Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 45 HITCHING POST ROAD 4/30/2018
(�n "i � ' \, V y � . 1 ���� CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=60' DATE:11/6/98 Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road North Andover, Mass. 3or Ste, � LOT #13 ? 49,730 S.F. _ PLAN#11013 N.E.R.D. Z G) 00 \A-2 , 6 v, a o s A-3p'�ran 1 O o . ' A-4 us Cp � �,q O z C111, 0 Q -6 ' 1 1 CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE P��`� THE OFFSETS OF THE BUILDING INSPECTOR ONLY ����� S cf SHOWN COMPLY AND SUCH USE 1S FOR THE S y 1 WITH THE ZONING 13972 0 DETERMINATION OF ZONING � BYLAWS OF ��" ERFC�ST �-� � NORTH ANDOVER CONFORMITY OR NON-CONFORMITY ��� LA Ok WHEN BUILT WHEN CONSTRUCTED. i Cunningham Lindsey U.S.,Inc. AIMA P.O.Box 703689 Cunnin h am w Dallas,TX 75370-3689 Lindsey Telephone(888)738-8714 Facsimile(214)488-6766 CLCAT@CL-NA.COM ***********************AUTO**3-DIGIT 018 787 T3 P1 95000058977 Building Commissioner or Inspector of Buildings 120 MAIN STREET N ANDOVER,MA 01845 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B Claim Number: 2025899 Policy Number: 2025899 15 Company Name: MERRIMACK MUTUAL FIRE INS Cause of Loss: ICE DAM co LO Date of Loss: 2/8/2015 0 Insured: LEONARD & ILLMA HAFETTZ Property Location: 45 HITCHING POST RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 36 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 36. No insurer shall pay any claims (1) covering the loss, damage, or destructions.to a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code,to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven,the said payment shall not be made while the said proceedings are pending; provided, however,that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 ll N2 'C L Q Date.. ...yl.. A... NORTI{ + °t< �".•�"° TOWN OF NORTH ANDOVER ° p PERMIT FOR WIRING ,SSACMUS� / ..:.:� This certifies that r ...:...... .................................................../........................ has permission to perform ......... ...... % ....................................... wiring in the building of........l .. at.............................. ..:........Jl................... ;North Andover Mass. � Fee.. Jl�..... Lic.No..�.. .. .......... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use only T G0Aff10A E4L2H0 A CHV�S DFPARTM NT0FPUBLICSAFM Permit No. BOARDOFFIREPREI ENNONREGMTIOM5VGNR I2-'O10 Occupancy&Fees Checked APPUCATTONFOR PERMIT TO RMORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT M INK OR TYPE ALL INFORMATION) Dat UCS 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 ,, o Owner's Address 4tQTc i a Is this permit in conjunction with_a building permit: Yes No a (Check Appropriate Box) Purpose of Building ���;/� a,-el//�lw;. Utility Authorization No. Existing Service — LA;2 Amp!l / ,! Volts OverheadF7 Underground M-- No.of Meters New Service Amps /� Volts Overhead [M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work J,ry- 144Ceveo,7 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total 7 KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA arourid 0 ground pNo.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 - Taal No.of Detection and Pum s Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Conmined Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other „ Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP 0 OTHER G>ararneCoterage Ptttstlattbthetagtmattatsaflvtassadtt� i.aws Ihmeaaxm tLiabtatyka==Pb6tymduc&gCanpift CoArdWcrtsskswrt oWaiat YES NO a Iha esubminedvalidprodafsametotheOfim YES NO If}cutmed=iWYES�plew nficalethetMxofwvaaFbyd edm gdte p/BOND p 0111ER p - Estimated Vahied B=ftMl Wait$ WokiDStat U TtaspactionDeoeReWeshod— Rcugh Fel F1RMNAME L=WNTa Btsi%ss Td.N 6J'(16 AitTdNa ~ OWNER'SWSURANCEWAIVER;Ianalh=d ttbeLioasedoesnothtttetheinsuatneoo�eageorAsstt�lattiale¢uvalaltasragtmedbylvf�adttseltsGatereiL�vs aodftmysigtts cn t>ispet *Wpfiimbmvai esthism*m nenL (Please check one) Owner F-1 Agent El C,� Telephone No. PERMIT FEE$ ✓ Ci �5��� N° 7 — J 1 Dated ..�.... .`'.......... NOR71{ TOWN OF NORTH ANDOVER F A PERMIT FOR WIRING ,SSACHUS� This certifies that f if /•r has permission to perform :-:... !...: '. f. ...:........................................... wiring in the building of...:..:....',.r ......t!?. ..:.......................................... zIr � � -�-� ! ............... .North Andover,Mass. at. FeR... `...(t-J...... Lic.No. ,?L'- ......./A:... a '.......:�f. .....:'..�r:. ELECTRICAL INSPECTOR 01/27/99 12:33 pp PO NK:Applicant CANARY: Building D411.00 NK:Treasurer Office Use Only 3� u Ir LIIriIriiIIltlUPttjt� IIf fa�gar4UStttg Permit No. y`� 10C;Tartment of Ilub it E'afPtU Occupancy& Fee Checked, s BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /-02 S' 9 '? City or Town of /1/0/2 L11 /4,*U'00 tl r/Z- To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 5 Owner or Tenant xqz, Owner's Address � Is this permit in conjunction with a buildinJ y permit: Yes LvJ No EJ (Check Appropriate Box) Purpose of Building /f?-eS i e. __ 7t/� 1 Utility Authorization No. Existing Service Amps ---JVolts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _� Volts Overhead ❑ Undgrnd ❑ No. of Meters Nurmoer of Feeders and Ampacity Location and Nature of Proposed Electrical Work DSPCy r t— n L A/2� -No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No•of Disposals No.of Heat Total Total 4 Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW LocalMunicipal El Other ❑ Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Compl ted Operations Coverage or its substantial equivalent. YES C-*" NO G I have submitted valid proof of same to the Office. YES `�NO G If you have checked YES, please indicate the type of coverage by checking the apprppriate box. INSURANCE (!f BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical W rk$ 900 ' 0 V Work to Start ) —Z} S Inspection Date Requested: Rough Final Signed under the PenIties of perjury: ,rt FIRM NAME S,"J �f ✓4 W � Af, --P IGf r fM LIC. NO. 8 `f s C p Licensee h-0 )::-X rr' 0 5(Ji , 1 ✓ A 4gnature a:2 q 7 D Address '2� M /d L✓� VV✓� S T_ L I W12t NC BA c. Tel. No. 7B l� S a— (o `f 7 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) x-6565 2 9 Date:.-//,.,..��...... N° _ TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMUSE� This certifies that t .............................................` has permission to perform ............................................................................... wiring in the building of R at............ � ..:.... r�!.............�............. ,North Andover,Mass. iFee.:01 g::......... Lic.No. .........?.. ... :.t ..................................... ELECTRICAL INSPECTOR U 01/27/99 12:28 449.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use 6nlyq PermiE :�'7.S Occupancy&l=ee Chedc� s"isfatrt..e�L'"d P-"544 ? BOARD OF FIRE PREVENTION REGULATIONS 527 CR" 2:0 APPLICATION FOR .PERMIT TO PERFORM ELECTRICAL WORK All wads to be petformed in accordance with ft Massachusetts€lezrs aiAL�Cade X27 CMR 12= (Pieese Print in ink or type ad iftfcrm.-don) Date > _�%'- To the Inspector of Wires. Town of North Andover The undersigned applies far a perma to pa fast,the elect:ieW w--k described below. Location( a Number / ,I t /3 ,eq5 #i kkf &Xk 77,v 3t Ow w or Tehsnt_ AT I V Ls� 11 r y- s td os Owner's Address I t ) ��i" r L%fts pentlit in caniuhction with a building pentyl Yes No ❑ (Check Appropriate Bax) 96n3v2- Pur �aui._.. 51 Utility Authorization No. � Er6ting Service Attips L Overheed ❑ Undgmd Cs No.of Meters New Service 1-0 D 120 2yU vett OKerheed ❑ Undgmd No.of Meters t NLgrtbK of Feeders and Arnpecit! L.ousbort and Naiure of Proposed Electrical Work Total No_of Lightling Outlets No.of Hot fu-se No,of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Raaf grnd ❑ gmd ❑ Geneiatir. KVA No.of Emergency-L.ignting . of,Receptacles Oudm No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Too No,of Oetection and per.Of No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. pumps Tons KW Mo.of Sounding Devices Noi of Self Contained No.of Oishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other Na Of Dryem Heating Devices KW Local Connection No.of NO:of LOW Voltage Na:Of Wafer Heaters KW -TISM Bailases Wiring N4,.Hvd_r4 M_ _-. Tudsl NO.of ilild r Total HP OTHER: INSURANCE COVERAGE Pursuant to the requiremenSts of Massachusetts General Laws I Liability Insurance Policy indudi mpieted Operations Coverage or its subslanuat = NO = vatid MI.W,of same th the YG = No = if you have YES Please indicate the coverage by checking the appropriate box fNSU BONS = OTHER (PI Specify) (Expiration Date) Estimated Value ofd! /e ytfgi .- Wont to Start �...! J` letOtr Date Restivazd,-d Rough Final Signed underthe altles of perjury: C - " FIRM NAME a `(�t� ' LiC.NG. — 4� Licensee �jiz Std to_ (/- � .A ,rQ n,<C,jZ_Slgnature UC.NO. / Bus.Tel No. Addr4"A t—e-ZA, Alt Tel.No. OWNER'S INSURANCE WAIV1EW 1,am aware f1fat the licenses does not have the insurance coverage or its substantial equivalent as required by Massaciruaatts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) ------u.. PERMIT FEE Location No. V Date 10-e- NORTH TOWN OF NORTH ANDOVEW a Certificate of Occupancy $ D, Building/Frame Permit Fee $ q ___ • . .� C)4 Foundation Permit Fee $ Ln LD Other Permit Fee $ ` ' 9z Sewer Connection Fee $ AL.• S 3? Water Connection Fee $ CU o TOTAL $ �� IC21=� e Cl fr 3 ing nspep/,r�• UP x{, t0/22/9B 06:59 090. Div. PulioeWorks Location No. Date TOWN OF NORTH ANDOVER ...3:0't•� o r•. 'S.OL L:. oA Certificate of Occupancy $ Building/Frame Permit Fee $ ^' �7b'"•°''4�' Foundation Permit Fee $ ssAcmusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector ,. Div. Public Works 1'1?RMIT NO. 41A j7 _A1.1I"LICATION FOR PERMITTO BIJIL1)***�* **NORTIi ANDOVER, MA 4NO. I.OI.NO. 2. RE('OHUOFOWNIRsIIIl' DATE BOOK PACE r SUB I)IV. 1.0'1 NO./ / AV- PURK)SE OF BIM DING }Gf OWNER'S NAME CT � s NO.OFF ST(NRIES SIZE OWNER'S ADDRESS _ BASEMENT ORSLAB SILK OF FLOOR TIMBERS ST /C 2 ND �d 3 RD AR('111TECI'S NAME ! SPAN Ii1111 DEWS NAME DIS I ANCI:Ti)NEAREST BUILDING a l DIMENSIONS OF SILLS ! DIS fANCE PROM STREET G� DIMENSIONS(N:POSTS DIS'I'ANCEFROM LOT LINE$ SIDES REAR / DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE / Q {IEIQITOfFOUNDATION THICKNESS IS BDII.DIN(1 NEW SIZE OF FO()TING J/// X 15 BUILDING ADDITION MATERIAL.OF CIIIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQl11 REMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY EEEE[IS BUILDING CONNECT EI)TO TOWN SEWER BUILDING CONNECTED TO NATURAL GAS LINE LAND C INSI'l ICTIONS 3. PRl)PERTEST. 1'INFORMATION OST EST.BL[X;.COST PAGE I FILL Ol IT SECTIONS 1-3 EST.BI.DG.COST PER SQ.f T. ES'f. BI.IXi.01151'PER R(>nA1 EI ECTRIC METERS MUST BE ON(N)l'SIDE OF BUILDING SEPTIC PERMIT NO. 5 2 GC/^e AI"I ACI IED GARAGES MUST C(NJFORM TO STATE FIRE RE(il ILATIONS $. APPROVED BY: 61, 66166 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DA 11=1:11 ED 1611,5-1 / OWNERS _ C(Nfl'R.11:141 OCT 1 .51 , CIGNA I l IHL IN t)V.'NIiR t)R AlI IT k)R171:1)A(iliNT —TT'�— I'I RMI I GRANIII) 19 — FILE#242-918 PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY NEIL C. PATENAUDE SCALE: I"=40' DATE.-6117198 REV.•7/14/98& 8/10/98 SEE ORIGINAL FILE#242-429 Scott L. Piles R.P.L.S. 3o AND FILE#242-712 Frank. S. Giles LOT #13 'S4' 50 Deer Meadow Road INV.=177.80 North Andover, Mass. 49,730 S.F. ;PR°P. LOT#14 lei- PLAN#11013 N.E.R.D. To 'Sr,?,p !!C INV.=178.09 oal 'SRC cFp EXIST. A � a1P• � I ��• sp /,,, l 155� 18� • ROp?,� 15\ �. `..1 i �p/jam, •pC,o Jl! ��,S�P, .... `" • 9 INV.-179.P8 12��5/ I I' •I I I �, IST.DRAIN I TEMP.DETENTION PQND'�-r a , M.H. ^ TO BE FILLED TO OR ELEVATION 184+/- ! i I / ---- Ll/�IEN C:I � I � � � I I I AP ROX. W.S. Z 184 F��- l — 7 / 2QD S o \ Gj`\ �O lea dRly •,�. O i Q , _ 00(n po \A-3*A P PR G#1UPi'•. b Rell Q o ' T o AUG#2WET \ , A Oi /`� , C) t /U 1 \A4�#3WP�cs\ �� 3185 �/ co O o O Gam • -o / � >A'5 2 mho cv� ;•VO �1 \yam; I o '#4UP,�� A-6 O cb 180 0 ca o S��� 3p LOT#12 t FILE#242-918 PLAN OF LAND IN NORTH ANDOVER, MASS. OWNED BY NEIL C. PATENAUDE SCALE: 1"=40' DATE6/17/98 REV,7114198& 8/10/98 SEE ORIGINAL FILE#242-429 Scott L. Giles R.P.L.S. AND FILE#242-712 Frank. S. Giles 3o7s4 50 Deer Meadow Road LOT #13 INV=177.80 North Andover, Mass. 49,730 S.F. ,PROP. LOT#14 PLAN#11013 N.E.R.D. ro�iRFA"p, INV.=178.09 ti c �PN�dE1' I ?r"R�pFp EXIST. P� 1v- RCa l INV.=179.58 1ST.DRAIN I 12 TEMP.DETENTION POiND M.H. ^ TO BE FILLED TO I `T! ORIGN� _WETLq/vpy ELEVATION 184+/-i I ! �P f- LINE - — 184 F---L /,!l AP ROX W.S. �a �' QO >az �• �• O 2CD o AUG#2Wo ET A 3'AUG#IUP`� pRORG!)/ \A-4- o , \A_4-#3P�tS 3 tia50 � rn �0 A6Cb co / �ry 0 LOT#12 —__--_ --_SHFFT 1 OF MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE : 10-9-1998 DATE OF PLANS : 10-7-98 TITLE : 645 COMPLIANCE : PASSES Required UA = 675 Your Home = 671 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1584 30 .0 15 . 0 36 WALLS : Wood Frame, 16" O.C. 3168 15 . 0 3 . 0 212 GLAZING: Windows or Doors 720 0 .350 252 DOORS 105 0 .350 37 FLOORS : Over Unconditioned Space 2640 20 . 0 120 BSMT: 8 .0 ' ht/7 .0 ' bg/8 . 0 ' insul . 230 10 .0 14 ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date02 MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 .0 7431 DATE: 10-9-1998 Bldg. Dept . Use CEILINGS : [ ] R-30 + R-15 Comments/Location WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-15 + R-3 Comments/Location WINDOWS AND GLASS DOORS .- 1 . OORS:1 . U-value: 0 .35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes ( ] No Comments/Location DOORS: [ ] 1 . U-value : 0 .35 Comments/Location BASEMENT WALLS : [ ] 1 . 8 .0 ' ht/7 . 0 ' bg/8 . 0 ' insul . , R-10 Comments/Location AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 .5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: ( ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values and glazing U-values must be clearly marked on the building plans or specifications. DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: ( ] All ducts must be sealed with mastic and fibrous backing tape . Pressure-sensitive tape may be used for fibrous ducts. The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict- or shut off the heating and/or cooling input to each zone or floor shall be provided. I VAQ EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1251s of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on Building Permit(below) Address of Pro//ppe�erty for Permit(below) Map and Parcel : Purpose of Application (check below) Phone Number of Applicant: _�b'ingle Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit irk issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. V The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.r are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. �� 0 "1222Z"-4&__ /J_ /�s/ Sdgnature at Uwner or Authorized Agent who signed the Attached Building Permit D e This form must be attached to the Building Permit upon application for such permit Number: X Q -- restricted To: 64; Restricted To: 00 176609 00 - 36,000 cf enclosed space 06L C.112 5.60[) 'A - masonry only 16 - I & 2 Family Homes Failure to Possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. • 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 or requirements. '• •»'"��'«`" •**************APPLICANT FILLS OUT THIS SECTION+**'",*** ************* APPLICANT . A. J. /'{' PHONE �"'�—~! �.�, 7'?`Tz gr LOCATION; Assessor's %lap Nurnber PARCEL a4 SUBDIVISION LOT (S) STREET_. e h. n / , ST. NUMBER ►,** **, *,.**** *****�**,►** *w.«w*.OFFICIAL USE ONLY"*"*** *w�**..***�.R*w*��**.w*�*,.,►* RICO y` " vATiONS OF T Ol�Jiv vENTS: CONSERVATION ADMINiSTIZATOR—L DATE APPROVED DATE REJECTED COMMENTS ` 1 f�!/✓', 1 }J,/ F j/ IL TOWN PLANNER DATE APPROVED DATI- REJI=CTeo Sii�,l�li t COMMENTS 4 b I74 Q41DATE APPROVED Xr DATE REJECTED .SEPTIC 1N5-PECTOR-HEALTH DATE APPROVED m DATE REJECTED COMMENTS PUBLIC 'iVORKS • SEWEPJWATER CONNECTIONS.- ( v DRIVE.:AY P rr.14I'► fIRE DEPARTMENT l RECEIVED BY DUILLd DiNG INSPECTO DATE N2 839 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 19 Application b the undersigned is hereby made to connect with the town water main in �i��2, PP Y g Y , Street, subject to the rules and regulations of the Division of Public Works.( V The premises are known as No. 'e(5 1,�A� �`�� �C d Street or subdivision lot no. 13 Owner Address Contractor Addre s 2 -,4 pplicant's Signat e PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to j�.�� ytJ � to make a connection with the water main at ``` �"l e` Street subject to the rules and regulations of the Division of Public Works. rA) B d o Public Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES 1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town of North Andover without a valid permit from the Division of Public Works. 2. All water services shall be installed a minimum of five feet below the finish grade. 3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964. 4. Service connections shall be 1" type k copper tubing. 5. All fittings shall be brass flange type Mueller or equal H 15202 Corporations H 15212 Curb stops H 15402 Three part unions H 8185 stop and waste valves 6. Curb boxes shall be installed at the property line and shall be of the Erie Type with 41/2 foot rod and brass plug type cover. N-0 1345 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. 19 g� Application by the undersigned is hereby made to connect with the town sewer main in q4c Street, subject to the rules and regulations of the Division of Public Works. j The premises are known as No. t� `C��� zz Street or subdivision lot no. Owner Address Contractor Addr pplicant's Si ature f PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants.permission to to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. Di isio of Public Works By Inspected by Date See back for rules and regulations RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES 1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer or appurtenance thereof without first obtaining a written permit from the Division of Public Works. 2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation of the building sewer. 3. A separate and independent building sewer shall be provided for every building; except where one building stands at the rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building and the whole considered as one building sewer. 4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by the (Superintendent), to meet all requirements of this ordinance. 5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating, placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer shall be 6"diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift. 6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such building drain shall be lifted by an approved means and discharged to the building sewer. 7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer. 8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent) or his representative. 9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be restored in a manner satisfactory to the (town). TOWN OF NORTH ANDOVER. MASSACHUSETTS DIVISiON OF PUBLIC WORKS 3`84 OSVOOD STREET, -3184', GEORGE PERNA Telephone(508)685-0950 DIRECTOR Fax(508)688-9573 OF NCc"rM 9ti O 0 :} m 7] s r 9SSACHJ JEt DRIVEWAY PERMIT Date: LOCATION: BUILDER: phone: OWNER: phone: 47.5 75,:�� The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: r10RT Town of over No. t14 9 /0?sLAKEdover, Mass., 19 96 T . � A I 94_COCHICHE WICK i '�' ,9 OW4 E D S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System / BUILDING INSPECTOR CERTIFIES THAT....... ... ..�.. �......./l . ..�..0 ..�C ............. ... v. ................ ......... THIS CE � � Foundation has permission to erect..............I...................... buildin on ...... ... ....... .. . . � ... ........ ................. .. Rough • /# � �N ��..... � Chimney . .................... .. . 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 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 Rec 0- PERMIT EXPIRES IN 6 MO S ELECTRICAL INSPECTOR UNLESS CONSTRU I� AR Rough has ...... ... ............................................. Service ... . .. .. ..... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RouFinagh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner FIRE DEPARTMENT Street No. Smoke Det. CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=60' DA TE:11/6/98 Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road North Andover, Mass. NN -Nw -Nw LOT #13 n 49,730 S.F. Z 1 PLAN#11013 N.E.R.D. z 00 \A-2 d Ln / a • o O a A-3� �o'tray o . � A-4 -• 6 ,}_ x Z4 A-5 � O -6 cAo 1�13 ! CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE y �� THE OFFSETS OF THE BUILDING INSPECTOR ONLYS SHOWN COMPLY AND SUCH USE IS FOR THE Z S L H WITH THE ZONING SDETERMINATION OF ZONING 13972 �o BYLAWS OF CONFORMITY OR NON-CONFORMITYfQSTERES� NORTH ANDOVER SAL LAN9 WHEN BUILT WHEN CONSTRUCTED. i" CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number `7 CI 6? Date 6 a 3 /991' THIS CERTIFIES /S T/HAT / THE BUILDING LOCATED ON 7/ / f�i Tef7/ y�� a3� C( ` MAY BE OCCUPIED AS S���I� /�a�tt��i/ 2 R11 , 7�4J IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO 4 T/'l Ile SatiS ADDRESS a-),ec // ,Awr— °s,CHUscBuilding Inspector t rAORT® of over No. 11. ,4 * - dover, Maas ss., 4LCAHK&E 9 COC I CK �.�".�• '1 AOq'gTED�PP`s '`J S BOARDOF HE TH PERMIT T D Food/Kitchen Septic System // BUILDING INSPECTOR THIS CERTIFIES THAT.......A :7... .............. . ..�..(... ............. ...�v. ................ ......... Foundation has ,permission to erect............../...................... building on ....7. T7/.. �.. .Il19h, 504, Rough 141,��fC��, J it �r' 0 e occupied as. .. .. .� .. r-.....F ......��..�......�N rf...9. . �. �// Chimney 1 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. PL INGTPEQWR VIOLATION of the Zoning or Building Regulations Voids this Permit. 04, I?eC Olt- cl(l l f PERMIT EXPIRES IN 6 MO S tna ELECTRI AL IN E O zo a�,010 UNLESS CONSTRU. ....... .... ... ......................... ..... ................................................ av BUILDING INSPECTOR �1 Fin Occupancy Permit Required to Occupy Building 6AS SP TO Rou Display in a Conspicuous Place on the Premises — Do Not Remove �6. ;s s No Lathing or D eWall To Be Done IR6E DEPARTMENTUntil Inspected and Approved by the Building Inspector. — Burner Street No. p� { Smoke Det. -U� � I r_ fvgo Ft pF�t�:c 06" �0 All !- tiZ. _ o! , 4 cocwecwrrtw y ��SSacHus�`��y APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : /111-S </ / D� �T— DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION PLANNING DPW -WATER METER F-1 NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST DPW Signature File: OC forth revised 6/8/98 iticuJ G c.a � , r f NORTH �r O �ao 6.,6�O , O co<..<w:.cw 1\ 14'Arga 'I ��SSacHus���� APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY : t / 02 �Da DATE REQUESTED FILED/READY FOR INSPECTION � CLOSING DATE ON PROPERTY: ✓ L, FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNED ROUTING CONSERVATION a PLANNING 71 DPW -WATER METER NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF TH,E OCCUPANCY/INSPECTION REQUEST DPW Signat e File: OC form revised 6/8/98 Location '7-� � ��N '^' q �a°$ f P i No. 3 Date ') �oRTN TOWN OF NORTH ANDOVER 3? _ 0 # y -. + I ; , Certificate of Occupancy $ sCMus t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3 ti Building Inspector PER1V T NO. Q APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA MAP NO. LOT.N0. T. RECORD OF OR'NERSHIp DATE BOOK PAGE ZONE STIBDIV. LOT NO. LOCATION PURPOSE OF BUILDING �' OWNER'S NAME NO.OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARC[IITECT'S NAME SIZE OFFLOORTIMBERS I T 2 D 3RD BUILDER'S NAIIIE -t SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE IIEIGIIT OF FOUNDATION 'TI IICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUI LDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST PAGE I FILL OUT SECTIONS 1-3 EST. BLDG.COST PER SQ.F"1'. �� D v EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. s ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MU-,T BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR DATE FILED Q a OWNERS"TEL# �- 7�� CONTR.TEL# / l SIGNATURE OF OWNER OR AUTHORIZED AGENT CONTR.LIC# D J H.I.C.# FEE $ 7'7- -- PERMIT GRANTED 19 2-0 P —_-- 9✓�ie i�an�mzoouuea./� o�✓�aaaac�ucae� � ILDEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: . Expires: Birthdate: CS 016511 051152000 05(15/1931 RestrHW To: 00 • ALVIN JY MAILLET 24,0% 3 WESCOTT RD ANDOVER, MA 01810 ;. ROBERTS TtlSt_JRRNCE AGEN TEL : 5H-68,73147 Aug 20 7 58 N o .0 0 1 P .01 7 &%%vWww* POCOUCZA ............. 8/20199 THIS CERTIFICATE IS ISSUED AS OF INFORMATION ONLY AND CONFERS NO AIGHTS UPON THE CERTInCATIE HOLDER. THIS CERTIFICATI DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. M.P. ROBERTS INS AGCY INC 1060 OSGOOD ST COMPANIES AFFORDING COVERAGE ............. ......... NO ANDOVER MA 01845 . ...................... .......... .............. PANY A Lc MO m-m R MERCHANTS INSURANCE Co .. ............. . .........I.............. ............ ...... ....... COMPANY a L.F.MA MERCHANTS INSURANCE CO ...................... COMPc A J MATLLET CONST CORP LEMRANY �qFSCOT RD . ....................... ............................ ......................... ;I I� LCOMPANY - 4% "7t r I0 ".L ILMER D NUMBER ONE INSURANCE ............ . ...... ................. LrITTSARNY E ............ "t ,itsLid TISC; NiLOW HAVE FRFFt4 ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 1,- ( PEP AIN, THE INSURANCE AFFORDED, By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICiES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . ..... ...... .............. ... ............ ........ ........... POLICY NUMSER POLICY EFFECYtvr Poucy Fxp#tAnom PATE(MWDDIYY) cAm(mmmo(yy) 99NUAL LIAULITY Cm ........ P6008105 4/01/99 4/01/00 GENERAL AGGRIG X $2.f. !..!_!Y�7,' ........ ...... ...... PRODKT640MPI P A a. :I 0 a : I 1..p 9 Q.1.9 p p .......... PqRSONAI&ADV.INJURY 4 . . ...........:.................... EACH OCCU.RR. . . . ENCE 11................. ... .................................................. FIRE DAMAGE(Any WW ft) .......... ......... ............. B mrromosu uAmaj" MED,r&XMNM(Any one person) $5, 000 ........ AM0277013048 ANY AUTO 3/05/99 3/05/00 ,COMBINED SINGLE LIMIT 9 ALL OWNED Auroa ............... kf..qq.p.t.q.0.0. ........... :WHIDULED AUTOS BODILY INJURY ...... (Pa person) X HIRED AUTOS p . ............. ....... .................. ... :'NON-OWNED AUTDA BODILY INJURY (PH oo"nt) GARAGE LIABILITY ....................... ............................ PROPERTY DAMAGE dl ILXCRU LIA&UTY EACH OCCURRENCE UMIIAW�LA FORM ........ OTHER THAN UMftRRuA POnm AOUREGATE ......4 D WORKIER1 COMPENSATION WC4-0025131 4/01/99 4/01/00 -X ,STATUTORY LIMITS ............... AND EACH ACCIDENT EMPLOYERS'LmLffy DISEASE--POUCY LIMIT 6500 .............................. ...1...... DISEASE-.EACH EMPLOYEE �i1aa o00 OTHER ' Da6*ft2'r*"Or 0PtRATWN"OCA"0fdWaHj=Q4pjCIAL rMMS FAX (978) 475-7349 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO TOWN OF ANDOVER MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE ATTN: BUILDING DEPT LEFT. BUT FAILURE TO. MAIL SUCH NOTICE SHALL IMPOSE NO OBU(kATION+-om.. UABILrrY OF ANjk TOWN OFFICES + IND UPON THE-OOMPANY, ITS-AGENTS JR REPRr=8jPg&W6, RMdI=__ ANDOVER AUT"Cmmw Aer"Ka ATIVIE chae 1 Rob As F 4111W�K 7 7 NORTty 0 0 �o over No. D - 31 LA dower, Mass., COCHICMEWICK ,,, ADRATED Cl S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......� .. . ............. .................... ....... .................. ......... ...... Foundation has permission to erect.... ........ buildings on . . .... ........... Rough to be occupied as.... .. .... .......... .................................................... .. .... ............... 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final i PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR P426 N UNLESS CONSTRU AR Rough ... .. ... . ................... .............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, 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. BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of.MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of Facility el Signature of Permit Applicant .:.Y Ire Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Date.,// . .J �. . . . .� �o - Cr / 4 "ORT" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� This certifies that .f�.i: .c. :. . . . . . . :�/�.� :�'. . . . . . . . . . . . . . . . . has permission to perform . . . . P . . . :. . .`. . . .. . . . . . . . . . . . . plumbing in the buildings of . . . .'.i . . . . . . . .`.r S. . . . . . . . . . . . . . at . . . . . . . . . .. North Andover, Mass. Fee. . . . . Lic. No.. ��. . . . . . . . . . . . . . . . . . . . . �. . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 'T L 'r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING �vMSPo (Print or Type) ��t , Mass. Date 1— �G JEM20 Permit# Building Location �� t TG Lsv no 57- Owner's Name �� [v..� y�--Cra r ff e. F _ c^ter' Type of Occupancy New JS�^ Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ FEATURES z U) z_ Y Q W J (A U) U Q U) Z W W (} !r 07 z U) H W cr _ z O z z z a OJ w ~ Q w Cn Y o ( LL (0 _ EQ a Q X U Z Ir cn w g Q z o Q CO Cc � o[ U LL w = ~ w O i � J rn ¢ Q Y o: i cc < U j 0 = a < l- z 0 0 U) z z w ►w- O U X 3 Y m Cnn CO o g � °° W u- 0 � o ¢ a0c m o SUB-BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name /Q, Check one: Certificate Address P-P ex ❑ Corporation j✓/ 1 t �8 u Partnership Business Telephone %J,�,1� f �' <irm/Co. fl Name of Licensed Plumber _ , C,I ��]A cy INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNERS 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 El Agent El 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 Stat Plum ing ode and Chapter 142 of the General Laws. By �� vK. signature Of icense Plumber Title Type of License: Master�� Journan e m 11 City/Town License Number d / 7 APPROVED OFFICE USE ONLY) /�uV1V1\ V111VL UUL vl\LL FEE NO: APPLICATION FOR PERMIT TO DO PLUMBING OWNER: NAME & TYPE OF BUILDING LOCATION OF BUILDING: PLUMBER OR GASFITTER: LICENSE NO: PERMIT GRANTED DATE: 19 PLUMBING INSPECTOR r Date. /- 1 t 6 / „oRTH TOWN OF NORTH ANDOVER 3�pya�.a° ,e 1tiOL 0 9 PERMIT FOR GAS INSTALLATION • i, � � ,SSACHUSE� This certifies that . . . .. . .. `. . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . .'. . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . :: . �. `. . . . . . . . . . . . . . . . . . . . at . . . .!/�. . . . r. .f .'.:: .A .! .�. ., North Andover, Mass. Fee. ✓-? .. Lic. No. !. . . .::: . . .. . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) r Mass. Date! / �_._� permitu ^� Building Location S� /�7 -Owner's Name�" ,44 4 Type of Occupancyrs Imo--- New,�' Renovation O Replacement O Plans Submitted: YesO No O N LC N W N Y X CC N fA N 0 = N S t— a o n W rt O U c J a• W F- >- = X O Y_ W C u < Q OO C i> CC W Z t•' NO WNVW ow < cc •W X rt C: 0 W. W W W J W W O WLL VN0 <W=J H aW IT, I I a 1- X J r 1- 'A = 40 . WO N F tq yW V" YOW J V c = OX N c7 = W 7 SUB—BSMT. BASEMENT 1ST FLOOR 2t1D FLOOR ' ? 3RD FLOOR 4TH FLOOR 0 r7TH THFL00R TH FLOOR. FLOOR THFLOOR Check one: Certificate Installing Company Name O Corporation Address P � 4o %P& _y M _ O. Partnership ;] Firm/Co. Business Telephone Name of Ucensed Plumber or.Gas Fitter AAi r (A m A /uQ►2� r x FINSURANCE COVERAGE: ve a current IiabUtty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. to . Yes f3 No 0ou have checked Yep, please indicate the type coverage by checking the appropriate box. A liabilityInsurance policy Other type of indemnity O Bond O OWNER'S INSURANCE WAIVER: 1 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 one: fves this requirement. OwnerO Agent O Signature of Owner or owner's Agent and aocufate to the best of I horeby ed ce an that all of the mbindetails work andfIns information Performedsubmitted und(or the sperm t issued for ve application aippl cationtrue II be in compliance with all• knowledge and that all plumbing pertinent provisions or the Massachusetts Stale Gas Code and Chapter 142 of the General laws. BY I;Gasfitter of Ucense: mber gnature o ten turn r or as r er Title stenLicense Number 1O9 7/City/town urneyman f Date.l. . /.`� . . . i .' 393 / NOR7N TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING � 1.0 ACMUS� f 'This certifies that .... . . . . . . . . . . Vhas permission to perform . . ./I/ !2: .-.-C . . . . . . . . . . . plumbing in the buildings of Z-r. . . . . . . . . . at.S!�" h!i. ��/.- .,. c.i. . . . . . . . . . . . . . . North Andover, Mass. Fee.ys. 0.'. .Lic. No./U.5 /. 7. . . . . PLUMBING INSPECTOR i f 01/12/99 14:49 450.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Dated/=�19FS Permit # 3 Building Location �® /' / --5 Itz Z5 Owner's Name X Adn/&T/ T! c Type of Occupancy O t a W New Renovation O Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z i a .. Z Y t YI J N O z W W W Y J M < �, r- z O z N tZ z N < ¢ ¢ % C N � O N N N S Q ~ u W 4 C 0 V < < 30 x V Q m N W } 1- N z G < N = Q Q W z O O Q < N ¢ 2 < W N G J O C O W S O O _ Y a 0 < W IL Y W h U < _ 0 = d V1 1 0 z Z W f O u = < O < F- 3 Y J m N O O J 3 = 1- N 0 7 < 3 C el O 5Ua-05)AT. BASEmENT IST FLOOR IND FLOOR 3ROFLOOR 4TH FLOOR STN FLOOR t ATH FLOOR 7TH FLOOR e+ ATH FLOOR Installing Company Name lkk. /sol `��— Check One: Certificate Address Q e k -7 f ❑ Corporation ❑ Partnership Business Telephone 9.5` > /y.s 7 ?Q-Firm/Co. Name of Ucensed Plumber 14 /un V O cc A INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes' No ❑ If you have checked yam, plea,,s@ lndlcate the type coverage by checking the appropriate box A liability Insurance policy iL`�- Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the Ilcenseo 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 O Agent O Signature of Ownw 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 I.tassachuselU Slate Plumbing Cod d Chaplu 14 of the Gene laws. By gnalure of Ucenunibei Title Type of License:kdaster`E' Journeyman❑ Qty/Town L License Number /O 9 l �Z _ r 3 UL u Date �A> ........ F o pORTM TOWN OF NORTH ANDOVER pE 4•.ao ,a,ti0 PERMIT FOR GAS INSTALLATION t • SACMUSEt� cm *4 d This certifies that . z . . • • • • has permission for gas installation in the buildings of . :.. . . . . . . . . . . . . . . • • • • at `�'. - ! r . . : •�.L.`. . . . . . . . . . . . .. North Andover, Mass. Fee. .?.',.�-. . Lic. .. . . . . . . . . �. . . GAS INSPECTOR rf !� WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR P RMIT TO DO GASFITTING -� (Print or Type) i r J Al �.���>�iQ , Mass. Date !/� L�191� Permit # .30 $'O B llding Location -`�–� / �S- Owner's Name A i 1 p f Type of Occupancy SLS - New '' Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N C N W N Y Z C N N 0V) C 0 N0 W C O 0 © �' S !f 0 0 '' ¢ H < �- = Z O ~ u¢r z o W C0 4 fD N !- W w O d C > 4 C N O W 4 = = H cc o o > W N C W Z U W C = W Q W f- W !- = rn C W W J 4 W W O O > 4. i- W J �. W �- Z 1� �' r y ,m z 0 o to x Y 4 W 4 C 4 Q < 4 O O W O W F- = 0 t9 Y W a 3 G C J c) ¢ > o a F- O SUB—aSMT. BASEMENT o2 1STFLOOR I l 2ND FLOOR ' 3RD FLOOR a 4THFLOOR STH FLOOR _ 6TH FLOOR 7TH FLOOR 8714 FLOOR Installing Company Name w Check one: Certificate Address P M Qo k 7 7 O Corporation jO y oz e -e 4 M Ce Q. Partnership Business Telephone l S 7- /`�' .S` : ;BFirm/Co. Name of Licensed Piumber or.Gas Fitter lit <c Lee r /A* e o u x INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes �9 No CJ If you have checked Les. please Indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent 0 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 Ge eral laws. gy. gGaslitter f License: umber gnature of Ucensed lumber or as titer Title aster License Number 0City/Town urneyman (O IU NL