proposed mortgage financing (� �r=����0' (� 2.Property Is In a Flood Huard Area. said mortgagor. Kp 3Vt,�l� 09.Information Islnsulfidenttodetermine Flood Haland 't ific•tion too Flood Huard determined from latest Fede I Flood Insvronoe Rate Mao Psnnll 2-500 98 000 CDC.. DATE: J Ne Z,4lg61 NORTH ® of �r �� Andover O ._ '.I',.f• 588 ., r: � X --E OCHICdover, Mass., 19 �1 CHE WICK oRATED 1 V 4 BOARD OF HEALTH RMIT T D Food/Kitchen ^ Septic System -PE BUILDING INSPECTOR THIS CERTIFIES THAT 110.46...... Foundation .,� �...j � � ation ,. �� has permission to erect...,S4 kC*0........... buildings on .... .................................. Rough to be occupied as ..... X 0 Chimney S provided that the person accepting this permvery respect conform to the terms­oheaPPlicationonfle 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 ELECTRICAL INSPECTOR UNLESS CONSTRUCTION START Rough ...... ........... ...........:" Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR gh Display in a Conspicuous Place on the Premises — Do Not Remove F nal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT