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HomeMy WebLinkAboutMiscellaneous - 444 SALEM STREET 4/30/2018 T 444 SALEM STREET 210/037.6-0053-0000.0 Date...a -.. Z....... AORTN °pp TOWN OF NORTH ANDOVER PERMIT FOR WIRING Io ACMUs� This certifies that ............... ....&�eel!6e�. ........................... ^ has permission to perform ..........1324 ; !�1.......................................... wiring in the building of.................. Q i�t R. .......................................... at........... . . ...........................................,North Andover,Mass. L Fee.... S -©... Lic.NoAO05 6 Jq.......... ...... ... . EiECTRICALINSPECTOR {� Check # 4 8622 Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] le a blank f'1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEA SE PRINT IN INK OR TYPE ALLINFORMATIOl9 Date: tz-oZ5-P2 City or Town of: }/p Li- � 1+a(al 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) qtlt b4, Owner or Tenant ✓Q,/��v� p (�2,�, Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ' Lrh gyti- Completion of the followingtable may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- o.o Emergency ig mg No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ BatteryUnits No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches r ,, No.of Gas Burners No.of Detection and �1/ Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump J.N Tons KW No.of Self-Contained Totals: ............."•.•"•.. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: ', eNDevices or E uivalent ' OTHER: t Lt(�'S LL W�kC 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: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under th jams and enalti s ofperjury,that the information on this application is true and complete. FIRM NAME: F 1. l -EU(—MCC LIC.NO.: A@ Mao Licensee: ?l CIC. L.Q.I A i Signature LIC.NO.:L s �. (If applicable,ent r "ex�emppt"in the licens u ber line.) Bus.Tel.No.• �C�. Address: (T Lf l �{'dt,� G �h Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: 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 Ment Owner/Agent Signature Telephone No. PERMIT FEE: $ i all .. -.. f: . < >~• �111�,": ; `�<� `,r'.v "v;dl ,° f i` • ��'_+,•;:'C'� ••"a r r - _ _, - ^_�:,i.� L f,X�::•'� f#�. .,y.: a _h �syffr�`y%YSM� ��"+•+ +� ♦ 4'S't��-s•.!'y1 e`�a„{ ?'�r-.i`!:•� 1+, 6� Y p iP���a � i;: �: . rDat . . .. .2S- . p'<<".O RT + 4OWN OF NORTH ANDOVER 40 o p PERMIT FOR PLUMBING SA US This certifies that . . . . . . . . .. . . . . . . . . . . . . . . . . has permission to perform Y.X.0. plumbing in the buildings of . . . . .. . . . . . . . . . . . . . . . . . . at . . . .l. .N . . .-��. ... . . . . . . . . . . . . . . . . North Andover, Mass. Fee.'��! � Lic. No. . X777 . . . . . . . . . . . . . . . . . . . . ... . : PLUMBING INSPECTOR Check # (33 _ II Q �UU i MASSACHUSETTS UNIFORM .APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Location �j �/�l� S/ Date _ (,� � Owners Name s^�r Permit # Type of Occupanzy OccupancyAmount New Renovation til Replacement Q Pans Submitted Yes No Fa`TURES O O U O SMESNE � H U R4$1�E1i� 1ST No amz M RLD03 am 3M FIDQt I. . 41HISf.= 5TH FLa R 61 FLOM 9 7MELaI2 M1 (Print or type) Installing Co any Name Check one: Certificate E3Corp. Address C ❑ Partner. usmess Telephone - ? 0—F rm/Co. Name of Licensed Plumber. Insurance Coverage. Indicate the f insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemni r�� ty Bond Insurance Waiver I the undersigned have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ ❑ 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 install 'ons Prmed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass c se tate p Ing Cha de d ter 142 of the General Laws. By. bignawrt or Lrcensea um er Title Type.of Plumbing License City/Town Lrcense umoer Master romcE usE or .Y ❑ Journeyman n f L4d� Location zlq SQ No. f Date '�ta� c7) NOIITIy TOWN OF NORTH ANDOVER AL9 i Certificate of Occupancy $ �s Ett' Building/Frame Permit Fee $ 4 10 s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 15779 Building Inspector S TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner for of Buildings Date Z SECTION 1-SITE INFORMATION wo ,p, o 1.1 Property Address: 1.2 Assessors Map and Plarcel Number: +yam I go s* Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft 11 Front Yard Side Yard Rear Yard Required wia % Required Provided RegWred 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 ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print) Address for Service: „ L !/ •13P Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ ;*�n • y ,v Licensed Construction Supervisor: O ` ` O 10C ��y t �i" 5* License Number Address Q Expiration Date ic Signa ,,,e iF Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v •1& 'c Rto& Z t. Company Name ,.cb Registration Number Address oy � Expiration Date Si a re IF Telephone Y SECTION 4-WORKERS COMPENSATION(NLG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check all appificahle New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: S A•� A~0 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be s OFFICIAL USE ONLY Completed b ermit a licant 1. Building (a) Building Permit Fee Multi Tier 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 CWMCTO O G PERMIT 1, fawft be as Owner/Authorized Agenq f subject propert .'. Hereby authorize Ion My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of OwneI/A ent Date NO. OF STORIES gfIZE • fit BASEMENT OR SLAB ! �: SIZE OF FLOOR TIMBERS 1 2 3 SPAN DHv]ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF G S HE •, HEIGHT OF FOUNDA '` M TRIC SS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLE " t IS BUE DING CONNECTED TO NATURAL GAS LINE North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal'facility as defined by MGL c11, S150A. The debris will be disposed of in: US r ir or#0 604 S46 t Low it (Location of Facility) ! _ D Signature of.Per it Applicant S�• 1 i� OIL Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i �r0p0£�a�. Page of �� c Free Estimates 105 Haverhill Street r, Fully Insured Methuen, MA 01.844 THOMPSON'S ROOFING (978) 691-1355 Shingles — Slate— Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Beverly Spicer 7-10-02 STREET JOB NAME 444 Salem Street _ CITY,STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Strip off all roof shingles on main house Renail all loose boards and if any need replacement it will cost $3 . 00 a ft. Install 8 inch aluminum drip edge around roof line Apply ice and water shield 3 ft. up all along edges and on entire back dorrrff Apply 151b. felt paper on rest of roof area Reshingle with a 25 year 3 tab shingle Install new flanges around soil pipes Cut in a ridge vent •1 Remove all work related debris 25 year warranty on material 10 year guarantee on labor construction lic. 3060112 improvement #128612 We prop gE hereby to furnish material and labor--Complete in accordance with above specifications,for the sum of: Four thousand two hundred ---- dollars($ 4 , 200 - 00 Payment to be made as follows: on completion i All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from above specifications involving Authorized L X 7 extra costs will be executed only upon written orders,and will become an extra charge over and Signature above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully Note:This proposal may be nAcceptance: d bWorkmen's Compensation Insurance. withdrawn by us if not accepted within days. e OfThe above prices,specifications and atisfactory and are hereby accepted.You are authorized to do the Signatured.Payment will be mad a�o��bove..nce: /// `'" Signature ' 4 C E R T I F I C A T E O F L I A B I L I T Y I N S U R A N C E DATE 08-08-02 (M M/D D,,: Y) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER PELHAM INSURANCE SVCS INC THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 960 122 BRIDGE STREET I N S U R E R S AFFORD I NG COVERAGE PELHAM NH 03076 INSURER A: Western World INSURED INSURER B: Liberty Mutual Thomas Doyle dba Thompsons Con INSURER C: & Roofing 8 West St INSURER D: Salem NH 03079 INSURER E: COVERAGES kLTR7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYNOTWITHSTANDING 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. POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 [x] COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300.000 A [ ] [ ] CLAIMS MADE [x] OCCUR NPP770609 04-17-02 04-17-03 MED EXP (Any one person) $ 5.000 [ ] PERSONAL & ADV INJURY $1.000,000 GENERAL AGGREGATE $2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $2,000,000 [X]POLICY [ ]PROJECT [ ]LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [ ] ANY AUTO (Each accident) ,1 $ [ ] ALL OWNED AUTOS BODILY INJURY [ ] SCHEDULED AUTOS (Per person) $ [ ] HIRED AUTOS BODILY INJURY [ ] NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ [ ] ANY AUTO OTHER THAN EA ACC $ [ ] AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ [ ] OCCUR [ ] CLAIMS MADE AGGREGATE $ I $ [ ] DEDUCTIBLE $ [ ] RETENTION $ W [x] WC STATUTORY [ ] OTHER WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY E.L. EACH ACCIDENT $ 100.000 B WC2-315;314995-012 04-21.02 04-21-03 E.L. DISEASE-EA EMPLOYEE $ 100.000 E.L. DISEASE-POLICY LIMIT $ 500,000 OTHER N DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIO S ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing CERTIFICATE HOLDER [ ]ADDITIONAL INSURED: INSURED LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR Ron Charette TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED Clover Hill Realty TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 151 Berkley OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Lawrence Ma 01842 REPRESENTATIVES. AUTHORIZE P TIVE fax: 978 692-8588 (7/97) Page I of 2 NuR ' � Town of4 over . 1 a No. 77 6., IVL os= o dower, Mass., COC MIC MEWICK V ADRATE D S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT z"CV t r C%01 r Foundation has permission to erect....5110.1-0.......... buildings on d/&I y.....S..a. ►..�w.:.�.. ................... Rough .:...... ......... . ..... to be occupied as c� Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws rel ting to the Inspection, Alteration and Construction of 30 Buildings in the Town of North Andover. PLUMBING INSPECTOR 8S3 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR A Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Location 9 114 Zc;ii .' Date w No. � a ' 4001T , TOWN OF NORTH ANDOVER 41 t i # Certificate of Occupancy $ cMBuilding/Frame Permit Fee $ s� usE Foundation Permit Fee $ Other Permit Fee $ i TOTAL $ Check # tf J U 14383 Building Inspector fns TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR T1VO FAMILY DWELLING 7�'dr.*... BUILDING PERMIT NUMBER: / DATE ISSUED: j) icC SIGNATURE:. Buildin Commissioner/In tor`of Buildin Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 1 �1 00 S Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: / Zoning District Proposed Use Lot Area(sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided N V 31/ 1.7 Water S ly M.G.L.C.40.§54) L5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal ❑ On Site Disposal System SECTI N 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner.of Record j l l A A1\2F Name(Print) Address for Service U J WO Signature Telephone 2.2,0wner of Record: V A� ame n t Address for Service: Si natur Telephone SECTION 3-CONSTRUCTIONVSEIWICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor 053011 ` ( License Number ress J Expiration-Date � Sign ure Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name D j Registration Number A r ss , ✓�� -Expiration bate Si nature Telephone f +. 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 rmit. Si ned affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check a!I applicable) New Construction 0 Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition 0 Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF ICLA-L US AWL4,4's Completed by permit applicant 1. Building a ©� (a) Building Permit Fee O ) ! Multiplier ' 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection / 6 Total 1+2+3+4+5 c;R 3 n• 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 I, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1s 2ND 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 • e FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT _ k'' PHONE ASSESSORS MAP NUMBER e2 '1 LOT NUMBER d0 SUBDIVISION LOT NUMBER STREET gvl,L-?S STREET NUMBERINNOWNES 0000 OFFICIAL USE ONLY moo ...................................................... ..... ........ ..... RECOMl1ffiNDATIONS OF TOWN AGENTS ,'- xP• �!— ' .� .�. !2�-T-W, DATE APPROVED 0 Z 0/od CONSERVATION ADMINISTRATOR DATE REJECTED corNTs Nd (0(j. DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPErWTOR-HEALTH DATE REJECTED f j DATE APPROVED C CTOR-HEALTH DATE REJECTED S coMMEN�Is u— PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMB ENTS RECEIVED BY BUILDING INSPECTOR DATE CERTIFIED PLOT PLAN Scott L. Giles R.P.L.S. LOCATED IN NORTH ANDOVER, MASS. Frank. S. Giles SCALE.-l"=40' DATE:11/16/2000 50 Deer Meadow Road North Andover, Mass. LOT 18 1.464 AC.+/- PLAN#3891 N.E.R.D. CO O 00 A00i ti d. PROP. �SrDINING' PA yD h'SF. #444 N C�OA 30.5' ti A ,t �t 162.61 SYR�Er SALEM I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE ��P`1H Of THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE s H WITH THE ZONING0.13972 �o DETERMINATION OF ZONING '�fCISTEU 1� NORTH ANDOVER BYLAWS OF CONFORMITY OR NON-CONFORMITY J ��V�L �ppOgJ� WHEN BUILT WHEN CONSTRUCTED. � z�v CERTIFIED PLOT PLAN Scott L. Giles R.P.L.S. LOCATED IN NORTH ANDOVER, MASS. Frank. S. Giles • SCALE.1"=40' DATE.11/16/2000 50 Deer Meadow Road North Andover, Mass. 161.4 LOT 18 1.464 AC.+/- PLAN#3891 N.E.R.D. O O O OR EXIST e- PoOC PROP, 1�k/ST.tiSE DINING ti t 1 162.6 STRE SALEM I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE Of THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY AND SUCH USE IS FOR THE S H WITH THE ZONING 0.13972 �o DETERMINATION OF ZONINGBY LAWS OF IStE�Eo��1`� NORTH ANDOVER CONFORMITY OR NON-CONFORMITY �0a�t La+�g WHEN BUILT WHEN CONSTRUCTED. �i z�v .` Jct _ /• ( / �:' ' 4 {- ' * tiny Wo -52 ro A 9� r 'I! CSL%gFr co Ae { IPS �� Ti��� �'� ► I \ ~ y } IL tAORTFI Town of 4 Andover 0 � o dower, Mass., COCMIC NE WICK DRATED S BOARD OF HEALTH Ptli [A' IT T D Food/Kitchen Septic System THIS CERTIFIES THAT......... .. �,.v.��� BUILDING INSPECTOR �,� • Foundation y.......... . ..................................... . . .... ...... has permission to erect... Y.I -Aff!..... buildings on .....A/.y. ... ,� ./ ....... ., ........ . Rough to be occupied as..l'C� ..Addxy.. .,.* may I"�1 C Chimney �... ..................... provided that the person accepting this permit shall in every respect conform to the terms of the applic tion 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. 0) 31 P 63 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ..... ........... .......... .................. .. Service .. . ..... ...... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner RE DEPARTMENT Street No. SEE REVERSE SIDE Smoke Det. EXISTING PROBED 4 ------------------ ------------------7- ___:-------------------------------- ------------------------------ ------------------------ ---------------------------------- ------------------------- Eff ..�.+- H FRONT ELEVATION MANS FOR BEVERLY SPICER 444 SALEM STREET NORTH ANDOVER, MA, SCALE,31 jL(k-• = i'-0• DATE, 8/6/00 EXISTING PROPOSED PLANS FOR ( BEVERLY SPICER DECK 444 SALEM STREET EXISTING NORTH ANDOVER, MA. NEV UK vINmw SCALES _' _ !'-0' DATE, 8/6/00 E�asrING rrlNDn� . . I N fix • ( J) DW ( I s1w ( 1 oo j EATING APaOL REA KITCHEN O ( AREA REMOVE EXISTIWALL L Un NG (( / EXISTING ' 2 - UK VINDOVs IL LIVING ROOMIr 'FARaIEFIS POMW RAILING ELECTRICAL -• SERVWE GARAGEL FIRST FLOOR PLAN ISTFL3 MATCH EXISTING ROOF SLOPE IDGE VENT . . . . . . .t PLANS FOR ICE/WATER SHIELD i—EXISTING DWELLING (BEYOND) AT LOW ROOF SLOPE SHOWN DOTTED BEVERLY SPICE R - ; • • - • • - 2 X 10 AT 16. O.C. 444 SALEM STREET .. . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . :_: ; NORTH ANDOVER, MA, SKYLIGHT ' — 2 X 8 AT 16' D.C. SCALE► t1 ---' — 1'-0' DATE+ 8/6/00 —30C FIBERGLAS TYPICAL EAVES DETAILS INSULATION PINE FASCIA & SOFFIT MATCH EXISTING DETAILS CONTINUOUS SOFFIT VENT DOUBLE RAFTER DOUBLE TOP PLATE -' TRIMMED OPENIN METAL DRIP EDGE "• • • - • • • • • • • • - - • • • • - • - • • • - - • - . • . . . . . . . TYPICAL EXTERIOR WALL E/ b . . : . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . SIDING TO MATCH EXISTING BUILDING WRAP 1/2' GWB ON ROVIDE COLLAR TIES 1/2' CDX PLYWOOD SHEATHING 1 X 3 STRAPPING AS REQUIRED 2 X 4 AT 16. O.C. AT 16' D.C. R-13 FIBERGLAS INSULATION POLY VAPOR BARRIER • . 1/2' MDO PLYWOOD SOFFIT { 3/4' T&G PLYWOOD • NAIL & GLUE TO FRAMING MEMBERS TREATED WOOD • ' BRIDGING AT STAIRS & LANDI CENTER SPAN FINISH IST FLOOR TYPICAL SILL DETAIL+ FINISH GRADE—N.."., 2 X 12 AT 16' O.C. R-19 INSULATIt7N, ANCHOR BOLTS AT 4'O.C. SILL SEAL FOAM INSULATION y' DOUBLE 2 X 6 TREATED SILL ;'� CRAWL SPACE R T .+► 12' DIA. POURED CONCRETE PIER, ; OPERABLE SCREENED ' GALVANIZED POST ANCHOR CRAWL SPACE VENTS SLOPE FINISH GRADE MIN. 4' FROST COVER TREATED WOOD 0'-10, •L ti ORB POARRIER LY VAPOR k TYPICAL CROSS SECTION .e. ` POURED CONCRETE REMOVE ALL, ORGANIC SOIL FOUNDATION FROM WITHIN CRAWL SPACE AREA, PROVIDE VENTILATION 1 NORTH Town . of - over O „., ; 10 No. I q - _ _ coloOc."NEw,oover, Mass., S RATED 4 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......... V�� ..........aw ,............... ................................. .................................... Foundation has permission to erect... ) AS......... 9 ..buildings on ..yy.0....� L!. ...... . � Rough • .. ........................ to be occupied as../.�I......Aol4/� �y ��'`�... �' �...... ..`� ............. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M 31 ^f3 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT' EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough .... . .i� .......... .. 16 ......... .. Service .. . .......... .............. ...... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FlRE DEPARTMENT • Street No. SEE REVERSE SIDE smoke Det. = FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. NEANNE7 APPLICANT eue4,ly ,J . �` PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET...._ ._ � e ...........STREET NUMBER......G OFFICIAL USE ONLY OMMENDATIONS OF TOWN AGENTS so cls ��) ilk DATE APPROVED AC I a106 CONSERVATION ADMINISTRATOR �a DATE REJECTED COMNIENTS �� iwZrl•/�� �.,i�/1 �Ul�/ DATE APPROVED TOWN PLANNER DATE REJECTED CONAVIENTS DATE APPROVED F,QOD INSPECTOR-HEALTH DATE REJECTED �MtALT�H ��� DATEAPPROVED SEP C�TOR- ,� ` DATE REJECTED �'�/�,�/�►� CO,NM ENTS -f.y (0 =/u oco, Q N �Fccz PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIR$DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE M. tt v • . . . w r • 1 f 1• 1 Owned by Thomas Bunker Scale: 40 fest to un inch- NOV.22, 1960 / �;�.. ,. , 4. ROBERT E ANDERSON Civil Engineer and Surveyor / C f , Q North Reading , Muss. C: ' "Iei R, w A S,1 , J. 1_414 Acre; 0 e a l y ..,• �efrl _/ .At f4'Sd FG to'"q.q j.6 / r /ocof�J y r s Asf. 11 d- 00 n/.'�J w/t�f a./f 2�n '9 .c/L/<0,P•— I Location yy� No. 17 Date 1 NORTH TOWN OF NORTH ANDOVER F � w Certificate of Occupancy $ sCMUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 14195 Building Insector A i r--�- TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ; 73; 'mr OfflLI&I IISC`Ul1I . BUILDING PERMIT NUMBER. DATE ISSUED. rn IF 6— ; SIGNATURE: ...� Building Comn-Lissioner/InSpeCtor of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: S a� 8," a. -3 44 it- Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Q�/ Zoning Distnct Proposed Use Lot Area sf) Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40.5 34) 1.5. Flood Zone Infomntioa: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System _ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) --� V Address for Service Signature Telephone 2.2 Owner of Record: Name Pnnt Address for Service: O Z rn Si nature Telephone 90 SEe ION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Address D Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name rn Registration Number Address r Z Expiration Date ^ Signature Telephone Y' r 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 checkau applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify per 00 Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE flNY.YA, d' .ryPR .a t x 8S Completed by pennit applicant 12, 1. 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) 3 3 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT e VBG as Owner/Authorized Agent of subject property Hereby authorize SCA " to act on My behalf all matte relative work awMorized by this building permit application. rh yb Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB sr ND SIZE OF FLOOR TIMBERS 1 2 3 SPAN M ENSIONS OF SILLS DUvIENSIONS 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 t I Je hiswowwwwah HOME IMPROVEMENT CONTRACTORS EEGISTRATION ;'Board of Building Regulations and Standards j One Ashburton Place - Room :1.301. Boston , Massachusetts 02103 i I HOME: IMPROVEMENT CONTRACTOR Registration 11351.9 Expiration 03/29/01. Type -- PRIVATE CORPORATIONj � GTS T009H IIEOItI!/COIA/L qK/KacKwa HOME IMPROVEMENT CONTRACTOR Registration 118519 SWIMMING POOL CENTER INCI Type - PRIVATE CORPORATION ROY J . CHARLAND I Expiration 03/29/01 I� I 670 S UNION ST LAWRENCE MA 013 1:3I RIMMING POOL CENTER INC I ROY J. CHARLAND S UNION ST + ADMINISTRATOR LHWNENCE MA 01843 t i l r . 1 , 1 18' x 36' aaa 2' Radius 1 1 I 32' ' 2'R 2'R ' 4' 3 � 3 � 6 6 ' LIGHT 36'8 3/4" 8 PANEL 1O, STEP ' OPTION UNIT 8 � 8 3 3T ?' 4' 21K 8 8 8 8 2'K ` 8 S STEP 2 R UNIT I 3"W. 8, WATER DEPTH MUST DE 4 MINIMUM 7 6" - yl 2"MINIMUM PREPARED BOTTOM I� 4' 4 - 6' -01E-- 14' —1,14 12' -->I NOTE:On pools with etht3rmop[astic step,an A-frame is required on each side.of step unit.:_ 18 X 36 NOTrys COPING LAYOUT I gtrucane n designed for m below grade and only a areas where the ground water 12 12 a 18 X 36 w/Center Ste table is a minimum of 4'6"below the proposed finished grade. . -'- 18 X 36 W/Side Ste 2. Bacirfillwith clean eartkfmcofromand debris.Do not allow the height ofbaeldd0 to`a«edthe bright ofthew.sant°epan'by"torethan enor water toexceedbackfill a 4-RADIUScorzNERs DESCRIPTION PART# by more than 6". .., <.... e3 3. Pour 2500 P.S1.concrcse Pooling around entim pen-me w',minimum g'Beep: 5-12 5ECnON5 7 6 6 8'PLAIN PANEL 05102 4. Twi&cmomdedelstabepowWakmrdmknm odaslapeofM" ltol'.away6am 6 4-&5ECTION5 6 1 1 1 8'SKIMMER PANEL 05104 mep2 2 s: Finished bottom ie to be 2"minimum orauitable material or uodtswrbed earth 2 8'RETURN PANEL 05108 6. -A safety line,with buoys,b to be permanently attached I.O.,m fie shallow side of T PLAIN PANEL 05110 the point ofrust slope cange 12 12 8 2 1 2 6'PLAIN PANEL 05112 7::Coping:coping lengdn sm approsunate Cuts nay be trended on Straight sections forproperft.Radius comers am2 a2 ulustra -` ADJUSTABLEAFRAME 5 P IN PANEL 05118 e: Comaraatom Drnringai These dnwmga and nodes are far uve purpoxA- FRAME 4'PLAIN PANEL 05123 only.Different methods and precautions may be dictated by various ground conditions. 7lusistobeaetemminedbysaalsteresposs i tyoffhe coomactur whois not a aagenttd,he 2 T PLAIN PANEL 05128 omufaaueroftematI, , Pam: °-:r ,. 2'PLAIN PANEL 05129 9. I—Ration is to be done in accordance with all federal,state,and local building VELAIN PANEL 05132 codes.awell NSP1,suggestedstandards. 4'RADIUS NEL 05160 _ WETYNOTE 4 4 4 2'RADIUS PANEL 05161 Pod bosom configu-dons are for illustrative purposes od 'Ilse confsgu- g"MIN. E 05188 ramom shown c.g.with current N.S.P.I suggested m mum standards 2500 P.S.I. A- RAM for pods approved for use with mamufactuted diving equipmenL If diving CONCRETE ' 1 6"PLAIN PANEL 05131 equipment is installed,follow the equipment manufacwrer's installation,use f-00TINO L FILLER and safety instructions, J, 1 1 1 NUT&BOLT PAK 05202 Dlvkg permitted2 6' only from designated diving area. . �OVERDIG 1 1 1 STRAIGHT COPING PAK -25- Per. 104'6" Sq. Ft.644 Gallons 27391 03/29/2000 15.:24 19789783987 LANDMARKINS PAGE' 02 A ORD. ', � 1 � f >Itt a DATE(MMroDPM 81P1 '1 03/29/00 FRODLKER THIS CERTIFICATE 15 IS$UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Landmark Insurance Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 198 Xassachusetts Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, North Andover XA 01845-4190 COMPANIES AFFORDING COVERAGE Lawrence A. Michaud, CIC COMPANY PHo 979-688- 8 9 F*xN 978-975- 987 A Prsferred Mutual Insurance Co. INURED COMPANY B &alaty Insurance Co. )Swimming Pool Center, Inc. COMPANY Roy Charland C Eastern Casualty Ins. Co. 670 „4o. Union St. COMPANY Lavtranna ZetA 01843 p `3VIcRA# 88 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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 OERT1FICATE 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR DATE(MWOO/M DATE(MMIDOMf) GENERALUASHM GENERALAQGREGAT'E 12000000 A X COMMERCIAL GENERAL LIABILITY CPP 0140520316 03/01/00 03/01/01 PRODUCTS•CoMP1oPAGO 12000000 CLAIMS MADE 1,,.•• OCCUR PERSONAL A ADV INJURY 11000000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any en*flrn) S 1EXCludod MED EXP(Any a"pavan $&Tcolud" AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ 1000000 a ANY AUTO 1022438 03/22/00 03/22/01 ALL OWNED AUTOS BODILY INJURY I X SCHEDULED AUTOS (Per perw) X HIRED AUTOS 9004LY INJURY X NON•OWNED AUTOS (P�r p001d f PROPERTY DAMAGE: I GARAQE LIABILITY AUTO ONLY•EA ACCIDENT i ANY AUTO OTHER THAN AUTO ONLY. EACH ACCIDENT S �— AGGREGATE f EXCESS LIABILITY EACH OCCURRENCE I A R UMBRC-LLAFORM UC0100540211 03/01/99 03/01/00 AGGREGATE S1000000 OTHER THAN UMBRELLA FORM 03/01/00 03/01/01 I WORKERS COMPENSATION AHO EMPLOYERS'LIABILITY - ----- EL EACH ACCIREW %500000 C TNEPROPRIETOR/ INCL PARTNHRSlBXECUTNE WC98470026 02/28/00 02/28/01 EL DISEASE•POLICY LIMIT $500000 OFFICERS ARE: EXCL EL DISEASE•EA EMPLOYEE _ 500000 OTHER A Crcial Applica CPP 0140520316 03/01/00 03/01/01 DESCRIPTION OF OPERATHNJSILOCATKMfUVe,"CLEB/SPECIAL ITEMS Swimming Fool Installation/Service/Repair 71 1 i T HGi PES r;'• OAEiECECIa4T1C3laL.. ..: SAMPLZI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAL 10 DAYS WRITTEN NOTKX TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, � �¢ Cort BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMP Y.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTA LawrenceY�`C�� ` awx�nc� R. C �tXpOpop.,Iz _PoRATION:1:9.8, E Board of Building ReNrn ulations One Ashburton Place, 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 11/30/1957 Number: CS 002837 Expires: 11/30/2001 Restricted To: 00 r ROY I CHARLAND 670 S UNION ST LAWRENCE, MA 01843 i Tr.no: 20225 Keep top for receipt and change of address notification. I f i i I i FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT 0 ey, SP)Def PHONE 06�) 3 ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET STREET NUMBERloans `C`L OFFICIAL USE ONLY RECONINIENDATIONS OF TOWN AGENTS DATE APPROVED I O 0�, CON 19ERVATION ADMINISTRATOR DATE REJECTED CONQAENTS b � v- (• `l1`� DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALT U-- DATE REJECTED DATE APPROVED Z/ �_ S�SPE - LTTI DATE REJECTED COMMENTS PUBLIC WORKS-SEWER T WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE 1 } � Wo o Roy, 'L ao r 9a� 9 ' , n 11 ;iT 71 r� •X i.. y g x.G o� t 7 Al I� Lo1" Ix NORTH Tovm of Andover o = No. A188 ~ - * � 00 o L A o dover, Mass., COCHICKEWICK ORATED S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System t vlod� BUILDING INSPECTOR THIS CERTIFIES THAT....... ......... � i� ...y................ .......................................................................................... Foundation has permission to erect.. .8.........3.10........... buildings on....4.1.4.........%A. wirh.......s..... ....-� ............. Rough to be occupied as...lNCsrOt.*..D.......N ......ov.....pea.r......y A �.�............................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough c ................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done . FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. GG N2 2536 Date..... TOWN OF NORTH ANDOVER 0 I- p PERMIT FOR WIRING ,SSACMUS 7� This certifies that .........a ........ ::o.................................................... has permission to perform .......Z�..C/...... ...................... 0 , wiring in the building of......S. ... pf- .................................................. at.... .................. Orth Andover Mass. Fee4�3 ... ......../7 !Q........ Lic.No.A.Z. ... ........... ti -EX 1Z L=CT)OR Check At WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Cornrnonwta 01///adla�cuda For Office Use Only (Rev.11/99) 0 3 cc�� cc77 Permit Number:— S 1JaPa.En�.n1 o`..tt..ssrviue Occupancy 8 Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:0 PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 2— 2,oez City or Town of:/V®, ANDOVER To the Zpector.of Wires: By this application the undersigned givesnfotice of his orherintention to perform the electrical work described below. /C Location: (Street&Number) / / � ", S�— Owner or Tenant: `even' ICAW,_ Owner's Address: Is this permit in conjunction with a Building Permit? Yes ❑ No (Check Appropriate Box) Purpose of Building: Utility Authorization#: Existing Service: Amps / Volts Overhead ❑ Underground.0 #of Meters New Service: Amps / Volts Overhead 0 Underground.❑ #of Meters: W Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: J t?.4e No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground ❑ #of Emergency Lighting Battery Units No.of Receptacle Outlets No. of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices No.of Switches No.of Gas Burners #of Sounding Devices: #of Self Contained Detection/Sounding Devices No.of Ranges No. of Air Conditioners / TOTAL TONS: 3 Local❑ Municipal Connection❑ Other No. of Waste Disposals Heat Pump Totals: Security Systems: Number: TONS: KW: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: KW Data Wiring,No.of Devices or Equivalent: 1 No.of Dryers Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: #of Ballasts: OTHER; #of Hydro Massage Tubs No. of Motors Total HP 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 eq alent. The undersigned certifies that such coverage is in force,�r+d has exh'bi ed proof of same to the permit issuing office. CHECK ONE: INSURANCE � BOND ❑ OTHER Cl Please specify: 7W 1 Estimated Value of Electrical Wo $ �— (When required by municipal policy) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. certify,under the pains and penalties/of perjury,that the Information on this application Is true and complete. Firm Name: a- L L/�C rlel c LO --4:11c LIC.# 4 6-�?33 /A 3 Licensee: S T Sf/��i' .�� Signature: L/' ' LIC.# 3 l (if applicable,enter" empt"In the l0nse numq r line) Address: `>Q% �JC,��l�/A/a �� zz. 114' alfy<Bus.Tel.# ��T3'�/ Alt.Tel.# 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❑ OR Agent❑ 09 Signature of Owner/Agent: Telephone# PERMIT FEE:IS t3V/ N2 2505 Datel......I.................... TOWN OF NORTH ANDOVER 0 4L 0 PERMIT FOR WIRING CHU This certifies that .....................................................-/-0/ ......................................... has permission to perform -6� ............................................................................... wiring in the building of ......................................................................... V at... -4� ........................................... ,North Andover,Mass. Fee--A7.. ........ Lic.No? ..... ........................................................ ELECrRICAL INSPECTOR Check it 1K)(J 7 V WHITE: Applicant CANARY: Building Dept. PINK:Treasurer /i �" It2CCElYY1lY�C/1WYi �tE�.EdlOFIYk4L';,"6.J7Jk1r—I1L3 uiuceuxumy DEPARTAf EAT OFPUBLICS4FM Permit No. ` BOARD OFFIREPREVE MONREGUT4TIONS527CtfR 12:00 4 JVA Occupancy&Fees Checked -A6 APPLICATION IO d FOR PERMU TO PERFORM ELE=CAL WORK ALL WORK TO BE PERFORMM IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) S o Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes��No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. �. Existing Service Ampstl/Volts Overhead Underground ® No.of Meters New Service Amps / Volts Overhead ® Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 17 No.of Lighting Outlets No.of Hot Tu s No.of Trans rmers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local ® Municipal ® Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hrnaameCo Ptcsttotheaewatae��Ge�aalLaws Ihaveaanu%Liabtkhmm=Pbixy'hixiE CovaaWcrisskqaatialerguvakrI YES NO Iha�est�ni vafidpoc� samelDthe0�YES NO ® FfjauhawdtadWYFS,ple%ertdcEWthe bydmckigthe INSLh;RAt�� BOND OTHER ® (PleaseSpacdy) 411l/ Estimated Valued Wak$ WodciDSW Inspecti=7 xsted Rough Final Signed taclx1fi RmIties ofMuay. FIRM NAME A Na 1;oak4ko 4 TeLNa �. d (J c Z � 0c,� Ai Tel OWPIER'SMJR.ANMWAIVFI2;I.amawatetha drL wse ixttow (,ffa-alLam andi-amysgaubaeaathispwntaeonwainthis mw*mnem (Please check one) OwnerED Agent Telephone No. PERMIT FEE$ N° 2499 Date....��. l...U....... I pt N�pTM�tiC O? , 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� This certifies that � ........XA.......a..1....(:A........0............................ has permission to perform ........ ...... ...t..G..u.r ................ wiring in the building of ...... f y .C( �r............................... ,North And ass. at..................... ....... ....... .......................... . Fee.A.v.......... Lic.No ... ............. .............; ....................... I ��•111 T9 33 ELECTRICAL Check # &5INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer COnvnonwfQtl ri o f a�a�uclt� For Office se 0 1 (Rev.11/99) Permit Number: 1JtParifa�tnl o`..tiry�irvicad Occupancy&Fee BOARD OF FIRE PREVENTION REGULATIONS APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: ?4/00 City or Town of: Ale) ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to Eperform the electrical work described below. Location:(Street&Number) 7 4a :54 Owner or Tenant: Sp t clen it Owner's Address: hw-� i Is this permit in conjunction with a Building Permit? Yes o No $/(Check Appropriate Box) Purpose of Building: i -e Utility Authorization#: ®q 6.�n 9 Existin Service: Amps /��/olts Overhead// Underground.❑ #of Meters New Service: Amps/ -4/0 Volts Overhead b' Underground.0 #of Meters: I - Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Work: 2-06 No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Transformers Total KVA No.Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground ❑ #of Emergency Lighting Battery Units No.of Receptacle Outlets No. of Oil Burners Fire Alarms #of Zones #of Detection&Initiating Devices No.of Switches No.of Gas Burners #of Sounding Devices: #of Self Contained Detection/Sounding Devices No.of Ranges No. of Air Conditioners TOTAL TONS: a Local❑ Municipal Connection a Other ❑ No. of Waste Disposals Heat Pump Totals: Security Systems: Number: TONS: KW: No.of Devices or Equivalent No.of Dishwashers Space/Area Heating: KW Data Wiring,No.of Devices or Equivalent: No.of Dryers Heating Appliances KW Telecommunications Wiring:No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: #of Ballasts: OTHER; #of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation'coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ Please specify:—/194 0? Estimated Value of Electrical Work$ (When required by municipal policy) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the Information on this application Is true and complete. ,g X93-3 Firm Name: !% L `�I/�C /C LSO r/C- /A LIC.# n Licensee: S• /`� s��/t �2 Signature: `/ LIC.# /9 3 3 p (if applicable,enter" empt"!n the 1! nse numlWr line) Address: JU �f�C�E��/�/Q /�r� //,�./7/ 'L 14 a4J / f-3-W3/Tel.#� 03 W3j Alt.Tel.# 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 o OR Agent❑ Signature of Owner/Agent: Telephone# PERMIT FEE:S i I Location Ll y Sa(`Q S�-I No. �� Date 3 MORT� TOWN OF NORTH ANDOVER 0 9 Certificate of Occupancy $ aSs,cM�SEt Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ O� Check # o M '� Building Inspector `, y `} TOWN OF NORTH ANDOVER 5 BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING � BUILDING PERMIT NUMBER. / / DATE ISSUED: 3 ic SIGNATURE: Building Comrnissioner/I for of Buildings Date a SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: CU 31 5 -005-3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required I Provided Requi Provided 3 U ->U (' ;_D 1.7 Water S ly M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal ❑ On Site Disposal System SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record c e(Print) �% Address fo Service Po.i ! nature Telephone 2.2 Owner of Record: Name Print Address for Service: 0 z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ f q �Licensed Supervisor � � QS 3 b 1 O License Number ddr III lc)3 'Z Expiration Date Signature Yelephone _. 3.2 Registered Home Improvement Contractor Not Applicable ❑ v 'A ' Company Name `64, 1 p Registration Number r r Ass Expiration Date /) Si nature Tele hone Y� SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes...... No.......❑ SECTION 5 Description of Proposed Work check all licable New Construction ❑ Existing Building Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: c SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � � QFFICIAI;USE ONLY Completed by permit applicant " E >-ei9>fvice4rt> 1. Building (a) Building Permit Fee 0� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee(a) x (b) 4 Mechanical HVAC J 5 Fire Protection G 6 Total 1+2+3+4+5 7D 0,P e) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUH DING PERMIT I, � �� �,�.,p� __ �� S � ,as Owner/Authorized Agent of subject property Hereby authorize �� y.� �'\ " ,p�,,� to act on ej)behalf,itall mattrs relative to work au ho ed this building permit application. - 6 Si nature of er I Date SECTION 7b OWNER/AUTH1ORIZED AGENT DECLARATION I, � ���Jt�L—,�P1�. 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 Pr nt e 31�10� Si u of Owner/A ent Date NO. OF STORIES 'Z— SIZE 7A.L BASEMENT OR SLAB "r- SIZE OF FLOOR T MBERS 1STZs-9P 2ND so.-? 3RD SPAN DIMENSIONS OF SILLS X DIN ENSIONS OF POSTS (L DINMNSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 0, X ( MATERIAL OF CHININEY L--C' IS BUILDING ON SOLID OR FILLED LAND �.�i5 IS BUILDING CONNECTED TO NATURAL GAS LINE X North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A.. The debris will be disposed of in: cation of acility) Signature o it Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector G The Commonwealth of Massachusetts d Department of Industrial Accidents Office of Investigations Boston, Mass. 02911 Workers'Compensation Insurance Affidavit Name Please Print Name: r .� �`L o`-•. Location: e.w,- City 61 e/L�r Phone. # `i1 I am a homeowner performing all work myself. I 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. Company name: Address City- ,.".; �'`� G t�°j�{� Phone# Insurance.Co. G C& Policy# tJ 32s Company name: Address City. Phone#: Insurance Co. Policv# Failure to secure coverage as required.under Section 25A or MGL 152 can lead to the imposition of criminal penalties of.a fine up to$1,500.00 and/or one years'imprisonment_as weU_as_civil.penakiesinlhelamo.nf.-a-STOP.MRK ORDERS a.finesif_($1D0-0Q)-atlay.againstme 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I /do hereby cerF un a pains and pe of pedis the information provided above is true and caorrect. Signature Date_ 3 C b 3 Print name �e �. I`"L.�.WD Phone.# '71 --53.3 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing. D Building Dept FlCheck if immediate response is reguked [] Licensing Board E] Selectman's Office Contact person: Phone#. ❑ Health Department F, Other NvR � py 0VM Of / Aindover No. -_ yo3 11L0 �o�„ Q � dower, Mass., 3 nlsaw ADRATED AK 1S G 4 BOARD OF HEALTH Rol Food/Kitchen ,m-0'hER11W11T T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT '".5 .V �we h ............ ............ ........... ..... ”" Foundation p ...1R*"O�t g4.9.4, S. . . '�has ermission #o erect.. buildin s on ..... .I...... ......... Rough to be occupied as....... ... ..M O 0.. ......�. �pe%# a%6& �.............................. Chimney ........ .....***. .... '*....***..... *............ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Lawrel ing to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 43 n this er50P3 S/000 6�— PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids mit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S•I. -I.S ELECTRICAL INSPECTOR Rough ............... ... ....... ................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit 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 smoke Det. SEE REVERSE SIDE