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HomeMy WebLinkAboutMiscellaneous - 44 REA STREET 4/30/2018/ 44 REA STREET 210/098.6-0011-0000.0 J. 1 h 7 Date.....���� ... . ro 1 NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING . s - r s o� i�^• ,SS�CMUSEt finis certifies that ....... ............. ..�71...... `' .� -has permission to perform .......... wiring in the building of ,�. at......1. ........ ........................ .North Andover,Mass. Fee..... .. ......... LIc.No..... ..... ... ELECTRICAL INSPECfOR Check # 905.4 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed "( on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an Y electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be-deemed-by-the-Inspector-of-Wires abandoned-and-in-valid-if he____. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or-the installing entity stated on the permit apj lication. The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job Purpose by establishing an automatic four-year extension to certain permits and and licenses concereconomic ning the use or development of real overy and the Permit Extension Act ofuethersWthiths limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending-through August 15,2012. Rule —Permit/Date Closed: **Note:Reapply for new permi� ❑Permit Extension Act—Permit/Date Closed: -� Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 W INK OR TYPE ALL INFORMATION) Date: r n_ (v p V City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant kLC— h h e Telephone No. Owner's Address M Is this permit in conjunctio with a building permit? yes ❑ No (Check Appropriate Box) Purpose of BuildingUtility Authorization No. Existing Service Amps / Volts Overhead ❑ Und rd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Com letion of the followin table may be waived by the Inspector of Wires. 't No.of Recessed Luminaires No.of Ceil: tal Susp.(Paddle)Fans Na•of To Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ �_ o.o mergency ig g d. d. ❑ Batte Units — No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners NO,of Detection and No.of Ranges No.of Air Cond. Total Initiating Devices Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No,of Self-Contained Totals: __........._......._.._.._._........... _. _. Detection/Alertin r,Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW Si s Ballo. of Data Wiring: ,+ oasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total Hp Telecommunications Wiring: OTHER: No.of Devices or Equivalent /O p �. Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ,J©_ = d cj. 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 covera a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Spec I certify, under the pains andpenalties o ) p fper�,that the information on this application is true and complete. FIRM NAME: 'p LIC.NO.: 2-610 Licensee: 11 �f Signature r (If applicable, enter"exempt"in the license number line.) LIC.NO.: ( (� Address: eN D f d s^ Bus.Tel.No.:9,,*' 6196 7&S *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.L cl.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 one) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ •' The Commonwealth of Massachusetts kj f Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.nzass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lec-qbly Nae (Business/prgmization/Individual):_ a(� �Q 11 �()(n m Address:—_Z-S«1)/1 (tl ^_,5 `5 7'1 City/State/Zip:_4k11j1 - -/1 / t'1'� Phone Are you an employer?Check.the appropriate box: Type of project(required):L.❑ I am a employer er with 4. I am a general contractor and I 6. ❑New construction 2jtemployees(full and/or part-time).* have hired the sub-contractors I am.a.sole proprietor or partner_ listed on the attached sheet,t 7• ❑Remodeling ship and,have no employees These sub-contractors have 8. ❑Demolition working for me.in any capacity, workers' comp.insurance. [No workers'comp. insurance 5. 9, ❑Building addition p ❑ We are a corporation and its required.] officers have exercised their 10•❑Electrical repairs or additions At 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[No-workers'comp, c. 1.52, §1(4),and we have no 12. Roof insurance required.]t ❑ repairs �I ] .employees. [No workers' V comp. insurance required_] 13.7 Other *Any applicant that checks bo)t#l must also fill out the section below showing their workers'ecompensation policy information t Homeowners who submit this affidavit indicating they ars doing all worts and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must atan additional sheet showing the name of sub.connactons and their workers'comp,policy,information. !am an employer that is prgviding workerscompensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie. Expiration Date: Job Site Address: City/State/Zip. Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,y prisonmen ,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and pe alties of perjury that the information provided above is true and correct, Suture: Date: Phone#: 6 7 1,g Official use o:::so ite in this area,to be completed by city or town officiaL City or TownPermit/License# Essuing Authoe):1. Board of Hing Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector6.OtherContact PersoPhone#: b 4 . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. 'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.- Applicants uthority"Applicants Please fill out the workers'compensation.affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)acid phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited t.,iability Partnerships(LLP)with no employees other than the ., members or partners,are not required to carry worker;'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also'be sure to sign and date the affidavit. The affidavit should ¢ be returned to the city or town that the application for the permit or license is being requested,not'the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the numberlisted below. Self-insured companies should enter their self-insurance-license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"ail locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file.for fut=permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit ti The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 42111 Tel.# 617-7.27-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax#617-727-7744 www.mass.gov/dia Date../ f � ` TOWN OF NORTH ANDOVER o A • . PERMIT FOR GAS INSTALLATION Io . � . y C HUSESS This certifies that`:. -� !'.. '. .�� ��'. . !. . . . . . . . . . . . . R has permission for gas installation . . . .. . . . . . . . . . Q�in the buildings of . ... .. . .! . . . . . . . . .C-. . . . . . . . . . . _ rs� at .`.`�f f``:` : • • • • . . • . . . . . • • • • • • North Andover, Mass. Fee °. . . Lic. No.. . .: T.'.' . GAS INSIEGTOa�,.•�- . . . . . . . . . R Check# MASSACHUSETTS UNNORM APPUCATON FOR PERMIT TO DO GAS FfrMG (Type or print) Date ' 1`4— NORTH ANDOVER,MASSACHUSETTS Building Locations v7 ee—� 67 Permit# 7 Amount$ VZ Owner's Name & New Renovation ❑ Replacement ❑ Plans Submitted ❑ a F E» z O O W G O O 0 F. °° w° 1 Ew ° W O lu 0w � E. O�cx 5 SUB-BA SEM ENT BASEMENT ]ST. FLOOR ZND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH_ FLOOR (Print or type)fcu � ��' �, i �^, Check one: Certificate Installing Company Nameo 6 r El Corp. Addressle-VI�34 1 ❑ Partner. 114:`Y— C < - -aJ Business Telephone .- 3 ETFinn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check mone: I have a current liability Insurance policy or it's substantial equivalent. Yes [Z[ No❑ Ifyou have checked yes,please indicate the type coverage by checking the appropriate box ^ Liability insurance policy- Other type ofindemnity ❑ Bond ❑ ?i 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's Agent Owner ❑ Agent ❑. I hereby certify that all of the details and informatioml have submitted(or entered)in above application are true and e to the best of my knowledge and that all plumbing work and installations perform90 under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts e C and apter 42 ofthe General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber I Z G 2b City/Town ❑ Gas Fitter License Number ®- Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 3762 Date...... 4, TOWN OF NORTH ANDOVER .ing9ft '10 PERMIT FOR WIRING '2SACHU 4 c(- . .................... This certifies that ..........Rae has permission to perform ...... ......C-7...... of......k .,.rt............................................................... wiring in the building North And—oyer, at..... .............. Lic.No/ .... ... ... ................ ......... ELECT TICAL INSPECTOR Fee.. ........ Check # 7HEfI�lil1�IONWF.�ILINOFMSSAC ore use any DF.PARTMFNPOFPDBLICS MY BOARDOFFSEPREYFIV7WOIV Permit No. l t1 x;�'/L477011 S 527 f�1_R 12�LI D Occupancy&Fees Checked VAPPLICATTONFOR PERMT TO PERFORMaE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECrRICAL CODE,527 CMR 12 QQ (PLEASE PRINT IN IMC OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location(Street&Number) /-4 zi o,G: + Owner or Tenant G•,j T,:>r=­ Owner's Address S Q M E .s this permit in conjunction with a building permit: yes No (Check A ppropriate Box) 'urpose of Building 7 Utility Authorization No. �p a (40 ,xisting Service , U Amps120 +-=� volts Overhead [���'� Iew Service 2�� � � Underground No.ofMete:s mead M1 Underground No.of Met= 1® umber of Feeders and Ampacity -- )cation and Nature of Proposed Electrical Work` G:14 mil 5'Z 1 i-Er-- 100 A, 5 Za�av iC,e q>,�C P Tri 2C�oa lo-of Lighting Outlets No.of Hot Tubs "r Na ofTra�'ormers Total D.OfLighting Ffidures Swtrruniog Pod Above Betow —a KVI i - .. KVA I of R�`ceptacle Outlets No.OfOd Burners Na ofEme►geacy Ligbtina Battery Units of Switch Outlets No.of Gas Burners .of Ranges No.of Air Codd. ToW FIRE ALARMS Tom No.ofzooEs of Disposals No.of Heat TOW Total Tai KW Na orDeteetkwand of Dishwashers Space Area Hestiag KW bevices Na ot3oprdug:.Drwices. Na of3etlCaer�ued.. . of thyers Heating.Devices KW Logo �f Wa er Heaters KW No.of No,of Connections ` Si Bailasis iydro Massage Tubs Na of Motors TOW HP � A,M R�--�uOV i u T>f E /bq,tt rt.t�j •-17-0 rk er aa,ti PQM a�: h i uSz � CJ,t< =mtUaHftylrn==Fbigyixk "g Ca ���aFogli►eio>E yp� hen�ed�aGdp Cisonetatfroam Yo rp g haredhediotYl NO L..J �1e6[rtt: , dere - -...... ... ....... . I't�taitirsd'p�•x -� -- kME SIS S l L -3 Lioauet�h /4 1 �j 1 i�'� Lioa>,sel�lo 106 MkiQ WAi4,&-Pt�. MA IIVSURAI W. AkTdNcx AIVEP IamawmethattheLken9e�$x wm2gearilsW eWiwinasmguiAby da�eltsCala-alLaws MtheI Wpkah W,,anesthisrs r teck one) Owner Agent Telephone No. PERMIT FEE$ N° ,- 753 Date..l..... .....�:1...v...�.... tT f NOR7M 1 "ooL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that .... .1 . I. ........ ... Af has permission to perform ......;�.:... ....................................................... wiring in the building of.....A F: at............ ........1. .. .�. s......... .............................. ,North Andover�ss. �!!r........:'�ILi Fee... c.No. � �.T�/.. f . 1 .��..... E[ECTR4NICAL PECTOR Check- #------WHITE:Applicant CANARY: Building Dept. PINK:Treasurer -AIM OfficeUseonly DEPARTAMWOFPUBLICS MY Permit No. cQ 7- BOARD OFFREPREYEWONRWMTIOA S527CMR IZOO Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL 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) Date 42 - 1 - 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) Owner or Tenant Owner's Address --S Is this permit in conjunction with a building permit: Yes M.No (Check Appropriate Box) Purpose of Building J S Utility Authorization No. Existing Service Amps /� 'Volts 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 Sp�q 1;�,e I Lg -2 ,E7 AEL No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Li htin Fixtures KVA g g ur Swimming Pool Above Below Generators KVA and ound 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 M Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER lnstia=Ca xaW-ResmttDthetagtmmmilSdNb%adusetisCot WLaws Iha%eaomatLmhkyhurmmPbfcymdAigCanpi& CoyUaWartsegrivala# YES © NO Iline stftntodvMpmofofsa=1DtheOffne YES � Ifj uhawdiec WYESpleasertdc&theMmofwmagebydrdigthe II�ISURANC� © BOND F-1 OTHER F-1 (Please Spa* Expiatim Date ak eo Start /Z'j- v© Es d VahredEkd ical Wads$ W Ir t D*Rt�gtrsed Rough 12-/ - 0 o F'mal s;g,edurx��P�ralfies FIRM NAME J -e,,7�lv ele �-- ------_-__ Lim ;a t_ r Lice i�/7`l�l > P/j to n /)^ ' LioatseNo ��--� sir>�ss Tel.Na �U(��'� 812 Bt> AIL T1 Na OWNERS IINSURANCEWANFR;- amawaethattheLkensedoesnot theitmaarne orits �� —� °�� substat�ialec�rivala>tas rat�rad byMamde>s�Cereal Laws and thatmys tmcnibispermappkabmwainthistu tmanalt. (Please check one) Owner � Agent 1-1 Telephone No. PERMIT FEE$ WC4 r y� 14 Office use Only (� ul�P �ummnn�u ifh of finsadpwtts PerTnit No. . C� at�t=1 of Vthi-Ir o�,pancr peeve blank)A Fee Checked�" . a / BOARD OF FIRE PREVF—%MON REGUUMNS 527 CUR 12:00 _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in ac-c-ordance with the Massachusetts Electrical CadeZS27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date — t Q(rt or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to per`. the electrical wcrk described below. Location (Street & Number) i Cwr.er or Tenant tP Cwr:_r's .A-dress is ...:s carr..:- _cryunctior. '.with a .iicinc zermlt: Yes No (C~ec! Appropriate Box) Itiiity Aut!tcri�aticn No. ,;s;;r Sar::ca Amps ­­Se•^e_a - Uncgr-c El No. cf Meters .'14e- er.ice Amcs ' `.cas Cvar^tea:: _ C mc I No. of Meters -car =eecers _,... .Ar:cac:ty .o- --cs 14c. :arator^ers — = - — var.era:ors <'+A NC. :rergency _:gnung .c. _.r=rs Sacer. .:nets --.r-.ers = -= 1-�krMS Vo. �f =_nos ,a. atect:Cn anc anass `i C. - . -:.-C. .."S � n::.a'-ng :�avlcas _ -ea: 31 -za; j C.a I No. c. Scuncir.g Cawces .vc. c: Saif Conta:nee _. Zisnwasrers S=ace,'-.ea -_a..rg �•'! ! �a:=_c::cnrScuncing Cavcas MUMIC:031 ',4c. :i _r.ers -+eating _ev:cas CN I _coat cannec-:on _Cther i Low + stage :later -eaa._ :c. ., Slc-s _ :'as:s Wir:r_ i -vcro %iassace ucs S :R .::CS _= 'c• ?crsuart :o :-, a ec_::e-e^ s aassac-usans =ar.eral _aws - nae a = -er.t u.ac:iri Insurance P IIC'! -C._C:f Q C._:BC era::ors C-verace or is sucs:ant:ai ecuivaient. YES -_ NC - .nave sucm:rec vane c cct ct same !a :he ce. n_ _ `C = you nave cnecKec "c_. _ieasa ;ncicate :he tyca of coverage :'J hecx,ng ;r.e a rccnate box. :.NSURANCZ ,3CN0 = OTNEP = i,F:ease Scac:r.i �j (Ecc:rancn -Za:e: Es;:matec value of E.ec^:cal 'Nor. - ::c:x :a Star: � .rs=e---- ---- ------•=_- =cuc.^. !i!/ -�na: �( S;.;aea unear -no Far.a;,, s o - ^I' x J J,50 �censeeValure n _C. `1C. a 2 ��U� C��//'� �� (l� �� Sus. Tel. No. C'we55 ,' AIT. Te1. :VO. C'WNER'S ;NSUFANCF-'NAIVES: t am aware :`a: Ce^see :ces -ct `ave the Insurance c�:erage or its substantial eGu:vaient as :e- :urrea 5y Massachusetts General Laws. arae :hat ny s+gnature an :: Oar^It aeclicauon Ma,ves :nls reouuement. Cwner Agent Please checx ones CePERMIT F=: S leoncne No. �---- S�/� (S;grature of C`.ner or AgWrl �.,,. Date.......... .. �`..... 225 NORTH TOWN OF NORTH ANDOVER L s p PERMIT FOR WIRING 1Sg^CMUSE� This certifies that .....1'c{..L f/........ has permission to perform ............. ...... !r%.c.t. .............u_3 wiring in the building of.......!'..!°.t�................ G ........................................... at.............. '?°r.......... -..r.`.l..,.... ...................... .North Andover,Mass. Fee..1 r r� �? �`".. ELECTRICAL INSPECTOR WI-IITE:.Applicant CANARY: Building Dept.. PINK:Treasurer GOLD: File Date.. . .-.... .... ... ci 'kO 8 RT eTOWN OF NORTH ANDOVER 3' ' PERMIT FOR GAS INSTALLATION F D • i SSACNuSESl`� ^� t CU This certifies that:. . . . . . . . . . . . . . . . . ... . . . . . ,. . . . . . . . . . . . . . . .9 has permission for gas installation ::; :: . . . . . . . . . . . . . . . . in the buildings of ..... .`��` .`. . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. .=�. . . . Lic. N0111"f(. . . . :°?:^. ::: . . . . . r GAS INSPECTOR �• WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print orType v N Mass. Date � � 19 Building Location Owner's Name e a Map: Lot: Zone: Type of Occupancy New Renovation _] Replacement :2 Plans Submitted: Yes:1 No Fee: N ¢ N Y W ¢ N C N N N U — W Cr N ¢ O ¢ y = ¢ O W N ¢ O U (n WF- m Z ¢ Q p w < ¢ = O O = W ¢ m N ~ W W0 O O W ~ M ¢ a i... N CC U U W 2 N W ~¢ ¢ O 0> W W N WQ 2 ¢ ¢ ¢ W Z LLJ F Z Q O y QW > ¢ W = ZQ ¢ QQ OW ¢ OWF- >¢ 111 O 1 U 1xU. o 1 CU r O SUB-BSMT. BASEMENT 1ST FLOOR 4 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name .�---`-�S f��,, e Check one: Certificate Address 1 1 l�lJei 11/PCorporation Estimate Value of Work: ^^ ^^ 71 Partnership Business Telephone d—� y�` 1:1 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a currliability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No If you have c ecked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best Of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Plumber Signature of Licensed Plumber or Gas F r TitleGasr, it Master License Number CEO City/Town Journeyman APPROVED (OFFICE USE ONLY) r BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES ! PROGRESS INSPECTION f FEE ff N0. i APPLICATION FOR PERMIT TO DO GASFITTING NAME& TYPE OF BUILDING 0 LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED i DATE 19 . ' OAS INSPECTOR I N2 Gv9 Date 4,0, 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 4L Ss CHUS ? ` This certifies that*..... ........k................... ....................................... has permission to perform ......................................... wiring in the building of .......................................... ................................ .North Andover,Mass. Fee Z............... Lic. ............................................................... ELECTRICAL INSP ECMR 10/30/98 13:58 35.00 PAID reasurer WHITE: Applicant CANARY: Building Dept. PINK:T i The Commonwealth of Massachuse i Off ice Y.e Only Ure..0 v. Department of Public Safety OrcYPceey f Ice f]rcW � BOARD OF FIRE PREVENTION REGULATIONS S27 CMR t200 1/90 (leave bleak) lug APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AH work to W performed in accordance vAth the Maesachusens EJearkeal Code. S2?CMR 00 (PLEASE PRINT IN nM /E ALLINFORMATION) Date City or ?ova o i'�'� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /Z )1CrF Owner or Tenant L � S Owner's Address t / A"r Is this permit in conjunction with a b ild/ing .eprmit: Yes 0� No ❑ (Check Appropriate Box) Purpose of Building �/�!Q�7Jf f AFI D b L I Utility Authorisation NO. Existing Service Amps / volts Overhead El Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Uedgrd❑ No. of Meters Nomber of Feeders and Ampacity Lotion and Nature of Proposed Electrical WorkL✓� No. of Lighting Outlets No. of Bot Tubs No. of Transformers Total 1CVA No. of Lighting Fixtures Swimin Above In- g Pool d. Q d. Generators . 1CVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners I= ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Ding Devition and Initiating Devices No. of Disposals No. of Heats Total Toil No. of Sounding Devices PumpTons No. of Dishwashers Space/Area !eating Ew No. of Salt Contained Detection Sounding Devices No. of Dryers Beating Devices KW Local❑Municipal Connection❑fie! No. of Water Beaters KW g' s Ballasts 14W ms Voltage it No. Bydro Massage Tubs No. of Motors Total BP OTHER.: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabili Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES* NO[] I have submitted valid proof of same to this office. YES'R NO ❑ x If you have checked YESr please indicate the type of coverage by checking the appropriate box. INSURANCE J3 BOND ❑ 01=C] (Please Specify) MF.R(`HANTS . TNS•fiRAm R $$ cp ration ate Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed a..aer the penalties of perjur;: FIRM NAME LIC. NO. Licensee GREGORY TAYLOR Signature LIC. NO.12968F. Address 4 SAN MATEO DR.CHELMSFORD,MA 01824 Bus. Tel. No. 50.8-250-0017 Alt. 201. No. OWNER'S INSURANCE WAIVERS I an aware that the Licensee does not have the insurance coverage or is su - stantial equivalent as required by Massachusetts Central ws�.a,an—that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Amer or Agent N2 ? :J v 5 Date../..Y. .......... 4 } NOR7H TOWN OF NORTH ANDOVER PERMIT FOR WIRING AT D SSS CHusE� This certifies that �U � .� U r� . .................................... O.V\...................................... has permission to perform ...4 .:.LZ..�.✓!:Jl......— ................ wiring in the building of k c........... ..................................................... at.......�. ... 5 .... .fu. ................................. .North Andover,Mass. �.:.1_.... Ltc.No. Fee...... ... ............................................................... ELECTRICAL INSPECTOR 10/20/99 12.01 G r 5.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer U,4t 1,iLIIIll1IIIunith of �lizirstag P011,11111111t OMce Use onlyIL ---I i Epatrtmirnt of }public Emfeil Occuparwy A Fie Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 L yea APPLICATION performed IPERMITn accordance wTO PERFORM ELECTRICAL WORK All work to be ssacnusetts Electrical Code. 527 CMA 12;00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Q* or Town of NORTH ANDOV R To the Inspector of Wires: The udersigned applies for a permit to pe rm the alectrical work described below. Location (Street & Number) Owner or Tenant -e e P7 `e t YI fe e c, Owner's Address `71 li this permit in conjunction with a building permit: Yes 0Z No [ (Check Appropriate Box) Purpose of Building 02 Co-/'0c)Yl d �O d 1-- Utility Authorization No. Existing Service Amps _J Voits Overhead :_ Unagrnd [❑ No. of Meters New Service Amps _J Vous Overneaa _ Unagrno No. of Meters .A Numoer of Feeders and Ampacity Location and Nature of Proposed Electrical WorK No. of Lgntrng Outlets I No. cf tot ',cs I No. of Transformers Total KVA No. of L,gnttng Fixtures i Swimming P^ot .>,ocve.— tn- r grro _ grno I Generators KVA No. of Receotacte Outlets No. or Oil No. of Emergency Ugnung corners Sartery Units No. of Switch Outlets I No. of Gas =_rrers FIRE ALARMS No. of Zones No. of Ranges I No. ct .lir Cznc. 'O1di No. of Oetectton and ons Initialing Oeveces A No. of Oisoossis I No.al Heat .alar Pur-Zs ons ^\'I No. of Sounoing Oevicas No. of Self Contatneo No. of Oianwasnen Soacerarea Heaura K1.11OeteetiontSounding Owteas No. of Dryers I Heating Cow-ces KW Local Munecical ...0 Connection No. at - Nu Low voltage ; No. at Water Heaters KW I Signs ?adas:s Wiring No. Hyaro Massage iuos I No. at Malcrs -alai MP OTHER: INSURANCE COVERAGE. Pursuant :o ins reautrements .;r '.lassac:%sirs ;eneral Laws I have a current Uaotbty, Insurance Policy mousing C;;nc Stec Ccerauons Coverage or its substantial equivalent. YES _ NO = 1 have suomertea valid proof of same to ens Ofhes. YES _ NO = it you nave eneex r sa YES. Weaae enoteaw the type of epvegQe by, cnecxeng thea oriole oox. INSURANCE A SONO = OTHER = (Please S_ec.-.) Esamatea Value of E!sctncal Warx S ",5-00, W tExouttwon Octet . work to Stan Insoec:ton oats ;;ac6as:ec: Rougn tvr11 Cq,tl Fnai Signeo under the Penalties of•pertury: _ FIRM NAME 1 r �ee � �: °ec ' Licensee —2�y l (-I t P u d dl UC. NoUC. No. Addref4. s 72 501,!d-,01",';, V r IV,/ll[ /0 QU !V( ��` Bus. Tel. No. de 2� ;,7i 7 All. .sl. -Jo. OWNER'S lNSURANCF_ WAIVER: I am aware tnat the t_:censee Ices not nave ens insurance coverage or its suostanuaii equnnaMnt as r♦ quwea by Massacnuseas General Laws, ana trial my s gnawre on :r.is =ermit aapercarion wolves this regwrNnent. owner Agsm (PteaN cnecx onor i I i�eonone No. PERMIT FEF_ s 1,5 f`' (Sgnawre of Owner or Agenn .�by. No r J Date... .. .. f NORTH 1 ?;._�`".;•�."oo� TOWN OF NORTH ANDOVER �i PERMIT FOR WIRING f �,SSACMUSE� This certifies that `.. ............. ` �U P .......� e..a.......... - has permission to perform .��.` .... S........��... wiring in the building of :............. .0,5. .................................. at. L.`.}.............u........ . ....... ,North Andover,Mass. �... Lic.No.. (..J.. ............................................................... i ELECTRICAL INSPECTOR I C1rb17/98 08:41 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TRF00A 1t10NWE4LTNOFtf MCHUSE77S Office Use only DEPARTA&WOFPUBLICSAFEIY permit No. I BOARD OFMEPREVEMONRWUTA770NSS27CMR I2DO Occupancy&Fees Checked GUM,, APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL 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) Date 1/-117-9� 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) Owner or Tenant Owner's Address /1 "04, cs� Is this permit in conjunction with a building permit: - Yes�No F] (Check Appropriate Box) , Purpose of Building ��r y�e U�/( Q {',.,,- 6 tlook7 Utility Authorization No.k7• p7� Existing Service Amps Volts Overhead Underground a No.of Meters New Service Zoo Amps / Z `Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA h of Lighting Fixtures Swimming Pool Above Below Generators KVA ground El 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 N�f Dryers Heating Devices KW Local Municipal Other Connections No of Water Heaters KW No.of No.of Signs Bailasis Nc,Hydro Massage Tubs No.of Motors Total HP OTHER• tstraroeCow,er e RtrsuarttDtheragt�ana� GertetalLaws I ha%e a omm Liabdty hstrmx Po y mdudrg Cartplet Co rear As s kshattd etltrivalatt YES L,.,Qj NO Ihaw submitiledvalidpttd0fS3r1etotheOffxYES ELNO F-1 IfjouhmtdJwdYES,pLaseedc*thetypeofwmaWbydWdtgthe Wpqymbcx INSURANCE a BOND OTHER (PleaseSpadfy) � r / Estirtmd VaheafEkcaid Walk Wok Qsat 2V ^ Dak Reel`estod p^ hl Final f FlJW NAME b ewty? LiomwNlaS 1r--- 9� V Sigmmn ,.�� D tRJ�Q,v�f/W� L..?,o Business Tel.Na Addm-72 50-00`0eS 5-1- L.C4 �!�l�U��� �� AlL Tel.No. OWNERS WSURANCEWANER Iamawat duthel-msedomW Laws and that my Wulueem this pe n-d WpfiCMon wanes this rdqukunal (Please check one) Owner M Agent Telephone No. PERMIT FEE � f 06 C Date. !.. . . . . . r N° `l TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING s SACNUS� h This certifies that . . : . . . . . . . . . .. . . . . . . . . . has permission to perform...-: .,. : ::�. . . . . . . . .�:.�� . . . . . . . plumbing in the buildings of .". !. . . . . : ` at Aly/ . . � .' ``:" . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee,�� Lic. . .. . . . . . . . . . b,PLUMBIN fNSPECTOR Check # 9'� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATLNOR PER •"TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS SDateBuilding Location Owners Name Permit# y6 0 -n �} Amount Type of Occupancy New ❑ Renovation ® Replacement ❑ Plans Submitted Yes ❑ No ❑ FIXTURES r z > w w xa x a W F W a d z .. H a C-) aH w w a s z d H k>~ a A a a H c, d x ca ]S')C FIOQ2 210 R" 3M FLOOR 4IH F10M SIIi FIOQ2 6IR FIOQt 7IH FLOOR gm FIOQt (Print or type) Check one: Certificate Installing Company Name L.-t,10 P1,Uneru ] ❑ Corp. Address ❑ Partner. 1 —7C LL_ Business Telephone Finn/Co. Name of.Licensed Plumber- Insurance lumberInsurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy L— Other type of indemnity ❑ 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 v Signature Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations 6 ed and Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S umbi apter 1 2 of the General Laws. By: 1g5a o iceum er Type of Plumbing License Title a�2 City/Town icense IN umber Master P Journeyman ❑ APPROVED(OFFICE USE ONLY _ocation // "T No. /9 3 Date a "0(J MO"T" TOWN OF NORTH ANDOVER i +, Certificate of Occupancy $ Building/Frame Permit Fee $ ,A. „�, sncMU ' Foundation Permit Fee $ Other Permit Fee $ { TOTAL $ �, i Check # � fi f 6 ! /►/` Building Inspector I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 63q DATE ISSUED: M 17- 0%3= SIGNATURE: —4 BuildinCommissioner ctor of Buildings Date SECTION I-SITE INFORMATION z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 0 cn � 00 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: A166 Zoning District Propoged Use Lot Areas f) Frontage(fl) 1.6 BUILDING SETBACKS(ft) Front Yard L— -5S" Side Yard Rear Yard Required Provide Rred Provided Required Provided + 1.7 Water Apply M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: > Public Private D Zone Outside Flood Zone U/ Municipal 0 On Site Disposal System 01*1 —q SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record s4 Name(Print Address for Service &2 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction SuperviNot Applicable 0 Lictftzi,�,nistruction Supervisor: License Number Address � &- 2 /, 7-0- Exp SigWture Telephone 3.2 Registered Home Improvement Co "t or Not Applicable 0 N n Company 1,ra�iie (6 5— -7 Registration Number TJ 'CV l EMM Expiration Date Signature Telephone G) SECTION 4-WORKERS COMPENSATION(AG.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 rmit. Si ned affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all a licable New Construction ❑ Existing Building 0 Repair(s) 0 Alterations(s) Addition ❑ Accessory Bldg. 0 Demolition 0 Other ❑ Specify Brief Description of Proposed Work:` SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � OEI+ICIAIf:zUSE CgNLX Completed by permit applican 1. Building (a) Building Permit Fee UCS ,U Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC i. 5 Fire Protection 6 Total 1+2+3+4+5 3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize to act on My beha9 ,in all matte o work au orized by this building permit application. Signature o Owner Date SECTION 7b OWNE IZED AGENT DECLARATION I, ,�r'— as Owner/Authorized Agent of subject prope y Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Pri m e LC7���' r I C—C' Si natt er Alen t Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 3 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 ACG�D,M CERTIFICATE OF LIABILITY INSURANCE 10/10/2o 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NORTH ANDOVER INSURANCE AGENCY 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. NORTH ANDOVER, MA 01845-241 P:978-686-2266 F:978-686-6410 INSURERS AFFORDING COVERAGE INSURED INSURER A: TRAVELERS PROPERTY CASUALTY Michael V. Rodden INSURERB: 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 GENERAL LIABILITY EACH OCCURRENCE $ ❑ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ ❑ CLAIMS MADE ❑❑ OCCUR MED EXP(Any one person) $ ❑ PERSONAL&ADV INJURY $ ❑ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ molPOLICY ❑ PECiRO ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) $ ❑ ALL OWNED AUTOS BODILY INJURY [D SCHEDULED AUTOS (Per person) ED] HIRED AUTOS $ BODILY INJURY ❑ NON-OWNED AUTOS (Per accident) $ ❑❑ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ❑ ANY AUTO OTHER THAN EA ACC $ ❑ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR 1-111 CLAIMS MADE AGGREGATE $ $ FEE11DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ® WC STATU- ❑ OTH- EMPLOYERS'LIABILITY ER A 820UB849K419500 01/01/2000 01/01/2001 E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEd$ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ❑I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 010 DAYS WRITTEN TOWN OF NORTH ANDOVER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL NORTH ANDOVER TOWN HALL IMPOSE NO OBLIGATION OR LIABILITY O Y KIND UPON THE INSURER,ITS AGENTS OR NORTH ANDOVER MA 01845 REPRESENTATIVES. AUTHORIZED MTATI ACORD 25-S(7/97) ACORD CORPORATION 1988 ! ytl Town of North Andover o� r10RTH , Al O Building Department 27 Charles Street North Andover Massachusetts 01845 z y 978 688-9545 Fax 978 688-9542 044 9SSACHUS� DEBRIS DISPOSAL FORM In accordance with therov'sions 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 debris will be disposed of in/ t: Facility location ignature of Applicant � Date 3 1 NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. NORTH 0 0 4 over No. LA o � dower, Mass., COC MICKEMCK RATED PP'`�,�5 S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......Yew pw--4... ... .............. ............ ..... .......... ....................... ....... ....................... Foundation has permission to rbuilding on ..... ................. Rough d�"'t r � �+ AA* � �.w Chimney to be occupied as.............................................................................../. .................................................................................... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the In ct�/Alteration a Construction of Buildings in the Town of North Andover. m 8 F C/ PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S T ELECTRICAL INSPECTOR Rough .... ... .. ... .............................................................................. Service BUILDING INSPECTOR Final Occupancy PelT111t Required t0 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. r SEE REVERSE SIDE Smoke Det. F Location No. <��'�> Date AOWT" TOWN OF NORTH ANDOVER Oft .•o ,•'�hO F41 T _ Certificate of Occupancy $ ♦ i � Ss�cHusEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building In'00or TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: �JO DATE ISSUED: (J ' X SIGNATURE: icic Building Commissioner/IngWor of Buildings Date /a- — if D Z SECTION 1-SITE INFORMATION O 1.1Propert dress: � 1.2 Assessors Map and Parcel Number: Map Number Parcel umber 13 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 WELDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 wner of Record a e( rint) Address for Service 1 Signature Telephone q C 2.2"Owner of Record: N,3me Print Address for Service: O rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number M Address Expiration Date ic Signature Telephone 3.2 Registered Home Improvement Cop Not Applicable ❑ � Co t_ Company ame rn Registration Number r Address V r Expiration Date ^� Sig nature Telephone Y I i 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 au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) JAddition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be3FFICIAL USE31YLY Completed by pennit applicant I. Building , (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) 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 CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on 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 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 }. . < PrirLN V me _ Signature of 0r/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2ND 3RD SPAN DIMENSIONS OF SILLS DINIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE _ The Common ivealth of Massach usetts Department of Industrial Accidents mce o!/nymY21lnns . 600 Washington Street Boston,Mass 02111 Workers' Compensation Insurance Affidavit r7 c i Yl�`J.i�l� ��G� t� n=# ❑ 1 am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. e . Lire address: ? : ::'.5::.5:.5�?.:::•,:.;..:: xx insarance:co �. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have e following workers'compensation polices: company namt, :.5 a .:......:.:..... .. ...............:..'b.: ........... .......:...: :: �:..n T.. v::::.,............. ��:::. , : ...... ...,...,..................�::.;v.:.:.• n....+,...:.:M...... :. ::•w.:v::... .. ....�?..........?.5:., 3 '.Y i5� i;:;i�{ L'i?^:kC•y,?:4n:{.j: 5''h:•: vi�'. hone T:: 5 ...:::..,.. .,,:.5:.:55'. .:::.::5'•' :.:. r%� .t.•: elr ;.::.;. ..... ..... . ,.;:..::..;:.:::;:...::•5: •5:_;:555:5;.::::;::::.,:,:5.5.:.:;•5::5;:•;.; .. .......... ......................:...... .. .... ......... :.. 5.n. addres :.;<.. v s :; City 1 phone t{ insurance cti::_..'.:;. noir y' . dl­ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties of a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of sio0.00 a day against me. I understand that a copy of this statement maybe forwarded to the Office or Investigations of the DIA for coverage verification. I do hereby certify under lire pains and pen Ices ojperjury Thal fire information provided above is true and orrect Signature /1'/'/ -�"r�-� �;� �-t e�1•[.P Date v Print name � C1.1" i', .(a��`t'�{ U) �. Phone# official use only do not write in this area to be completed by city or town oMcial city or town: permit/license# P -Building Department oLicensing Board check if immediate response is required oSelectmen's Office 011c2lth Department contact person: phone#; -Other (revised 3195 PIA) . f Mario Castricone, Prop. Tel. 682-4266 CASTRICONE ROOFING & SIDING CO. 31 Court SL, No. Andover, Mass. 01845 M �. } cod o�� .ti � Z-��7 NORTH Town . of 4 over ti0 No. no4 _tM�A__ _ h 00 1, 0L A - orifi dower, Mass., 1/0 A- COC MICC ME WICK V i 7�ADRgTED S H BOARD OF HEALTH PERML T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........ .. • Foundation has permission to erect........................................ buildings on .....411/....... ..... . Rough .... to be occupied a Old .. . !!!M ........................................................................ Chimney provided that the person acceptin permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions a 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 PERNET EVMS IN 6 MONTHS Final UNLESS CONSTRUCTION �n � S e' Ro EhECTRICAL INSPECTOR g .�......1.................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required t® Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal 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. -T� HOME IMPROVEMENT CONTRACTOR Registration 103317 Type - D8A •. . Expiration 07/07/00 CASTRICONE ROOFING & SIDING C Mario T. -Castricone G� *,v erCourt St. ADMINISTRATOR N. Andover MA 01845l`` . - h I 1 J � 1l, r ,Location L "4 a 19T .No. Date i 3?060T.1+o TOWN OF NORTH ANDOVER k n Certificate of Occupancy $ Building/Frame Permit Fee $ ,SSACMustt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 1 Water Connection Fee $ q TOTAL $ Building fnspector 3 08/10/98 14:39 195.00 1ID 127 Div. Public Works I „Location ,No. Date MaRTM TOWN OF NORTH ANDOVER ►°? • c9 Certificate of Occupancy $ + s Building/Frame Permit Fee $ — s 'S2�C.'s Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERMIT N� � AI'I'LICATION FOR PERMIT TO BUILD*** ****NORT11 ANDOVER, MA Z. RECORDOFOWNERSIIIP D TE BOOK PAGES I.OT.NO. NO%P NO. UIhE SIID Ilil'. LO f NO. /7 t PURPOSE 01:Bull DING f t3 'c NO.OF STORIES I OWNER'S NAME ` � � BASEMENT OR SLAB OWNER'S ADDRESS C SIZE OF FI.00R'I IMBERS AR(11I I ECCS NAME SPAN B1111 DER'S NAME DIMENSIONS OF SILLS DISI ANC F TO NEARES-1 BUILDING 2),c ( DIMENSIONS OF POS IS I)IS I'ANCE PROM STREET � ` DIMENSIONS OF GIRDERS NN `ISl'�1NCE FROM I.OT INES- IDE REAR UT111CKNESS ( IIEIGIf OF FOUNDATION 5 X FRINFTAGE ��a� U AREA Or LOT LSIZl:OFF(XYIING C r ISBUILDIN(;NEW ' ��c`n MATERIA-.OF-----NEY l IS13IJILN!DINGADDITI( O IS DUILDINO;ON SOLID OR Fll.l-ED LAND � i IS BUILDING ALTERATI(NJ � r j IS BUILDING CONJNECIED'fOTOWN WAI'ER (� till 1.BUILDING CONFORM TO REQ-IIREMENIS OF CODE IS BUILDING CONNECTED TO TOWN SEWER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECT ED TO NA'fl1RAl.GAS LINE � I LANG COST t INSI'I1('7-IONS 3. PROPERTY INFORMATION EST. Bl lx;.COST EST'. B1 I)(;.COST PER SQ.FT. PAGE I FILI.OI IT SECTIONS 1-3 ESI BLDG. COS 11'ER HOOM r SEIq IC PERMI 1'NO. ELECTRIC METERS MUST BE ON OtJTSIDE OF B1 J"DING 4_ APPROVED BY: ✓ �S � � AT FACIIEDGARAGESMUSTC(NJFORMTOSTAI'EFIRERE(illlA'fl(.NJS G BUII.piNG IN 1'F.C'fOR PLANS MUST BE FILED AM)APPROVED BY B1111-DING,INSPECTOR J ) OWNERS IF:L.N DAIEFII.ED 6 C(NlfR.lEl.fy 1 CCR-TI R.I.IC4 1SI(;NAfI)RE OF OWNER(1R All'11N>121ZED AGENl� H.LC.b —lcv� X03 PERMIT C;RANTED f over And Town o No. -Own 9 dover, Mass., 19 ICHEWCK C OCHI LAKE .4 TE )k BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR Foundation THIS CERTIFIES THAT... lN ............. .................................................. ti has permission to erect.... . IL..... buildings on ........*t.G ..f...... . .. ........sr ...... ................ ...............0 0 Rough • Chimney ........................ to be occupied as..... i; - v...... terms of the plication Final provided that the person accepting his permit shall in ev ► respect conform to the terms of the plication on file in 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 Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ARTS ELECTRICAL INSPECTOR Rough ............ ..... ...... ...... .................... Service LDING INSPECTOR otf�A 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 I5L731 Street No. Smoke Det. t4OR Town of Andover 0 rn No. ?.0 19 C C HLAKE dover, Mass., ICHEWI CK 0 r E DD BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ,t".0. . ... ............. ............................................................................... Foundation has permission to erect.... .....W.- IL..... buildings on .........4.4...... . ........sr......................... ...... 0 Rough to be occupied as............. ......................... .. . .......... ..i0v Chimney provided that the person accepting is permit shall in ev respect conform to the terms of the plication 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 Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTORUNLESS CONSTRUCTIOYNART Rough .. ........ ... Service .......................... SLDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 19-73) Street No. Smoke Det. r� 4 . �t LnT 7 c. r y LOT 3 NoAs i 14. LOT 6 13EING PREPARED FROM A PLANE Eq PLM 0F• LAND, " LOCATED IN NORTH ANDOVER. MA PREPAFOR GILBERT REA. : DATED APRIL 23, 1988 8Y J.J.B. ASSOC-1 OLAAk NO. i 1 388 E.N.R.D 2.y POOPERT"LY ,UNt$• SHOWN HEREON HAVE tBE£'N COMPILED FROM PREVIOUS PLANS AND IS NCST THF+PESULT r-�F A ON-THE-GROUND I'tELD SURVEY 8' 0',&N HAS<EL-, WC G96(I7? Y � 01"A OF MASs9 tiG i O DAVID m ` A. v WEBBER o No.30757 cr 9 p ��ss�NAl LAN�SJP�� LOT f 3c , I i FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and ^-partments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. Y *****APPLICANT FILLS OUT THIS SECTION APPLICANTZ6_Aq( W. (� GPHONE 7 —_., 911f- LOCATION: Assessor's Map Number M— PARCEL I= SUBDIVISION LOT (S) STREET ReCj. ST. NUMBER I *******OFFICIAL USE ONLY REC NDATIONS OF TOWN AGENTS: Al CONS RVATION ADMINISTRATOR DATE APPROVED " a DATE REJECTED I COMMENTS f _JA M&-, U Ln, D TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED �P ISPECTOR-HEALTH � DATE APPROVED DATE REJECTED COMMENTS I PUBLIC WORKS -SEWERIWATER CONNECTIONS j DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE A. v WEBBER ri o No.30757 c 9o��ss�NAl T P10�Q�� L �O A 0D - i / - ►rte d D e p D +' 11 � 1 i! j 1I C<c_jN.' r ?rrrlr ". �: _: lt,� C,,i rL�V PLAIN { y: ) .. `. 131LBi_RT {•:� —..._ -' - _ .4N NO. 11383 N C C)MP!L E D' Tr c'l,2 �. .r >�'_T h . 1n, :.'. 1i h_. ! '4ASKR [ 4flc-C{. 'N l r � ' �.. }- .n'f,•' flQ illi' ,'�l�tP,1/�0))t�)th9t!!✓,'lll�� h`t,.�IIII_iJ(ti'�/I.:/'II' HOME IMPROVEMENT CONTRACTOR Registration 105903 Type - INDIVIDUAL EXpirat,ion 07/21/98 MICHAEL 4', RODDEN 47 Prescott Street Andover MA 01845 ADMINISTRATOR DEPARTMENT)OF/PUBL C SAFE? CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: CS 028538 09/05/1999 09/05/1948 Restricted To: 00 MICHAEL V RODOEN 47 PRESCOTT ST N ANDOVER, MA 01845 Location No, Date NQRTM TOWN OF NORTH ANDOVER O�G''t.an ,•1hOo�i. n Certificate of Occupancy $ s Building/Frame Permit Fee $ ,SSACHUSEt� Foundation Permit Fee $ Other-Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ l Building Inspector Div. Public Works Location No, Date �oRTM TOWN OF NORTH ANDOVER �? • • OOR A Certificate of Occupancy $ ` Building/Frame Permit Fee $ t i Foundation Permit Fee $ sACMUSE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector Div. Public Works r 'ERItIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. PAGE 1 M MAP yd0. LOT NO. G 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING ���� OWNER'S NAME NO. OF STORIES SIZE /q OWNER'S ADDRESS I O BASEMENT OR SLAB V _� ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD .BUILDER'S NAME SPAN 4A FV DISTANCE TO NEAREST BUILDING 1/+.+( DIMENSIONS OF SILLS X DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES— SIDES�B O 1 /11/1 REAR GIRDERS AREA OF LOT ] , Q FRONTAGE / HEIGHT OF FOUNDATION THICKNESS /f 14 IS BUILDING NEW �(/(�S SIZE OF FOOTING 'I% �/ LJ IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 0 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM • 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 r DATE FJLLED��[' La�1__�JLJ SUILDING INSPKCTOR SIGNAT RE OF OWNER ORA THORIZED AGENT FEEOWNER TEL.A PERMIT GRANTED CONTR.TEL R r IS CONTR.LIC.x H.I.C.It i. i 1 MAGU I RE PE ,T CONTRCiL 50,?= r ?1 1 22 P. 01 Wm. A. WORK ORDERANVOICE P.U. BOX 5 BRADFORD STATION HA'JERHILI-. MA 01835 PEST 4 TE MITE CONTROL Mas HAVERHILL LAWRENCB EXETER, NH NEWOURYPORT BEVERLY MAYERMIII, (508) 374-7061 (508) 681.0390 (603) 772.3311 (508) 462-9282 (508) 887-0177- BILLING 87.0177-BILLING ADDRESS SERVICE ADDRESS: NO. l fl1,C3Uc-P„ f Ti 013'15 iv0. f?}vLtCi<<F "tT f;fi OI 4`5 TERMS: NET 30 DAYS B�FlVCE1: �—�•T SE ICE. '4�US SUMER.. CU. Gp�E _ DESCFlfPTION S�AVICE DAA E iMl NUMB' CODE IyUlv1B .' �.:.I< ?- 7 7777777777--, �aN�WCAL q'0, QUAIdTRY f SERVICE AMOUNT I 62. CIO TAX 0.00 TOTAL -- -- ---�------ - ----' INVOICE r`_• _,kDL AMOUNT PAID r� X BALANCE DUE J.. 62.00 CUSFOMEA SIGNATURE DATE SERVICED .'EA'✓iCEG�tS'v - - :- OFFICE C PY II KAREN H.P.NELSON '' �� Town Of120 Main Street, 01845 Di�ctos BUILDING NORTH ANDOVER (508) 682-6483 CONSERVATION ""°` DIVISION OF PLM NNING PLANNING & COMMUNITY DEVELOPMENT DEMOLITION OF BUILDING AFFIDAVIT DATE t/�0d OWNER'S NAME & ADDRESS eW LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION ��'7D��S:Q: ��C�acl t U10 1` CONTRACTOR'S NAME & ADDRESS DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS - WATER: SEWER: GAS ELECTRIC �%� TAXES IRE �� 4 u - XTERMINATOR DUMPSTER - ON/OFF STREET %v DIG SAFE NUMBER ' q DATE RECD BLDG. INSPECTOR Town of North Andover 40RTN ' OFFICE OF 3?o,"�,%a " .yo L COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street , North Andover,.Massachusetts 01845 ,9 °;' •P` WILLIAM J. SCOTT SSACMUS�� Director In accordance with the provisions 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 c 111, S 150A. The debris will be disposed of in: Ne Qoray.ey%Q �P. zQC_TtU{� 2C4`0 ��i� w (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. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 r10RT/y Town of over No. Z. 3 4 dover, Mass., 19 0 'A COCNICKEWICK A. 0 T E D IjAk BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......................................&A............... ..... .:............................................................................ Foundation has permission to wry ........ ........ buildings on ......I.q......poo................. ...................... Rough 4_ to be occupied as.. . . . . . . . . . P.`7%!'''t 0. . ..()............ap......... . ... . ............ . . ........C Chimney .._ ;ff../ P this 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STWS ELECTRICAL INSPECTOR Rough .... ............ .. ..... .......................... ................................A�........ .....iN.....INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Location �No. Date OGRT" ,�OoTOWN OF NORTH ANDOVER O? • ",t``o I• p „ Certificate of Occupancy $ Building/Frame Permit Fee $ cMuFoundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERAiIT NG,L -��\!>� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS f,4hpt, ,Q' i'.,/PAGE 1 MAP +40. LOT NO. 12 RECORD OF OWNERSHIP DATE BOOK ;PAGE — ZONE SUB DIV. LOT NO. OCATION PURPOSE OF BUILDING ` �ny /6WNER'S NAME r NO. OF STORIES t S � d 731 /PWNER'S ADDRESS BASEMENT OR SLAB _ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD UILDER'S NAME R; SPAN { DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS li 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 CI IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION ✓O"ER TEL O{ 40 LAND COST SEE BOTH SIDES VV�������� go .CONTR.TEL.M EST. BLDG. COS C).(::)C)o PAGE 1 FILL OUT SECTIONS 1 - 3 CONTR•VC.1T EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ' ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS i( PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 1 ✓DATE F LED BOARD OF HEALTH SIGNA URE OF OWNER OR AUTHORIZED AGENT F E EdJ�> !J () J O U PLANNING BOARD PERMIT GRANTED j�/ 19 QOARD OF GELECTMEN X w juL, 2 2 im, N� � BUILDING INSPECTOR .Io _- 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN' . CONSTRUCTION 2 FOUNDATION —I $ INTERIOR FINISH _ 'J CONCRETE B I 2 I3_ CONCRETE BL'K. PINE BRICK OR STONE HARDW D .PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T AREA _ ' 3/, FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH __-----yyy_ ASPHALT SIDING HARDW D ASBESTOS SIDING COM/.AC:N VERT. SIDING ASPH. TILE STUCCO ON MASONRY �_ :"' - At; �L ^'•'*'� - STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOORI - +� .�..—� ��,= •T 1 BRICK ON FRAME 1 -..r .i, CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE :" 5 ROOF 10 PLUMBING 4� GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) 11 FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING - TAR & GRAVEL STALL SHOWER - ROLL ROOFING MODERN FIXTURES I TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. I TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING _t RADIANT H'T'G ! UNIT HEATERS 7 NO. OF ROOMS GAS d OIL B'M'T nELECTRIC 1st lid-7-111 NO HEATNdG '� .t i• � w r i I 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 an a compliance with P y livable local or state law, , regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: G,%eck "�e Phone Gs:�- [Q R 64- LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street +41- �_ �T St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Health Agent Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date 51992 ____._J t It= I COMMONWEALTH I.DEPARTMENT OF PUBLIC SAFETY fj. OF '1010 COMMONWEALTH AVE. MASSACHUSETTS BOSTON, MASS.02215 ENCLOSE CHECK OR MONEY ORDER l LICENSE EXPIRATION DATE 22461 1'CONSTR. SUPERVISOR FOR REQUIRED FEE, 06/30/1 993 RESTRICTIONS EFFECTIVE DATE LIC-NO. o MADE PAYABLE TO raoNE 30/1 991 038437 e "COMMISSIONER OF PUBLIC SAFETY' 0 KENNETH W R E A (DO NOT SEND CASH). ! 44 R E A ST i SS tt 012-38-8081 . m� za o 'm I N ANDOVER MA 01845 P EASE NOTE FEE INCREASE v'+o mm �'� m ro�a PHOTO(BLASTING OPR ONLY) FEE: 1<0O D1 N W 100. 00 ' m wx Nx 'Oo E FECTI VE FEB. "' m� �� a T, 1989 m +-� HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED -OR SIGNATURE OF THE COMMISSIONEq 1 m Doe: m U) 'o. 08/23/1952 , ,- b NUT DETACH LICENSE STUB I u m �w �~ THIS DOCUMENT MUST BE ' (�J `, cARRIEo ON THE PERSON OF t:�L��SIGNATURE OF LICENSEE SIGN NAME IN FULL.ABOVE SIGNATURE LINE m 10 1p m +I� OTHERS RIGHT iuUMB P91!Jt i I4F. HOLDER K'uE,v F.v;:.,G. M L, l �i AL 2w" 69 01 \Dig Oil Q �0� Pv 8 � _ g O �323TY : 1,-I •49-� �oSeL- N -lip � a' 91 Z6615 — p INA 1--WA' WER/WAT• r P L IN N N S E-P�V A T�0 N, FINAL Tc 4, own o 10 6 nover 0 0 R 4K IVEWAY ENTRY PERMIT ------- der, Mass. �11� ) ov V C I HEWICKU , _1914 BOARD OF HEALTH PERMIT T UILD THIS CERTIFIES THAT..S. k0l jr)t�.. A .44........................ BUILDING INSPECTOR A&AM !meA& A9 ow7AINPA1. M.G. Rough has permission togvM4#^A w4nNovas"" 0/#w#Qx 0& yoil 40 A Vb 1CWWJA1% Chimney totobe occupied asy.ty.1f'4z'W ...4..re.................................................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS ^ I STA/ RTS Service A & UeFinal BUIL NINSPECTOR I GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector IERIII�AT r��`' PLNN INA C0NS[,:jVAT90 FINAL own ot 6nnd over No. 3 M 5 IVEVAY ENTRY PERMIT K r imer, Mass., 19%x C H HE WICK I /JOR P��V `SSQ .1 BOARD OF HEALTH PERMIT T 0 THIS CERTIFIES THAT..G. A. •• !2Wffift . BUILDING INSPECTOR has permission to �,. , ..� � �•� Rough �lr W49MChimney tobe occupied as y-dyx46A&.... e................................................................... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS Service Final BUIL N INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. rj '0l3 / Building Inspector Location No. Date HGRTN TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ s�a+us t. Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works I Vk PERMIT NO.—?-i) !' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP 4J0. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK 'PAGE 7 NE I SUB DIV. LOT NO. —I CATION PURPOSE OP-BL7re11PInG-j� _c / OWNER'S NAME 1 NO. OF STORIES SIZE ;_,O'WNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'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,p)F 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 PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P NS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR AT DE L D 2 pl'- �� , BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT pal FEE ✓ �• lwNER TEL.#48 $G�'_g- MANNING BOARD PERMIT GRAN ED CONTR.TEL.# , �so`t CONTR.LIC.# a rT 1L BOARD OF SELECTMEN 1 JUL 2 21992 BUILDING INSPECTOR f BUILDING RECORD I OCCUPANCY, 12 i SINGLE FAMILY 11 s.rORIES 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE � PINEHARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M'T' AREA FIN. ATTIC AREA _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D T ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.( _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING II 11 HEATING WOOD JOIST PIPELESS FURNACE - FORCED HOT AIR FURN. TIMBER BMS. S 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 OCTRIC IL B'M'T 2nd _ ELE 1st 1-3'dI NO HEATING i r "Ow)H , OFFICES OF: . ?O Town Of 12O Main Street APPEALS .;:' NORTH ANDOVER N(.)rih Andover, 3UILDINCi ;.'-r;"'�:'e MaStia('hUS(`I1SOIii4 i CONSL-:lWATION ss "" DIVISION U1= ((i 17) i85-4775 HEAL"I'H PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECI.OR I i In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number .33is that the debris resulting from this work shall be disposed of In a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. 11e debris will be disposed of in: (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. SEWERMATE _______FINAL eLANNINU r WAW C;0 V _ r NORTtHq ,A,7 own of J* IVEWAY ENTRY PERMIT C E� over, Mass-.,Qu../,Q. 9 9:? ORS, ,per _ PERMIT q I Of L 0 BOARD OF HEALTH THIS CERTIFIES THAT......�I. J...... . .... . . ..... ................. .. . .... BUILDING INSPECTOR has permissioArto: tji _4=0... buildings on , �e ..... ... Rough ^� ,�• �... imney 4 lbal to be occupied as.............� ::... �. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU TION STARTS ° Rough ry.l .. .� ..... �'.:':.�. Final ... r ..m.,�.y. BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathingto Be Done Until Inspected and Approved b ' STREET NO. P PP Y Smoke Det. Building Inspector i 'J i 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: Q 1 Rtr=6 Phone 652-9g64 LOCATION: Assessor's Map Number Parcel Subdivision Lots) Street QE's Sr St. Number ************************Official Use only************************ RECOMMENDATIONS OF TOWN AGENTS: 1 Y� C Date Approved _ Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Health A Date Approved Agent rr g Date Rejected Comments Public Works - sewer/water connections - driveway permit . Fire Department Received by Building Inspector Date Location No.,� � ��✓�C. L-�1�/N/date / _l<'.� ` NORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ t�' oundation Permit Fee $ $ Ss^CMUSE �= -f(044W Permit Fee $ /AD Ui�8 't Sewer Connection Fee $ Water Connection Fee $ E TOTAL $ /� '-• 1 Building Inspector 8804 Div. Public Works { ��� �- �b �° � PERMIT NO. � P AIPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP NO. I LOT NO. 12 RECORD OF OWNERSHIP DATE BOOK iPAGE - �ZON j SUB DIV. LOT NO. l L ATI ON PURPOSE OF BUILDING OWN 4.S NAME NO. OF STORIES SIZE WNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'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 REQUIREME TS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY L C' IS BUILDING CONNECTED TO TOWN SEWER GJ IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST ' PAGE EST. BLDG. COST PER SQ. FT. 1 FILL OUT SECTIONS 1 - 3 s `PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FIL D--- /} BOARD OF HEALTH SIGNAT RE OF OWNER OR AUTHORIZED AGENT F E E PLANNING BOARD gPERMIT GRANTED ----`�� 19 130ARD OF SELECTMEN CJ ©Zg v cis . BUILDING INSPECTOR 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION $ INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. —{ PINE BRICK OR STONE PIERS _l PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1/1 1/1 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD\,J'D ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER K. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR fI POOR 1 11 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I IP BATH 13 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROIL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC Isf 1T—di NO HEATING . •� tsps � 70�{'i C_`r.R1( Any appeal shall be filed NORTH ANGGYER S•cxu- . within (20) days after the �..��.•• i� ;�� date of filing of thisTOWN OF NORTH ANDOVER Notice in the Office M.A.SGAC1.1US=S of the Town Clerk. BOARD QF APPEALS NOTICE OF DECISION Date 7 .24 . 95 Z Petition No. 028-95 Date of Hearing June 13 July 1111"'01995 Petition of Kenneth Rea Premises affected 44 Rea Street Referring to the above petition for a variation from the requirements of Section 5 of the Zoning Bylaw so as to permit review of a permit originally granted August of 1964 , which has been renewed and used continously since that date for a gravel operation After a public hearing given on the above date , the Board of Appeals voted to GRANT the Special Permit and hereby authorize the Building Inspector to issue a permit to: Kenneth Rea for the construction of the above work, based upon the fol ' �� ^q conditions : See attached, Board of Appeals , John Pallone Robert Ford Joseph Paris Ellen McInty ,•� { ;* *`� 1AW OFFICES ,OF RALPH R. JOYCE ,..;, . . 95 MAIN STREET C5083 685-4555 RALPH R. y NORTH ANDOVER, MA 01845 FAX 685-3148 August 1 . 199 of North Andover }; jE PARRINO, BOARD OF APPEALS .. ' 20 Main Street orth Andover , MA 0184 gE• SPECIAL PERMIT - REA GRAVEL PIT CHESTNUT & REA STREETS C Dear Julie : Enclosed is a Rider to the bond provided by the Western "�. -cited premises . Please attach it to Surety Company on the above Mr . Rea' s file . Very truly yours , Ralph R. Joyce RRJ :mjj enc "7� � vJ ou . w F 19H 1 J J O fJ 3 fj 744'j F._.A CQP fST ntL � X PAGE jt i-S rrk1t1'a31y agreed ' WE�rav and �exstrr'X? by and bA Rec SURE'T'Y "---MPA Y, that the Description has t-� the Prinei�i and natjon and R �t ��ged to react estarat.ion ccavation, of as oz1ginall, of rth Mciov�, State Ivritten. ofsacletts jnstead Nothing he mirr shah he held to va the end �': alter, wane or extend arty °i the except as hereiztahove set forth. terms, limi is or conditions r,f Phis Rider hNCnP Pr'1'l�e on the 25th twelve and one stir, : A(wk A-M., Standard Time. day of July Attached to and f,)rmin Bind 1y 95 at issb ued g part 68336739 y E`'rERiN, gUEE No. Kenneth W. CC&'zpANY °f dated D°�ber 20 Z9 93 Rea Sioux Fails, South D -- � akota, to Signed this %5`h day— July 19 95 WESTERN SURETY C 0 M p A N y (Form to_ By --Cn � ' t D r r WesternSurety � F � LICENSE AND PERMIT BOND KNOW ALL MEN BY THESE PRESENTS: BOND No. 68336739 r That we, __ Kenneth W R a r r Y of the Town of North Andover State of Massachusetts , as Principal, and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the , Town of North Andover State of Massa -h s s , Obligee, in the penal sum of m n thousand and no/100 ($ 10,000.00 )DOLLARS, lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal has been licensed Excavation by the said Obligee: NOW "THEREFORE, if the said Principal shall faithfully perform the duties and in all things comply"with .the laws'. and ordinances, including all Amendments thereto, appertaining to the license or permit applied for, then this obligation to be void, otherwise to remain in full force and effect until December 17 , 19-9-4-, unless renewed by Continuation Certificate. This bond may be terminated at any time by the Surety upon sending notice in writing, by certified mail, to the clerk.of the Political Subdivision with whom this bond is filed and to the Principal, addressed to them at the Political'Subdivision named herein, and at the expiration of thirty-five(35)days from the mailing of said notice, this bond shall ipso facto terminate and the Surety shall thereupon be relieved from any liability for any acts or omissions of the Principal subsequent to said date. Dated this 20th day of December 19 93 Principal Principal Countersigned WESTER S U T COMPANY By By Resident AgentJoe . Kirby, resident G r r ACKNOWLEDGMENT OF UR (Corporate Officer) STATE OF SOUTH DAKOTA �ssCounty of Minnehaha F On this 20th day of n cPmh , 199-,before me, the undersigned officer, personally appeared Joe P. Kirby a F who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, LForm532-12-89 e as such officer, being authorized so to do, executed the foregoing instrument for the purposes therein by signing the name of the corporation by himself as such officer.TNESS WHEREOF, I have hereunto set my hand and official sJ. RHONENOTARY PUBLIC �SEAL SOUTH DAKOTA S LVMy Commission Expires 6.12-96 Notary Public South Dakota :� I ACKNOWLEDGMENT OF PRINCIPAL n (Individual or Partners) STATE OF ; G ss , County of , G , On this day of 19 , before me personally appeared , I ` Y G , i known to me to be the individual_ described in and who executed the foregoing instrument and , acknowledged to me that_he_ executed the same. My commission expires 19 ; Notary Public 1 ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF � County of ss On this day of 19 , before me, personally appeared , who acknowledged himself to be the of and that he as such officer being authorized so to do, executed the foregoing instrument for the pu pcoorationoseess there n� contained by signing the name of the corporation by himself as such officer. My commission expires 19 Notary Public , pa z z 0 a z E rn ct _ L o w Z , o ; n. C/) (� ¢ Western Surety Company , CONTINUATION CERTIFICATE Western Surety Company hereby continues in force Bond No. 68336739 briefly described as Excavation, Town of North Andover, Massachusetts for Kenneth W. Rea as Principal, in the sum of$ 10, 000 . 00 Dollars, for the term beginning December 17, 1994 and ending December 17 , 1995 , subject to all the covenants and conditions of the original bond referred to above. This continuation is issued upon the express condition that the liability of Western Surety Company under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed the total sum above written. Sv"ETY �: .. Dated this 6th day of September 1994 a �44.'•ot,PORq�' -o WESTERN SURETY COMPANY LU S E P� By n : Joe P y, resident /^J •'O 1 F ` . F '••. VTC pP'� ;' F For,,,90-A-10-93• THIS"Continuation Certificate"MUST BE FILED WITH THE ABOVE BOND ' I I i I j Location No. Date NORTH TOWN OF NORTH ANDOVER 0?O•4t V•C ,•,�OO� „ Certificate of Occupancy $ + Building/Frame Permit Fee $ S+•�� E Foundation Permit Fee $ JAGMUS t ,c� A1C a Permit Fee $ `�ki ewer Connection Fee $ "V�/at� ection Fee $ �y ov �OTAL 6� �. $ a , 199P t �d �p )evt! Building Inspector C%A OF Div. Public Works NORTH 3 0� ,(J�.E 16 �O O TOWN OF -_ _ NORTH ANDOVER i T O _ = LAKE .. \ Is.4r4 COCHIC HEwICK V DATE: �� / (� ' 9/ �'9SDRATE D PP�,('L� NORTH ANDOVER, MASS . SACHUS PERMIT # Z/5'S S I G N PERMIT CKTHIS CERTIFIES THAT. . . . . .,.o-.�.� �. .�.�. _. . . �,.-. . . . . . . �. . . ... - - - . . . . . . . . has permission to erect s.1) ICY. 1 r� provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office , and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover . VIOLATION of the Zoning or Sign Regulations , Section 7#6 , Voids this Permit . Building inspector' . r r r k SIGN PERMIT APPLICATION e' NORTH ANDOVER BUILDING DEPARTMENT i . Division of Planning & Community Development � . Date Filed: ;.. 1. Site Address 44 Rea Street, No. Andover, MA 01845 (. . ' 2 . Owner Gilbert 0. Rea f . 3 . Applicant Kenneth W. Rea 4 . Number of Signs 1 Size of Sign(s ) X 3 5 . Site of Proposed Sign'(s ) 6 . Materials : wood ;7 . How attached: (a) Against the wall ( ) (b) Roof (c) Ground (X ) (d) Other ( ) 8 .. Illumination : (a) Not illuminated (X ) (b) Internally illuminated ( ) (c) Illuminated from separate service ( ) 9 . Proposed Colors : Background red < Lettering gold Border. 10 . Will sign overhang any public road or walkway : Yes ( ) No (X ) .11 . If Yes , Name of Agency who will provide liability insurance : 1.2 . Attachments : ( ) *Photographs of building ( ) Material sample ( ) Color samples ( X ) Site or Plot Plan (Required for all free-standing signs ) ( X ) -,Drawings of proposed sign ( ) Other, specify 13 . Is Board of Appeals decision required? Yes ( ) No ( ) Signature of. Applicant 1988 - two?) Y d sS I /4. Ufa � W h O � r zp• as. �ppl ti 3a"' aye v Yl C5 IOT .O 4� P � r KAPW "8 �• Y r� x I gait C1 �, R ` y 1 x •x LP r LOW -14D f•7-,+ +,RT=S GILBERT REA JOB 44 Rea St. SHEET NO. OF NO. ANDOVER, MA 01845 Phone 682-9864 CALCULATED BY DATE CHECKED BY DATE__ SCALE .......... ... ..... .._ .. ......... .i......EA .. ..... ... ..... i CC................ ........... _ � C �C ................ ............ ........... ................................ ..... ...... ........... ............ ......................... ............... ........................................ ..... ............ ............ ........................... ............ .................. ............. ............ ................ .......................... 1C ..................... .............. .............. ............. iU �CI4 � �� L � ................... ...........; PRODUCT 204-1Ees Inc.,Groton,Mau.01471. Location No. Date IDIC91 �oRT� TOWN OF NORTH ANDOVER a Certificate of Occupancy $ � Building/Frame Permit Fee $ t— ,saACMUSEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ e Building Inspector 10/29198 10:20 97.50 PAID 1 � �_ J J Div. Public Works C, i i Location f 4 »� t No. ADate If'hl �oRT� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ^CHUS i Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ � TOTAL � $ Building Inspector n 50/29/98 10:'00 97.50 PRIg `" Div. Public Works • PERMIT NO. 'T Al'PLICATION FOR PERMIT TO BUILDJ* *****NORTH ANDOVER, MA N V'NO. —L LOI'.NO. 2. RECORD OF(OwNfRJIIIN DATE BOOK PAGE ZONE SUB DIY. LOTNO. lei lvlu2eA 0A LOCA KION ey 5 — PURPOSE OF BOIL DING a/ ,3 11V i6d'V • n to r 1 NO.Of STORIES SIZE OWNER'S ADDRESS s-, BASEMENT CM2 SLAB AR('IIITFCI'SNAME SIZE Of FLCXNtI'IMdERS I 2 ND 3 RD 131111 DER'S NAME J, > , SPAN DIS I ANCIi I O NEAREST BUII.1ANG l— v 1 DIMENSIONS OF SII.I.S DIS FANCF I ROM STREET' 61 DIMENSIONS CN:POST S DISI'ANCE•FROh11.OTLINES-SIDES_6 REAR DIMENSIONSOFGIRDERS ARTA OF I.OT FR(NJTAGE �O f iEIGIFT OF FOUNDATION THICKNESS IS BIJILDING NEW I✓ SIZE OF:FOOTING X IS BUII.DING ADDITION MATERIAI.OF CHIMNEY IS BUII.DIN(;ALTERATION IS BUILDING ON SOLID OR FILLED LAND I � Will.8tJILDINGCONFORM TORECKIIREMENTS(FCODE � ISBIJILDINGCONNECTED I'OTOWNWATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTOCTIONS 3. PROPERTY INFORNIATION LAND COST ES 1'. BLIX;.COST p v PAGE I FII I.our SECTIONS 1-3 EST. BL )G.COST PER SQ.FT. ESI. Bt."i.COST PER ROOM EI EC-FRIC METERS MIDST BE ON(NTTSIDE OF BUILDING SEPTIC PERMIT NO. All GARAGES MUST C()NFORM TO STATE FIRL'REGUI-ATI(N1S 4. APPRO\'ED BY: PI-ANS MAST BE FILED AND APPROVE=D BY BUILDING INSPECTOR Bl III.DING INSPECTOR / 12/ OWNERS"TEI.a/ DAII:FII FD I[O CONTRA El `h CONTR.I.I(-4 SIGNA 111RLi 0 )VdNLR t 112�A/1/lIl k 1RIZ1:D A(i1;N'1- �{' �Q - 11I ! �1 OCT 16 1998 PI W01-I (;RANII{D 1)0 a � , DAVID No.30'S7 • l � L c L-� t CD LLI 41 y _ t/10$ ' l co V W L v d Y � L j .3 tXESTrNr,Go \ Lo HOUSE " ZLOT j CD oo _ NOTES: LOT $ ..PRE }. DAT cn ED FROM .: . _ _ Q �.- ' OORTjy own of , _ - _ over ' No. ° m * 0 s LAKE dover, Mass., '9�COCNICMEWICK V 0qA T E D_�pP� (G ` BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THISCERTIFI S THAT.... �. N. ........ ..... .. e ...................... ................................................... I �S,All �' lHsN�� ' Foundation has permission to vN....................................... buildings on.......... ...�.......... ........ ............. .......'...........I Rough S N I'�i J L ( N`r� , Chimney tobe occupied as..................�................�. ....!!�....1k. .................................................... ................................... 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Ric * PERMIT EXPIRES IN 6 MONTHS Final •� UNLESS CONSTRU N ELECTRICAL INSPECTOR AR e Rough ................... .......................... ..... ................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT . Burner Street No. Smoke Det. ,y' � .. f `: ._ .. - - - �.+', c •'.a,iG�'W'i.'r:.a� ..'Tri i' 'r h v;"'s�" x•2.r• ..rs'.<,: .. as .� -- -- '— _ .. ... ?;�. ?�.:`:Z'•-.•+;. �i..T sI f .x j..•. t. Y'!�• S'y t. '1'.' �v.�R. t;' .�•.�..^�:z"•Tf 't.+.t.. S-sem.'Y _ t i - ,.t.. � '+ ��� .Ir.-, .CM`S :R, ��� r ham. � c•� �='t�i'�•,s � .nl' :. _ .. .�, .S��F t�. ., •'.� .'4 '�� J. .� �.• a - ' «.y'^ r r r ''L}. .�.� a L;,,tv; ''�, 4�'"+'l'fi.°-`r -�!•:jt>'Sicj'Cr t'•J ';,:•:}; .,i. Sr» tT. � i�,,�t.wj a`5�"t'�i: • r • ' `•y«�. �`_•�ft;� }}�� ':�" •"E-��.. -�t, , - _c`i.� 4 ��y;. '�'_v: ,�r!'?'i t„ai-c� - ,rx �3��'.)' ��`,�:�r3S��•'�:,,s' 'E•... `� .. > . . .� .f S' �(j_ .,fr t�}3 ••C S..-( r• • i �i�, ��! � � •jtCr" x• r t rte' • +�[� :*-'�J y � t 's.. sl�.�t�'' .4 �.t'� .Y-r�� _--'as e 'r.T� tt "�'t'� S.al.r w. - ,�L.� r �� i M - is ■Cid ,.. .M• . r} � ,1tdi l,.:.r.�.�i`'S.;4•".� =��'.1� 's�'In„�L'�.'*�,l..t vaJ�M,�]"�>t `77 7C l�'��� �..J7s•r..�,..'r•�"'�t �A •'�-. •r. 4I' ��j:Pti. ti� ��. a ..Y..}•.' •.�•., �' �y: ♦. - s . a7,.lr t• .ty..�t� _.�' r.�r'S"�, v c..V; 90, LOT 9 Y 0 20' 40' 80' 160' 295' LOT 5 `�ySH aFs�oyG DAVID N A. v WEBBER cn a No.30757 p��FS,sOFG/L STEP��J��o �I NALAN9 I LOT 6 1 .9± AC;R.=S � a ppi, . 2a%t.3g EXIST/NC LOT 7 SNEo � \ r�. PLOT PLAN fG� c� S 2 4 doe aC� OF 2 1/2 ST LOT 6 SXISTING HOUSE 2No. LOT J REA STREET NORTH ANDOVER, MASS. ,9. MADE FOR G KENNETH W. REA = OWEN HASKELL, INC. * NOTES. 17 WILSON STREET CHELMSFORD, MA. 978-250-1141 P 1.) LOT 6 BEING PREPARED *FROM A PLAN -ENTITLED PLAN OF LAND PROFESSIONAL LAND SURVEYORS LOCATED IN NORTH ANDOVER, MA PREPARED FOR GILBERT REA, DATED APRIL 23, 1988 BY J.J.B. ASSOC. PLAN NO. 11388 E.N.R.D. Drwn By 66D Date Job No. c /^? 2.) PROPERTLY LINES SHOWN HEREON HAVE BEEN COMPILED Trace ByBBD JANUARY 12, 1998 C96C�72 p FROM PREVIOUS PLANS AND .IS NOT THE RESULT OF Check B UAW A ON-THE-GROUND FIELD SURVEY BY OWEN HASKELL, INC. y Scale Drwg. No. C96D7"l-4.DWG Book No. C50 1 IN.=40 FT'.. 1 10/02/98 10:15 FAX 508 6889556 NORTH ANDOVER Q002 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals! ermi Boards and Departments A is from having jurisdiction on have been obtained_ This does not relieve the applicant and/or landowner from Compliance with P an applicable Y or requirements. APPLICANT FILLS OUT THIS SECTION � APP ,- �.,.� APPLICANT '�- PHONE LOCATION: ASsessor s Map�Vum T PARCEL SUBDIVISION LOT(S) STREET 2.2.Pi�- � ST. NUMBER—Y-! OFFICIAL USE ONLY"""** O �7 /RECO NATIONS F N AGENTS: _ V C NS VATION ADMINISTRAT R DATE APPROVED DATE REJECTED COMMENTS—P-661 7 U D l a b6 TOWN PLANNER DATE APPROVED pl4 DATE REJECTED COMMENTS FOOD 1NSPEC R-HEALTH DATE APPROVED DATE REJECTED GTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR GATE ���_ " _"". do .. ''_.�' "?►'T.x.70•.' �/' - rfTk rr'j- _ � .. •'Tv* '�J.7,Z ._ _ tD 48 01) 10 LO LO CD CD tD l0 iVV 1 Co 3511(+{ i J1V� S'.X3 ! m r � ELI, 01) Ul tori 7 r' ,orl0 z W V, co f G m C--`7Y MAYO � _.off r Environmental POOLS Design Excellence fttfi d{ �szsona��oue�i Peter Brennan Design Director 978-256-0200 200 Turnpike Road 1-800-696-6976 Chelmsford,MA 01824 Fax 978-256-6620 { 1'1? 09/28/1998 06:29 9786867445 REA CONST PAGE 01 - -- --..........__,....w.� .. pye cMa, Cp L( y - ' Z p N I r •M7 f p� «' ?:.;c`.,L.may.:;<;��� �i• '; `�; v � Y, � � � �J i'�r,�r�-� `FAY�.��•. `�', . p rI 7' t.R :s•: 'gip' .,�,`•.�• � �4VVI , v., 0 #2A` 0HIC . SCALE LOT 9 w 0 20' 40' 80' ? 60' zg5 , LOT 5 -NIA OFAMAs c 1` DAVID A. v WEBBER co .Q No.30757 11 90 -Fs 9FG/STEP�� L LANA 9J ' s LOT 6 1..9± ACRES � � I � h - N v o N 2�0 , . . :LOT 7 �"�=SHED �7? ` , �Y _ � �' :� ... • . .- p- ,.. Pw t N PLOT PLAN ` OF 2 ,,2 ST EXISTING LOT 6 HOUSE 210�. LOT 3 P` REA STREET NORTH ANDOVER, MASS. MADE FOR KENNETH W. REA K OWEN HASKELL , INC. NOTES: 17 WILSON STREET CHELMSFORD, MA. 978-250-1141 1.) LOT 6 BEING PREPARED FROM A PLAN ENTITLED " PLAN OF LAND� PROFESSIONAL LAND SURVEYORS� LOCATED IN NORTH ANDOVER, MA PREPARED FOR GILBERT REA, DATED APRIL 23, 1988 BY J.J.B. ASSOC. DLAN NO. 11388 E.N.R.D. Drwn By EBD Date Job No. a 2.) PROPERTLY LINES SHOWN HEREON HAVE ?CEN COMPILED Trace By SBDJANUARi, 12, ?996' C'I607� r�¢ FROM PREVIOUS PLANS AND IS NOT THE RESULT OF Check By =1°`�` Scale Drwg. No. A ON—THE—GROUND FIELD SURVEY BY OWEN HASKELL, 1NC. 096072-4. ''A'C Book No. IN.-4 r^..