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Home My WebLink AboutMiscellaneous - 44 EQUESTRIAN DRIVE 4/30/2018 (2) 44 EQUESTRIAN DRIVE / 210/105.D-0134-0000.0 R i PO Box 55098 Boston,MA 02205-5098 617-951-0600 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 NO ANDOVER, MA 01845 NO ANDOVER, MA 01845 RE: Insured: RICHARD SARRO and NANCY SARRO Property Address: 44 EQUESTRIAN DR,NO ANDOVER, MA Policy Number: HMA 0007025 Claim Number: BOS00047478 Date of Loss: 2/2/2015 Company: Safety 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. Lisa Monette Claim Examiner 2/4/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617.) 535-5833 Email: lisamonette@safetyinsurance.com I I Safety Insurance 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 NO ANDOVER, MA 01845 NO ANDOVER, MA 01845 RE: Insured: RICHARD SARRO and NANCY SARRO Property Address: 44 EQUESTRIAN DR,NO ANDOVER, MA Policy Number: HMA 0007025 Claim Number: BOS00040723 Date of Loss: 1/4/2014 Company: Safety Insurance Company Claim has been made involvingloss damage or destruction - g coon 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. Holly Coughlin Claim Examiner 1/7/2014 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3026 Fax: (617) 531-6684 Email: HollyCoughlin@SafetyInsurance.com Date......7:.a/..d .... y f MORT/, 3?°•t:�``°-;' "�o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ��SS�cHusE� 1-0 This certifies that ............................................................................................. has permission to perform ......`... `-�-- F ................ ......... wiring in the building of .................................................... at.. .......................... ,North Andover,Mass. Fee... ........ ....... Lic.NdL/f/. �. :''.................. ELEcmicAL INSPECCOR Check # 5355 y THECOAIMONWFALTHOFM4SSA9BUSE77S Office Use only DEPANAIEWOMBAUCS4FEN Permit No. BOAROOFFREPREVFM ONONS52 (MI20 '= 7 Occupancy&Fees Checked APPLICATTONFOR PERMIT TO FORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSA SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical ork des' bed below. Location(Street&Number) Owner or Tenant 61/ C O . Owner's Address ✓&Siefib/tl+j ' Is this permit in conjunction with a building permit: Yes No M (Check Appropriate Box) Purpose of Building Irl ELL,I'l 6— Utility Authorization No. Existing Service AmpsVolts Overhead Underground M No.of Meters New Service Amps— Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work IVIAit-,6- ro& fL/T X 1FA400 c 4- No. No.of Lighting Outlets /0 No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round 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 p 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.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP a / - OTHER- �I6SS 6 rtd l j b- -T43 ✓1EAA(.,J s 1✓/2/!J6' 1?Aa 1 7Le6,,J A-0 AC/Q, t t t-1J1Z-x 0 rf L t kauna=CoVWdW-P�xs>ant>Dihetegtritana�s�Gala�al IhareaolmiLiabdiykn==FbhLyurkxmgComplee CoNwaWorilsat t tdec w,wat YES NO IhaveatbnlwdvandproofofsametotheOffim YES F)mhawchadodITS,plemindrmetetypeofc wwWby INSURANCES BOND FJ MIER � (� ) NA Tro.�✓s�L�/�,4r/b� .rtJ;�.�L /!�o EMmalyd Vakreofl~103Xai Wbtk$ WodcroStat `1 f? >tlspe MDaf1eRWShA RWghC- Final tl e— Sigr>ad order Penakies af'petjtay: 4vi/�F/Z ELEC7!'L(L FIRMNAME /Zo/3 n T Li=WN(x I t) �W � 4'� � LiaawNo Busi=Tel.M. 6d3-Z3t/- lirl R o. 13a� -7*09 1Wm oAV 1 lVd 03,677 At Tei Na OWNER'SINSURANCEWAIVER;IamawarethattheLio wdoestrothavetheinlslaalcecDwWoritsatbslalfialecpri miaiasteggWbyMassadruseltsGalealLaws andthatrrrysigrlahuecnthispe=VphcMmwaivesdmtagtmem t (Please check one) Owner Agent Telephone No. PERMIT FEE$ Signature of Owner or Agent Date. . . . .. .. . .. . . . . .. . . t HpRTH o� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION r p9 h S^CMUSE�S This certifies that . . . . . . . . . . . . . . .*n. . . . .z . . . . ` ".. . .�. . . . . . . . . . has permission for gas installation . . . . ... . . . . . . . . . . 1 :�. . . . . t in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -ut . . . . . . . . . ... . . . '.°. . . . . . . . . .`.zi., North Andover, Mass. Fee. . . '. . . . . Lic. No.. .. . . . . . . . . . . ' GAS INSPECTOR Check# 3 , 70 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date /" , 2LL;j-- Permit# 5' Building Location ?"r &Afr o • Owners Name✓& ABX Type of Occupancy1� ! int'N ri A New ❑ Renovation ❑ Replacement R,'� PlansubA ed: Yes❑ No❑ � f�y z, W am y y V y ¢ y ¢ O W J y W 0 V m 2 O W ¢ ¢ p O Q 2 W r 0. r y 2 W 2 V = ¢ y W 4 ¢ t- O F• S tl !- 2J_ F' 2 F� !. ;1- to m 2 O 2 W O N = Y < W ¢ W O Z. < ¢ _4 4 O O W O 111 m- ¢ '= O SUB—BSMT. BASEMENT 1 ST FLOOR 2HDFLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name "ACjA=LZ T A . `elm MA T A�01 Check one: Certificate Address 3 7 120A C H/vt A.ry -Nf,. O Corporation 111 E T H U E fJ r11 rl U 1 k ❑ Partnership Business Telephone 1,o -5 9-7 f p--firm/Co. Name of incensed Plumber or Gas Fitter "t t j8E 2 T A- J A M r)1 jq i A 1e(D INSURANCE COVERAGE: I have a current f bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.. Yes No 0 If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy JI Other type of indemnity O Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Ohapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: •Signature of Owner or Owner's Agent Owner❑ Agent ❑ 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 performed under the pe ' t ued for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of Aners.By T Of License:Pumber ncen u or Fitter Title tter er License Number X333 City/Town Journeyman APPROVED O IC N BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR OASFITTER LIC. NO. PERMIT GRANTED DATE 19 GASINSPECTOR ` s^ 2765 Date...� .. .� . Q. .. NOR71{ °f TOWN OF NORTH ANDOVER 3? e�.r ... ,_• OL p PERMIT FOR WIRING VIP ,SSACMUS� This certifies that(. S1.t7-6C ... 2 ............................... has permission to perform . . ...... ...................... wiring in the building of ..... . at.-Aral ` au...... .................... .North Andover,Mass. Fee ... ....... Liic.No. ....�-............................................................... ELECTRICAL INSPECTOR . {Cy^ 12/18/95 14:25 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File `► Office Use Only 0141 Cfumn IInmtatt� of :fit sadp �� Permit No. 2,So 1Y t -'Epartmad of'f alit *ofeig Occupancy&Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/so (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 7& or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 7 � IgA) Owner or Tenant Owner's Address II� Is this permit in conjunction with a building permit: Yes No u (Check Appropriate Box) Purpose of Building 1 ,q-,d-.J Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Transformers No. of Lighting Outlets � No. of Hot Tubs KVA AbovNo. of Lighting Fixtures I Swimming Pool grno. i_! !_ In- rnq. gmGenerators KVA No. of Emergency Lighting No. of Receptacle Outlets ( No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Ran es No. of Air Cond. Total No. of Detection and 9 tons Initiating Devices No. of Disposals Dis No.of Heat Total Total P Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal E]Other No. of Dryers I Heating Devices KW Local Connection No. of No. of Law Voltage No. of Water Heaters KW I Signs Sailasts Wiring �2 No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including COm I ad Operations Coverage or its substantial equivaient. YES rl� have submitted valid proof of same to the Office. YES ; NO = If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE -:;/BOND = OTHER = (Please Specify) (Expiration Datel Estimated Value of E!ectrical Work S �!J-OG Work to Start �� Z� Inspection Date Requested: Rough Final e Signed under the Penalties of perjury: FIRM NAME LIC. NO. LicenseeSignature // LIC. NO. N • Bus. Tel. o. _.944 - —/ -7 r— Address L" �y J Alt. Tel. No. 'U «��L ' s OWNER'S INSURANCE WAIVER: I 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 S (Signature of Owner or Agent) x-6585 Location C-t,'r No. Date g t MOR71y , TOWN OF NORTH ANDOVER A Certificate of Occupancy $ ` � 41 �, �; Building/Frame Permit Fee $ ssAGNUSE� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee Water Connection Fee TOTAL $ �4`I2.' a 7' lA L 0(,oz) Building Inspector 7755 Div. Public Works Location t41S .taJ ,. No. Date I .y +7 "ORT" 1 TOWN OF NORTH ANDOVER p�•t�.o F p Certificate of Occupancy $ 5� * ; ' Building/Frame Permit Fee $ �ssuMusEt Foundation Permit Fee $ _ Other Permit Fee $ V r• Sewer Connection Fee $ Water Connection Fee $ �. TOTAL $ 5� Building Inspector 7754 Div. Public Works Location �`�` ��' �«y No. Date „pRTq TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ 4 ;�s Eta Foundation Permit Fee $ s�c14U Other Permit Fee $ + Sewer Connection Fee $ deo Water Connection Fee $ //577.50 TOTAL $ MI Building In pector , f Gf/r *� c 8407 D P lic Works PER111T NO. v c APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE i ,< MAP'.NO./() � LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE 7,ONE j� J I SUB DIV. LOT NO. Z? Q �J�G �n / LOCATION '1 1 `. �J� ,�/ PURPOSE OF BUILDING iJ f 4"w-.9111 �v y OWNER'S NAME / i1� NO. OF STORIES '7 // 451ZE G OWNER'S ADDRESS7 "/ hOJ `, VVD BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1ST / ND /•07 3RD Q1/� .BUILDER'S NAME a,r_/ SPAN /� DISTANCE TO NEAREST BUILDING � � DIMENSIONS OF SILLS DISTANCE FROM STREET / G POSTS DISTANCE FROM LOT LINES-SIDES O f REAR 1470 �r O GIRDERS �fJ AREA OF LOT f% 1�' FRONTAGE HEIGHT OF FOUNDATION THICKNESS /O IS BUILDING NEW SIZE OF FOOTING o A X IS BUILDING ADDITION .tom MATERIAL OF CHIMNEY /V IS BUILDING ALTERATION Ivo IS BUILDING ON SOLID OR FILLED LAND J-b WILL BUILDING CONFORM TO REQUIREMENTS OF CODE / /, IS BUILDING CONNECTED TO TOWN WATER r 1 !, BOARD OF APPEALS ACTION. IF ANY Z/� IS BUILDING CONNECTED TO TOWN SEWER /47 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST /V`l`�oLl ,� SEE BOTH SIDES REGULATED BY PARA. 114.8,5. B.C. -EST. BLDG. COST /� L- PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. 1 i EST. BLDG. COST PER ROOM J PAGE 2 FILL OUT SECTIONS 1 - 12 DATE zcjUjfM PAID 160 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING to ff77S4 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGLET FOR FRAME/BUILDING • PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED nkTl:. FEE PAID -�Aa��- . ING INSPECTOR SIGNATURE OF OWNER O -AUTHORIZE -/AGEkT F E E lycjz,,b OWNER TEL.# ACE: t sb. oo GIC //d �2 / PERMIT GRANTED ^7� �- CONTR.TEL.#IJ l 19 I CONTR.LIC.# / o v H.I.C.# mm Pow 2 L�FDA _ LOO, 00 . NOV 11994 DUE FRAME PERMIT$ 1'63-212- �s'D BUILDING RECORD f� i OCCUPANCY 12 SINGLE FAMILY )RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICESLOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION _- 2 FOUNDATION 8 INTERIOR FINISH ` CONCRETE _ 3 2 3 , + CONCRETE BL'K. PINE _ BRICK OR STONE HARD_ D PIERS PLASTER Y _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M AREA _ /` / '/, '/i 1/1 FIN. ATTIC AREA _\ NO B M T FIRE PLACES HEAD ROOM 21-' MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS too B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDY D , L y 1k ♦� ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE ;1 7r♦' -y'^�. �! �• ;p.�,•.I'."r STUCCO ON MASONRY _ -i ,_- STUCCO ON FRAMEtf { .+ r" ♦ jt. ..i iP 1:i':-L:l � i; ! � j1 �/O �y/ BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ _ "'i SUPERIOR AVPOOR _ ADEQUATE I-1 NONE 5 OF 10 PLUMBING _ 1 - Ito GABLE I HIP BATH 13 FIX.) D GAMBREL MANSARD TOILET RM. (2 FIX.) n FLAT I SHED WATER CLOSET _ 1 ASPHALT SHINGLES LAVATORY _ WOODSHINGES KITCHEN SINK SLATE NO PLUMBING y TAR & GRAVEL STALL SHOWER • -1 ✓ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING IL 11 HEATING - - WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. U 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 oELECTRIC lit 13rd I NO HEATING �;�►� J Ar _ IVA Town of gar Vdover ' ~ ort dower, Mass., Rayemset- ZS 19 94 �1 0 K w co,,il(III IC K A � tG, T6BUILD BOARD OF HEALTH Food/Kitchen PERMIT Septic System �.... BUI,I<,DING INSPECTOR THIS CERTIFIES THAT .Y.611A'D... ....J�.f .S ...................................................................................�OSya Foundation ........... Rou h has permission to erect..�J ... !!��.. buildings on ... .... �'T /. . . 1�.. g to be occupied as.. .lK6Gl .. IMI..... ........tuC�-!.1.R.?(a..Hiipect ..z.C��12.. t1�?�q.�.0......x..37'�0S .............. chimney that the person accepting thin permit shall in everconform to the terms of the application on file in Final provided p P 9 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114Z& B.C. Rough Final PERMIT EXP 6 MON"IUAT -15g4 FEE PAID CX) ELECTRICAL CTOR UNLESS CO STRL C Rough �N ...... Servi BUILDING INSPEC OR � Q��O Occupancy Permit Required to Occupy Building he S INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove pQ► Final 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 in, ff RIVE aLIO CE 00630430* ' 01-16-9:'i. !1-IIR- 4 5-11 ETON ' rnwr: I F I' 114 808TON ST F: N ANDOVER MA. �w�g/0 ,�01843-6504 . • �}; t. =` COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ `� _ , failursfopozz !'-Tacurroat N ONE ASHBOR TON PLACE ..::fvpibJisxJ:.:Se:1is��ii5.5 OF MASSACHUSETTS BOSTONMA 02108, MASS - LICENSE CAUTION ENy�A�,� CONSTR. SUPERVISOR EXPIRATION DATE E FOR PROTECTION AGAINST 01 /18/1996 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS T 05/30/1993 012428 PRINT IN APPROPRIATE NONE BOX ON LICENSE. DONALD F JOHNSTON BLASTING OPERATORS 114 90STON ST 2 S$ # 006-30-4504 !-' N ANDOVER MA 01 845 m MUST INCLUDE PHOTO. r i'iiL � ti�;i" ^-• ;v';;kjy�"'c��.;� {,J 0. 00 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY +•. �`�"��-`J''Nt3z I STAMPED-OR.SIGNATURE OF THE COMMISSIONER 7;t•. � .. DOB: ' JUL 1 x '37 /18/1934 6.1993 4 « SIGN NAME IN FULL ABOVE SIGNATURE LINE „PHIS DOCUMENT MUST BESIGNATURE LICENSEE 'moi ¢�'4 •�•_�__.. ' �CARRIEDONTHEPERSONOF THE HOLDER WHEN EN• MISSIONER D.P.S. ,'' ERS•RIGHT THUMBPRINT' GAGED INTHIS OCCUPATION. FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: ® y f 4.rJ Phone(4-0a _&A? LOCATION: Assessor's Map Number �� 40 Parcel AS Subdivision zv 1.74Lots) /- Street - , - ��INF St. Number V ***************_**"*******Official Use Only************************ RECOMMEND ONS OF TOWN AGENTS: Date Approved onse ation Administrator Date Rejected Comments 1Qj C 1 ? o D Date Approved Town Planner Date Rejected Comments Date Approved Food Insp-eccttor-Health Date Rejected Date Approved o2 Septic Inspector-Health Date Rejected Comments t Public Works - sewer/water connections -7:7-It(/ 9—Z7 24- d 4day Fire Department Department Received by Building Inspector Date Lot 1OA Plan o f L and 275.66' In 20.oo\ North A n do ver, /Mass ` VI- Showing Lot 13 A "As—Built " Foundation 131,829 S.F. �� Location 3.03 Ac. �0 Lot l JA — Equestrian Drive J / Prepared For Don Johns ton Scale: I " = 80' Date: August 3, 1995 L 32' Top Of Foundation Zoning Dl's tric t: R — 2 Elevation = 145.33' 0� Residence 2 Dis tric t 5 g�G Note: �, o Property line data token from a easement plan by o_ (` Neve Assoc.,Inc.,dated October 30, 1987, - `\ ) �� o4 and a subdivision plan by Neve Assoc.lnc.,dated J V July 1, 1985,revised to July 10, 1985. Eas(�(-nen t For Common �� \Dri veway and Utilities ip� In my opinion, this proposed dwelling is not in a Flood Hazard Zone as shown on th U.S.D.H.U.D. Flood Hazard Boundary Mops. Community Pane/ No.250098 0012 C. V' W '6J.38' 186.84' l Hereby Certify That The Foundation On This Cz o Property Is Located As Shown On Plans And Q) o p c w Lot 18A Complies With The Zoning Requirements Of The Town Of North Ando ver,Mass. \ «51.03'» Eq u es t rl a n Drive r (Public — 50' Wide) IL tom. Profess G,� v ,9� Thomas E. Neve Associates, Inc. u WOO 447 Old Boston Rood — U.S. Route 1 Engineers — Surveyors — Land Use Planners Topsfield, Massachusetts 01983 (887-8586 • 7478 Location 4 4 LI Kid tiV F No. Date NORT1y TOWN OF NORTH ANDOVER OHO•, ``D I•,hOOLi. A Certificate of Occupancy $ Building/Frame Permit Fee $ 4n.'�t� Foundation Permit Fee $ s�CHU Other Permit F4 W M $ — Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 11/27/9513:10 25.60 PAID ± , 9 3 9 G Div. Public Works A KARENH.P. NELSON � �Town of 682-64M12o Main sic,01845 °""`r°' y: NORTH ANDOVER (sos) ss2-s BUILDING •�; w CONSERVATION _ DWSIOS OF HEALTPLANNING PL:\�NiNG PLANNING & CO3NMUNT = DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE �f f PERMIT 5�0� LOCATION OWNER' S NAME BUILDER' S NAME MASON' S NAME S / l/"�`le MASON ' S ADDRESS b✓ _�/6/) 1/ Ile— mg, l i�.ASON ' S TELEPHONE 4 C� �OSP13� MATERIAL OF CHI`•1ilEY / INTERIOR CHIMNEY dEXTERIOR CHIMNEY NU1 BER AND SIZE OF FZUES �o�xl� THICiviESS OF HEARTH �O Wit l chimnev or f_=eoiace c:;:'o--•. rea_Lirements of the code and have rules and recU_at .. - ns been received: ✓f j� DATE _ /o 1�, CONTR. LIC. SIGNATURE OF MASON � EST. CONSTRUCTION COST;%COIT TRACT PRICE � d(I 1T'T' Pt'...Ri_: GRAPiTED LCI ROBERT NICETTA, BUILD--'NG INSPECTED a REMARKS s: - -0 =RICK REQUIRED THIS PERMIT i4rUS T BE DISPLAYED ON THE PRE IISES Plan of L and 0 2 =3 /n _ ----- --- North Andover, Mass. (2) Two L each Trenches Sho w/ng 50' Long, 4' wide, 2' Deep "As—Built Sonitcry Disposal System " A Lot I JA — Eques trice Drive Prep are d For o H � F s Don Johnston \\ a Scale: 1 " = 40' Date: March 4, 1996 Rev : March 12 1996 E G, l hereby certify that l have inspected the -'��o Vent D B Top Of Foundation construction of this disposal system and 6-7G \, o Elevation = 145.33' that the construction and final grading has been in accordance with the designer's intent D—Box 1500 Gallon P and that the materials used conform to the \ \ \\ Septic Tank plan specifications and 310 CMR 15.00. \ To Equestrian Drive o k. `� This plan has been prepared for . the purpose of showing the "As—Built" conditions of the sonitory disposal system installed on the premises. All work was done within the construction limitations expected for o job � \ V of this type. M Schedule of Tie Distances Schedule of Inverts AC = 478' AF = 63.3' V BC = 4 1.4' BF = 103.8' ca: lnv-rt @Foundation Sep tic Tank In = 139. 59' AD = 59.9' A C = 66.6' Sep tic Tank Out = 139.25' BD = 59:3' BC = 69.9' Design n neer, P.E. D-Box In = 137.79' D-Box Out = 137.64Ac = 51.4' AH = 78. 1' Thomas E- Neve Associates, Inc. Sys tern In = 137.51' BE = 57. 1' BH = 1 12.5' 447 Old Boston Road - U.S. Route 1 Encineers — Surveyors — Land Use Planners Sy17.23tA� — 4 Topsfielo; Mossochuse t is 01983 (887-8586) oD !� i 4 7. . CERTIFICATE OF USE & OCCUPANCY N CY Town of North Andover Building Permit Number S� 7 Date 3y— THIS CERTIFIES THAT THE BUILDING LOCATED ON VCS �Gl rS'�l'/tw/U DA?(y(f MAY BE OCCUPIED AS f �,O r 4 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO DQ 14J TO Il tl5 576 Al ADDRESS D �s: "u uildih Inspector AORT F i • Tovmof No. r. �Worti," dover, Mass.. XdVemara. ZS' 19 94 T Q 1 LAKE c0c.1cME ':" imp AQRRTED PPa\ Cl 1 H E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System' •--" BUILDING INSPECTOR THIS CERTIFIES THAT Y.0.1. .AULo... q....................................................................................... Foundation . /OSV has permission to erect.. ... !K! .. buildings on ... ... �iIF ( C ... 1/�.............. 3� to be occupied as.. .lw.4..f.1..J'�. . ..�I ��.4b....ipect ..�.C�0a_..40JA.Q*....... ..�7��sr .............. thprovided that the person accepting this►permit shall in ever conform to the terms of the application on file in is office, and to he provisions of the odes and By-Laws relang to the Inspection, Alteration and Construction of F Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY —PLUMBING,INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA, 114.8,x• B.C. ,ROr91 PERMIT EXPIRES IN MONTQN `FEE PAID t� ELE TRICAL INSPECTOR UNLESS CON�TR C� AT( s2 �PERMIT FOR FRAMUBUILDING - BUILDING INSPECTOR DATE: RA EE PAID• 144lez Occupancy Permit Required to Occupy Building GAS IN P o h Display in a Conspicuous Place on the Premises — Do Not Remove No Lathing or Dry Wall To Be Done FIR D ARTME Until Inspected and Approved by the Building Inspecto,;��b urner PLANNING '3�"— FINAL CONSERVATION FI � "t No. q SEWER/WATER �� FINAL DRIVEWAY ENTRY PERMIT Smoke Det. Location `7` / qy TR�AK/ 1�RiV e No. 7 Date 7 4o c i NORT►, TOWN OF NORTH ANDOVER 41 f D Certificate of Occupancy $ �'s''••''Eta' Building/Frame Permit Fee $ ACHUS Foundation Permit Fee $ Other Permit Fee $ 6. a0•UU TOTAL $ Check # f 17434 DW Building Inspector TOWN OF NORTH ANDOVER l` BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER f796— DATE ISSUED:.. rn SIGNATURE: lK ic Building Commissioner/Inspector of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number Q� V 1.3 Zoning Information: 1.4 Property Dimensions: 139, 5? Z- Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water rly M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: l D Public Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 6' SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes 110 rn 2.1 Owner of Record Name(Print) Address for Service: SG�r- Qr�B�Co ��y�Z Signa re Telephone Q 2.2 Owner of Record: Name Print Address for Service: O Z rn Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Cud Tmy.\ Licensed Construction Supervisor: (f S 6'S59 S 0 O License Number 3?' SJ� �/c11Py t'rl v--P— License Address rl/7 I ZDU S 7 Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Com e D/99G rn �/� Registration Number r Addr ss r iiz/�eD'/aao Expiration (� Z^ Si re Telephone Y/ 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 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ 7ition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: pp L, pU r-C-k . �j 6 C J i q x c\0�-*-sCNev1(-s J-7 K SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be qI GiA►I USE ONLY Completed bypermit applicant 1. Building (a) Building Permit Fee /p x Multi lier 2 Electrical (b) Estimated Total Cost of o?� U 0 Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 (02 1000 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT C4 f- as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to ork authorized by this building permit application. G/ CN�� SOI/ti/l L�� —1—o Signature of bwner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR THVMERS OT 2ND 3RD SPAN DRvIENSIONS OF SILLS DEvIENSIONS OF POSTS DEV ENSIONS 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 ''0( , FM a fr ^. — I GARAGE 23'-4'x 22'-10" KITCHEN 13'-0"x 10'-7" Li aI v.: 21 21l SE sm O D ¢,,,, Jc eeN�� 13'•8" � I NOOK DECK eY-L �I co 13'-0"x 13'-5" o -t 12'-11"x 11'-5" r ir L Lm vq — — — — — — — — I DECK N� 14'-1314" 1:31.1 x5'-7" D 13'-B" 6:5'-11 1n- �`�{oasa�ermiE��+ar�'c n��raaac�,�coed�3 Board of Budding Regulations anel Standards License or registration valid for individul use onE 1 5 }"' HOME IMPROVEMENT CONTRACTOR before the expiration date, if found return to: $' r+ Registration: 101996 Board of Building Regulations and Standards Expiration: 6/30/2006 One Ashburton Place Ran 1301. Type. DBA Boston,ilia.02108 GUY JEAN BUILDERS Guy Jean p 38 Sunvaltey Drive M1A__� �'✓ Bradford,MA 01835 ,,.� ...... . ...._..---_,........_.__...__......._.._.__----_...... Administrator Not va' evithout signature � e ..:` . License CONSTRUCTION SUPERVISOR Number CS 0669610 � � Birthd2Fte X11117/1960 € Expli vsf.01f17.12005 Tr.no: 6619 Rest!rictetcl: bo g GUY R JEAN 38 SUN VALLEY DRIVE BRADFORD, AVIA 01835Administrator 1 p' ' VT 71 . 1 " a The Commonwealth of Massachusetts dDepartment of Industrial Accidents Office of Investigations �e Boston, Mass. 02111 S�lb Workers'Compensation Insurance Affidavit Name Please Print Name: Gro U /2 Teo*7 Location: y y Foy�.c�i^igh �i^f✓P City n qgalo vt.^ Phone # 77?-eW7-c/,a,,?4, I am a homeowner 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#: Insurance Co. Policv# Company name: J e4',,1 9&, Address Citi 9/'a,26GiT4 !A u Phone Insurance Co. lilts-yc ov e, i'i c Co. Policv# d tfA/61 S 3/l9 77,0 Cr 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$1,500.00 and/or one years'imprisonment as well_as_civil..penattiesin.thefnrm-ofA-STOP WORK_ORDER..and_a fine of.(.$100..00)_arlay.against.me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do hereby certify unde the pains and penalties of perjury that the information provided above is true and correct. Signature 44 Date G 9 y Print name (ry Y Phone918'-3�a?y316 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ Building Dept ❑Check if immediate response is required 0 Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other 40 A Proposal Guy Jean Builders 38 Sunvalley Drive Date:5/18/04 Bradford,Mass 01838 Office:1-978-372-4376 E-Mail Guy Jean Builders @ Comcast.Net Job Name:Nancy&Rich Sacro 44 Equestrian Drive N.Andover This proposal is for the remodel and expansion of the existing kitchen,and oee-existing deck,replacing it with a three season room and small Deck This proposal includes the following Getting the permits(permit cost not included) Lawn repairs,plus seed,up to you to water,ect Install 12" sono tubes,with 24" rd footings Building an addition approx l Ox 13 ft to expand the addition to match the existing exterior Installing new Anderson windows and one full view fiberglass door with grills. Bay window(6'-4" 7/16Wx5'-6 1/4 H)#TW45-DHP3052-18,with a framed roof and shingles Double hung window(2'-10 1/8Wx5'-4 7/8 H)#TW2852 Full view 3-0 x 6-8 glass door with grills,outswing,no screen Prep floors for prefinished hardwood and install Move doorway near fridge to new space Remove 3ft of wall in kitchen on dining room side • Remove ceiling and cabinets and replace with new Insulate,sheetrock,mud and paint all new work Paint exterior to match existing as close as possible Trimout interior Paint interior Labor to install kitchen cabinets Roofing to match as close as possible to existing Trashremoval • 2x4 construction with R 13 insulation Install foam insulation,fiberglass,and plywood under addition 0 Outlets to code,ceiling fan,4 recessed lights,wire appliances,ect 41 Proposal Guy Jean Builders. 38 Sunvalley Drive Date:5/18/04 Bradford,Mass 01838 Office:1-978-372-4376 E-Mail Guy Jean Builders @ Job Name:Sarro Comcast.Net The three season porch and deck include the following • Leave existing deck, • New sono tubes,48" below grade • Paint exterior trim,and interior trim and siding,leaving all pt natural • Install a shed roof,with a vynal,waines coating ceiling • Install aluminum framed screened inserts with one door to deck • Build a 13x6 pt deck off of porch with stairs to back yard • Interior walls will match exterior of house • Installing a fan,with light kit,and outlets as needed Totals Kitchen remodel,kitchen addition,screened porch $475390 Approx kitchen cost $13,837 $61,227 Dc &D/t-4, Ya�cQLftu1 FORM U - LOT RELEASE FORM Z(vo(r- 1) e INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from (3' `O 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 �O C3-I t<'� JQ(_rO PHONE 9 $—(J D 7^y (J Z(S LOCATION: Assessor's Map Number `d cJP— PARCEL D 13q SUBDIVISION LOT (S) STREET qt( c�U� Gr, ST. NUMBER *****************************************OFFICIAL USE ONLY*********************************** RECO ENDATIONS OF TOW AGENTS: , ONS RVATION ADMINIST OR DATE APPROVED f DATE REJECTED , COMMENTS [0Z(1� /00 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED �,/"'SltOTIC INSPECTOR- ALTH DATE APPROVED /,r DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm Date.''7 U7 .t q �'<H�'°T• �tia TOWN OF NORTH ANDOVER 3j o` PERMIT FOR PLUMBING SSACNUS� This certifies that ��. . �SoN. . . .�. . . . �! ~' . . . . . . . . . . has permission to perform . . .`. : o�. �. . . . . . . . . . . . . . . . . . plumbing in the buildin s Of .�. . . . . .. .. .... . . . . . . . . . . . . . . . . . . . at . . . North Andover, .Cr.,t.M-.�.a.s. s.. luLk . Y�S�i # DZ PLUMBIN INSPECTOR 6122 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) >� NORTH ANDOVER,MASSACHUSETTS 1 �/ / / Date a Building Location ��S'R 1H+-' Owners Named �- Jr-49� Permit# Amount Type of Occu�ancl y New ri Renovation Replacement Plans Submitted Yes 0 No FIXT RES cr Cr re cc cc Cl ad w SZ IMM ]ST FLOOR �II)HIO� M)HI1X]2 4M FUM SII3)N7 OM 6M FL" M]HIOOR gm HOCg2 (Print or type) Q� /' - Check one: Certificate Installing Company Name "�fir', �'`�f �s ❑ Corp. Q U i�F/C/J'tc,C -'C Address 15-0 � Partner. i:fL'j Cr /"A-0!J*3U ` Business Telephone f- r-r6--a 31,2- F�.-rFrm/Co. Name of Licensed Plumber: 0 J (-S �'f/f-,ro j Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityD Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 0 Agent I hereby certify that all of the details and information I have submitted(or tered)in above application are true and accurate to the best of my knowledge and that all plumbing work and i ations perfo ed under Permit Is for this application will be in compliance with all pertinent provisions of the Mass chusetts St a Pl bing Code and er 142 of the General Laws. By: Mg-nature icense um er Type of Plumb' g License i Title 2 ZO 7 3 �lf' l City/Town cense um er Master ❑ Journeyman E/ APPROVED(OFFICE USE ONLY f r r11o�,� CA - ► 's a�t�eY cc�crrfr rt, rrsrE rirr.�AIVS49 f.4,VP oP4 O r'" *,oz.4.v rr� rv�-fir.rV.r s or nvt-sw,e-u r rs e*44r4ra ou. TiyE lOT AJ�9V q.4�0 TJW7'?pA[7 l icTyi�c�tM I� wir,�v 'Era�N • l/L;CRT W Frrxr�/�,tav stic,.rhays r/Vo ..� /�'.. �+r�ttoi.�c .s�sx� e-s sx+c�+i sErrs tires" 'S�i�rnrer ct�e►r,�►r sir rwr Ir,vr4T '~ coctrro,w rw•E• r•Ea-� ,�,�-,+," l�,�"'.rI/I✓�(/ .mit � 7 A-41VXZ-0 iV�,..••i- 6a�ivv�Y '1L'v,+A►.w�r�gy INIOVprI�YijU / '• O/d/4 ORTH Town of bAndover 0 H: - No. Q &SO, _ -o �` dover, Mass., 0 1K � ' YN y A. COC HIC HEwICK � �ds RATED PP�� 7 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT....AI .! ..... ....;4a!.4............ ..r..~.0........................................... """ BUILDING INSPECTOR Foundation has permission to erect.. �. �y.�............. buildings on�"..�1.40FS 4'01.,A D�'.v Rough to be occupied as... airOV4 Chimney Va 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. A4A 541'"013' V W C C #P164& "%& PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. ,� aRough / Final PERMIT EXPIRES IN 6 MONTHS e. D1 -nELECTRICAL INSPECTOR UNLESS CONSTRUCTIO ST TS 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.