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HomeMy WebLinkAboutMiscellaneous - 46 LIBERTY STREET 4/30/2018 46 LIBERTY STREET 210/105.D-0130-0000.0 AdMNL pilrawl-wo-1 Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: STEPHANE BELLOSGUARDO and MARYLINE BELLOSGUARDO Property Address: 46 LIBERTY ST,NORTH ANDOVER, MA Policy Number: HMA 0322628 Claim Number: BOS00032574 Date of Loss: 10/29/2012 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Allan Leavitt Claim Examiner 10/31/2012 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 Email: AllanLeavitt@Safetylnsurance.com 017 Date ......................... 1191 I NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING o SACHUS Et This certifies ............ .... ....... .................... has permission to . ........ .. .. wiring in the building ...... z.............................. at.....�—/�... ..... .... ......................... North Andover,Mass. .................. .. Lic.Novak. FeeelO,.r........ Lic. Y#........................................................... ELECTRICAL INSPECTOR 0.00 PAID WHITE:Applicant CAN Awt9"il9d'i ng"Relpt. PINK:Treasurer The (;ornmonwealthof 14ossachusetts Dcperrmcnt of Public Sofctll Q.•upanc. S FIC O%Ccked •LJ(J� BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 —�-`--- e' 11e t blank) APPLICATION toFbe ORmcP1ERaccoMITrdancc w-0 PERFORM a)EL.EzGTRICAL WORK 7 CMR .00 (PLEASE PRINT..TN..nM OR_ YPE ALL INFORMATION) Date q/o-3 City or Town of kora-4 1 ivclou ug To thep Ins ector of Wires: The undersigned applies for appe/rmit to pelrform/ the electrical work described below. Location (Street & Number/) 1` S � �( Owner or Tenant- Owner's Address Is this permit in conjunction vith a building permit. Yes No (Check Appropriate Box) Purpose of Building �e_o dei c `"L Utility Author_zation NO. F_Kisting Service , Amps 4�V / C;4 0Voits Overhead X Undgrd L No. of Meters Nev SerPicc Amps / Volts Overhead ❑ Undgrd 11. No. of Mete7s - Number of Feeders and Ampacit} Location and Nature of Proposed Electrical Work No. of Lighting Outlets INo. of Hot Tubs No. of T a Total KV A r ns.ormers No. of Lighting Fixtures Swimming Pool Abode ❑ gr - . ❑ Generators 1`'VA No. of Receptacle Outlets _ No. of Oil Burners No. of E-ergency Lighting Battery Units t1�,• !,r :;wtl..:li u,1.Icl.s ! No, of Gas Burners FIRE ALARMS No. of Zoncs No. of RnnpCn. No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No, of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No, of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Loca.111 Municipal ❑Other Connection No. of Water Heaters KW No,1[22i_of No. of Ballasts Wiring wVoltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COV,':RAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES El `t0 E] I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. 11,SURANCE [] BOND ❑ OTHER ❑ (Please Specify) " Estimated Value of Electrical Work S Expiration Date Work to Start Inspection Date Requested: Rough Final Signed under the penalties c perjury: FIRM NAME / //yrO�A_ i9A/L., 7 2.t0 LIC. NO. Licensee 3T7L�9 /( Y ST Signature LIC. NO.3�y�3 Address �((� ('�fi�d+� /�/1 Bus. Tel. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERHII FEE S �f}, Signature of Owner or Agent! —7"— r' � '" D Date...... ... ....... .......0...... N°- x ,_ 79 t NOR7M °�<�``°:•�"� TOWN OF NORTH ANDOVER A , p PERMIT FOR WIRING •O�+r�0 SACMus� r ` �1�a f C This certifies that ...�L�v5xi (JE......... .. `- I has permission to perform ........r...`. /. wiring in the building of..... �.<<.�.:!...:...�.. `� ........ 1..... f�?'.......J. :..............._.......Y ;North Andover,Mass i" Lic.No. ....... .................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Comrnornweatlh o//t'/asaacllu4elis Official Use Only ^�cc�� c'� Permit No. a('/ 2eparimm�i al jim Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/99) Heave b{arlk? APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordaucc with the Massachuscus Electrical Code(hIEC ,527 COIR 12.00 (PLEIISE PRINT IN INK OR TYPE:ILL INT-7ORI� AT ION) Date, ��100 City or 1'own of: NDC), ���� To the Inspector of bYit•es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street R Number) Owner or Tenant RL� �j , Telephone No. Owner's Address Is this permit in conjunction with n building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Ataps / Volts Ovenccad ❑ Undbrd ❑ No.of Meters . New Service Amps ! Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity LDcatiarl dnd Nature of Proposed Electrical Work: Completion o f the followhi a Wray be wcived b v the brs'tcctor of ivir ' . No.of Recessed Fixtures No.of ceii.-Susp.(Paddle)Fans No.of fatal �1 'fransformers KVA ! No.of Lighting Outlets No.of hint Tubs Generators KVA No.of Lighting Fixtures Swillmling POUT A ❑ in- ❑ o.o mergence tg plug mid. rrld. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARh'IS No.of Zones No.of Switches No.of Gas Burners o.o etection and tal Initiating Devices No.of Ranges No.of Air Cond. Tons Nu.of Alerting Devices No.of Waste Disposers eat Pump .i.um_er,,,..'ons__....K�V _ c o. ofSelf- antaincd Totals: Detectioil/Alertinp Devices No.of Dishi'vasilers Space/Area Heating KW Local ❑ Co the Piollt [IOther No.of Dryers Heatiog Appliances KW Security Systenis: No.of Devices or E uivalent No.of Water t o.of o. of Heaters KKWt Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage i3atlltubs No.of Motors Total IIP elecommunications N'irino: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required 6v the litspector of;Yires. INSURANCE COVERAGE: Unless waived by flee owner,no permit for the performance of electrical work may issue u'lless (lie licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivaient. The undersigned certifies that such coverage is in force,and has exhibited proof of same to die permit issuing office. CHECK ONE: INSURANCE 44, 13OND ❑ OTHER ❑ (Specify:) L•stimaled Value of Elect ricat`York:' �j� lr (When required by municipal policy.) (Expiration Date) Work to Start• io 4 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certif render the pains ant!penalties of perjury,that the information on this application is trite and complete FIILNI NANIE: AL c � ot Y LIC.NO.: �a y� Licensee: ���e. �C✓ �w�- Signature t: LIC.NO.: (If applicable eater "ccrn'Pt"in the license number line. Bus.Tel.No.:—(a U3- 1 K— (.0 6&D Address: a 2 N Alt.Tel.No.: OWNER'S INSUI AN E W R: I and a vane that the Licensee does not have the liability insurance coverage nomially required by laa•. By my si5nnwre below, I hereby waive this requirement. I am the(check onc)❑owner ❑owner's agent. Owncr/Agent PIsRAIIT FL°l:. Signature 'Telephone No. M.N.Falardeau Electric 17 Blue Jay Way - Litchfield,NH 03052 Phone(603)595-6680 Fax(603)882-4115 March 29, 2000 City Of North Andover Electrical Inspectors Office 27 Charles Street No. Andover, MA 01845 Dear Sir: An electrical permit is needed for the following address(Rothstein Residence, 46 Liberty Street, No. Andover, MA). A copy of my insurance binder is on file with your office therefore I am enclosing a check for $15.00 made payable to the City of North Andover. My Electrical License Number for the Commonwealth of Massachusetts is#37294E. Kindly mail the permit to Mark H. Falardeau, 17 Blue Jay Way,, Litchfield, NH 03052. Thanking you in advance for your timely handling of this matter. Sincerely, Mark H. Falardeau cc: Bil-Ray Meter APR 5 7'00 i r 1 Location No. Date MORrh TOWN OF NORTH ANDOVER O�.4t.6o 'G.+ ` Certificate of Occupancy $ A 1 BuildingIJFrame Permit Fee $ �,s•,rye�"�� Foundation Permit Fee $ s+cMusE s Otfter Permit Fee $ \,n Sewer Connection Fee $ Gonnection Fee $ 9 TOTAL0 4190 r� - uildirig Inspector 9. !',F9dd ucj LeAct';.iv?Y Div. Public Works PERMIT NO.., ��s1�-i a C� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. � PAGE 1 `AP f4O. LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK -'PAGE ZONE I SUB DIV. LOT NO. �- LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES I SIZE OWNER'S ADDRESS �C/efj/ BASEMENT OR SLAB D _ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME „ SPAN -- DISTANCE TO NEAREST BUILDING !� DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES—SIDES REAR " " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION a INSTRUCTIONS LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN ,m;1 - BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION $ INTERIOR FINISH CONCRETE d t 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'TAREA 1/1 1/7 3/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARD!✓D _ ASBESTOS,SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY A -1C­STRS FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY 4 WIRING STONE ON FRAME _ SUPERIOR 1—jPOOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 3rd I NO HEATING 1 V Z WOOD STOVE INSTALLAHON CHECKLIST � '-`�'Il1 r�`�: mss- ��• c ti Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stove installation and not to the stove construction. } Stove A. New Used V ' I/�ti17 D d �ij�) I Olyftll�' B. Type/radiant c JI02A Circulating. C. Manufacturer —Lab. No. ��>�� �C�n¢��W -l L� Name/Model No. Collar size �r<r<��Z Dimensions/Height Length 27Ln Width (ET �L7D7 Chimney / A. New Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size)�t D. Prefab(Manufacturer—dame and type) E. Masonry/Lined (/ Flue liner Unlined tyype a an iacturer) F. Height(refer to diagrams) t 4�� cap OVER lob I oR IG I 12') N11N• 2� MIN. 3t M)K +lot 1 3'"A N. 12 -�- MIN. 18"MIN. (FUEL;'11 t QLGESy yll:> HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials B. Sub-floor construction C. Minimum dimensions(refer to diagram) Clearances and Wall Protectlon(see stove installation clearances chart) A. Type of wall protection provided B. Clearances(refer to diagrams) \ r FIREPLACE CORNER WALUCENTER 13 , HONiM OFFICES QF: 3''; "a 'Mowll cif I)O 'dill SII(•('I ,BUILu>'I�G NORTH ANDOVER N01111 '\I'(k (,I, CONSERVATION ,' . , : \1((tiSil(IMS(�IIS 01845 HEALTH 1)1\/INION (11 (�i0 {) (iH2 (i•1'i:; SACNUS PLANNING PLANNING & COMMUNI'T'Y I)EVELOPMEM' KAREN H.P. Nl_LSON, UIZ -CT OR To: Richard Rothstein 46 Liberty Street North Andover, MA From: North Andover Building Department Re: Wood Stove Installation This is to certify that I have inspected and approved the installation of a woodburning stove at your residence, located at the above address. The installation meets all the requirements of the State Building Code. Yours truly, Assistant Building Inspector MJG: gb i \ � n "�'� ��� � � �a�. �� ©� Cfl- Orfice Use Only E 2 I I Permit No. oC 3 S Q[0M t111WWt4 l� sar4i efts occupancy b Fee Checked i9quirtinetrt of public oafrtp 3W peeve blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Ward Area n 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 o Date _ �. —/& -n City or Town of (7(�I -n \ To the Inspector of wires: m The undersigned applies for a permit to perform the electrical work described below. Op L Location (Street & Number) ( � r � < Owner or Tenant L Owner's Address z Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) l Purpose of Building Utility Authorization No. Z Existing Service Amps_/ Volts Overhead ❑ Undgmd ❑ No. of Meters 0 New Service Amps / Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Am paclty o Location and Nature of P < roposed Electrical work Installation s t a 11 a t i on o f a t a rm No.of lighting Outlets No.of Hot Tubs No.of Transformers Total = KVA m No.of Lighting Fixtures Swimming Pool Above In- I > grad. ❑ gmd• ❑ Generators KVA o / No.of Emergency Lighting O No.of Receptacle Outlets No.of Oil Burners Battery Units z C-> No.of Switch Outlets No.of Gas BurnersO FIRE ALARMS No.of Zones No.of Ranges No.of Air Cond. Total No.of Detection and tons Initiating Devices O No. of Disposals No. of Heat Total Total O Pumps Tons KW r— . No.of Sounding Devices � No. of Self Contained l No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices z rn No.of Dryers Heating Devices KW Local Municipal mc"> Connection [)Other40 4 No.of No.of ow Voltage70 No.of Water Heaters KW Signs Ballasts C> Wirt O Gz v No. Hydro Massage Tubs No. of Motors TotalHP (� OTHER: a 'SM E M L b rn M Z INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General laws 1 have a current Liability Insurance Policy indud- I M ^g Completed operations Coverage or its substantial equivalent.YES O NO O 1 have submitted valid r— YES O NO O If you have checked YES, ease indicate the Proof of same to the Office. ^) PI type of coverage by checking the appropriate box. c> INSURANCE� BOND O OTHER O (Please Specify) D A Estimated Value of Electrical ork S (Expiration Date) a _ z Work to Start__ Z S- J�� Inspection Date Requested: Rough t � n Signed under the Final '�� O 9 Penalties of Perjury: � FIRA1 NAME LIC. NO. 12 31 C Licensee Signature r LIC. NO. Address 60 William St /WelleGry MA n7t 81 Bus. Tel. No.617-431-5 AIL Tel. No.617 �T= 7 OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or Its substantial (pby Massachusetts General taws.ars that my signature on this pemdt application waives this equivalent as re- quired(Please check one) requirement. Owner-.. Agent Telephone,' `.• lu��t-�'... r w;n (SiOrtahNe of Owner a Agent) ..: . ..< Tele No. PERMIT FEE$ 9v f 040 Date....3. 22 9 36 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SSACHUS This certifies that ......... ................................. has permission to perform ...... A7. .........��X.5 ............... wiring in the building of........ ............................................ at....`?.0....../ i(.i..,Lf. /....... ...................... .North Andover,Mass. Fee.........) Lic.No./U/(............................................................... ELECTRICAL INSPECTOR 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Location -14 S 1 No. � Date 01 No,oT►►qh TOWN OF NORTH ANDOVEM. O '• OAC p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fe $ r J�cNuse ,¢ Other PermitFc edp $ O Sewer Connection Fee $ Water Connection Fee $ TOTAL do$ � Building Inspector Div. Public Works 'EAJiIT NO. �Zc'i APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4J0. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE W' SUB DIV. LOT NO. I . LOCATION . / PURPOSE OF BUILDING /,(/ARA ( NIT POOL OWNER'S OWNER'S NAME NO. OF STORIES 'vV'�CCJSIZE l/�Ol x y6 OWNER'S ADDRESS //�/T/GL/��r BASEMENT OR SLAB - ARCHITECT'S NAME �l SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME FHMILy ©OCK' SPAN -- DISTANCE TO NEAREST BUILDING •) q I DIMENSIONS OF SILLS DISTANCE FROM STREET C oCd '" POSTS DISTANCE FROM LOT LINES -SIDES L A REAR Q-C • '" GIRDERS AREA OF LOT J V FRONTAGE (7�J` HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW 1 p,Al eG f-(3uAJD TOOL 1 ST .q(1-4.7,e1OAj SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR q f DATE FILED LJ NUILDING INiPECTOR SIGNATURE OF OW R OR AUTHORIZED AGENT G+ /j (� OWNER TEL.# 77 � I ! I ^ FEE `��� �/ PERMIT GRANTED CONTR.TEL.# 6 b Fp 307 ds 19 SS— CONTR.LIC.# 010330 H.I.C.# e BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/. 1/1 '/. FIN. ATTIC AREA _ N_O 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ' ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR II POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS [OIL B'M'T 2nd _ ELECTRIC Isl 13rd NO HEATING ORT Town of 4 over No. 129 ::riort dover, Mass., 19 1!g 2COC MIC HE WICK E AORATED I E BOARD OF HEALTH i Food/Kitchen PERMIT T D Septic System �� t BUILDING INSPECTOR THIS CERTIFIES THAI ..!404.4��........1:�.A�4C#-A.......Q 5 11► .................................................................. Foundation 'C' X01 ........................................ has permission to er�...� -........'4........... buildings on .4.(.a Rough to be occupied as...2lr?) " r.tP..... ......5rr .!.mm l.fsmw,....Q �.... ....... ................. ......... 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. trough Final PERMIT EXPMONTHS ELECTRICAL INSPECTOR UNLESS CONrSETa T _ ___ Rough . ............ ........................... Service BUILD SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR' Rough 'Display in a Conspicuous Place on the Premises — Do Not Remove Final No LathingWall To Be Done ' or • l Dry FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 1 PLANNING FINAL CONSERVATION FINAL street No. Smoke Det. SEWER/WATER FI NAL DRIVEWAY ENTRY PERMIT FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: �Cy( �o�tiSlfft� Phone 72 - LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street 4(o Lnmea 4S', St. Number /TOAGENTS: fficial Use only************************ RECOMMENDA 0 S O QC Date Approved Conservation Administrator Date Rejected Comments - �( 1 l�S S�j• 8t11�51c�V` Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved Sep is Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date a 8 44' -WORK AREA 40" t ••.•..r/M a n•R a ' T[- 0 24 $5� 20' ~ya�o,�a J�t� q�•towM�• ih /•-O' ACI •,,MD P. .� rt0[NCi' m; m POOL LOCATION " Safety Line t+a• e�� �����•" Use Adjustable A-Frame .r.lion + t •�i Braces At Wall Joints10 N Ti o Indicated By A. b # Digging Layout �•� DR���`•, �j_ ,!;�t�� } 4 H A NSPI --- See"Wall Corner Detail" i TYPE 11 DIMENSIONAL + -:•� _* (Typical All Corners) ,SPECIFICATIONS AS APPLIED TO '°"� I -- - �� WEATHERKING POOLS •%' 4�"'� '� – 1. Overhang Of diving board from edge ^^" -- --- – r- -- r _------ `T- - -- of pool is 2'-8 7/8" (.L3.inches). r°"ua•:, ea t°•p A A A Ar, •.e., 6TH .7 4/'161 40':0" . 2. Water depth under tip of diving board1r= is a minimum of 72" at Point Plan 3. Maximum board length is 8' -0" .��.,°` .e' ''�O•�tt�` 4. Maximum board height over water is NOTE: 20 inches. 41., ..cno F.ff"M Wall Panels Are 42" High. 5. Diving board must be centered in width •''`•"�°"• 'x 2' -8 7;8" 0 3") Overhang Distance of pool. ,;';2;_ 6. Refer to manufacturers'specifications �,, "'`_,�` • • • •••• j I -T--20" Maximum Height Above Water --t for fulcrum locations. 0 — Minimum Water Levet Safety Line 7. Safety lines must be mechanically at- tached on one side supported by T 4" Below Top O1 Liner' t buoys. ^' I Pont "A" / ' !\—Undisturbed Earth 8. A step or ladder or other approved ~See Note 2 �� L'rr,;I Liner Over means shall be provided at both the — I -- 2" Gornpacted Sand shallow and deep ends. FOLLOW ALL APPLICABLE SAFETY AND } Profile BUILDING CODES, AS WELL AS INSTALLA- TION INSTRUCTIONS FOR THE POOL AND ALL EQUIPMENT AND ACCESSORIES. l9' __ l9' /91/t' /91W - CAUTION: DIVE FROM DIVING BOARD ONLY. 20r 40 R£CL 20r 40 RECT. 2 /8'SECTIONS 2- /9 SECT/ONS W E A T H E R K I N G PRODUCTS INC. lB c �19' SECT/Oa5 /8 19' 4- 191I.-'SECTIONS /9' - 4 /PC.90'ROL L EO CORNERS 4- 3 PC.90'CORNERS /0 COP/NG CUPS /0- COPING CL IPS EAST GREENWICH, R.I. 19' -- -- I9" /9112' /91/2' DRAWN: R.E.L. APP: J.P.P. 20 x 40 x 8 BGT1187 DATE: Holiday Coping Layout Snap Strip Coping Layout 12-86 RECTANGLE f \ � '. ��1�'r�`-,� 'v ,�-- � ✓- �, ; I ` -zl ` �� _ f t y _._.__ _.., ---.�.__ f .� �t % Jf ''� � ` _ � /\) 1 'tet. �` \`� i A - --'_" . ._ r t N + `SGA IN PI CCTION PLOT PLAN NOM . ,"MN ASSOCIATES, NAq'MBAS (t4IG1~UM 4 LZAIDA ROTMrErN W. R125 / 189 LOCA rzoAt 4o usEn rY s mm r PLAN Mia'. 10090 :.t rY, aTA re N. AAVO M NA SCAL H` 1- EO' DA M 41 ,94193 ✓08 of 931 9292 Aye •p0� Lor e LOT 0 d RIK 9 aragy Nh 70.Q6' cen rz rfLv Tek • I FURTHER STATE THAT IN MY PROFESSIONAL NOTE: This mortgage Inspection was prepaued OPINION the principle structure/s and accessory speolkalty for mortgage purposes and ft not to ba fulled tiX 01 outbuildings, upon as a survey. Northern Associates, Inc. aooept$ no CONFORM responsibility for damages resulting from saki reflanco by1}C M With the setback requirements of the local toning anyone other than the talc mortgagee and Its assigns In ordnanc¢t,and that the(*aro no enomaohrr nts of major' connectlon with its proposed mortgage flnanclnV to Baldt H " Improvements elth&way across property limes Itxce t as mortgagor. r,r�Iit c shown. PANEL 4_ 00 12 1 ALSO: DATE t 64 j u morllon g a tntpectwas prepare n accor ar1CY 4Kg IVi�i�{ IM 1.Property Is not In a Flood F�s. whit the 7achnrcal 5t*ndards for Mortgage Loan r O 2. Property Is In a Food Hazard Area. Inspection$ as adoptod by tM Massachusetts Assodatton A 3,information Is lnsuf►fdenl to determine Flood Hazard, of Land Sorwyors and Civil Endk*en,V4. Hood Hazard d•tertrtinMd from latest Federal Food MiA WOMOA IMAM MAA PAeo4l 1207 Date.. ....... NOR71{ Lam. TOWN OF NORTH ANDOVER C"> PERMIT FOR WIRING ,SSACMUSEt U5 This certifies that .....L..:.J...(.1.....,......Z .............................................. has permission to perform ........ 4o� L .')..... ....................... .......................... wiring in the building of..........4....... ........................ ................... at ................ North Andover,Mass........ .................�-!........Y,............... Fee... Lic.No./........... .............. //�.................. ,��LECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File The Commonwealth of Massachusetts °"`Ce Use.°"'y Department of Public Safety Occupancy & Fee Ohecked�+ BOARD OF FIRE PREVENTION REGULATIONS S2I CM R 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All wmrk to be performed In accordance with the Massachusetts Electrical Code, S27 CMR 12:00 ` (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of ;rv��1G',�l�7? �,��� To the Inspector of Wirest The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant �• Owner's Address Is this permit in conjunction with a.building permits . Yes / r ❑ No EJ (Check Appropriate Box):'. :. Purpose of Building Utility Authorization NO. Existing Service Amps / Volts Overhead p Undgrd ❑ No. of Haters flew Service Amps.1 Volts Overhead ❑ Undgrd❑ No. of Meters )lumber of Feeders and Ampacity Location and Nature of Proposed Electrical Work r No. of Lighting Outlets No. of Ilot Tubs No. of Transformers Tota ' KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency-Lighting _ _ Battery Units No. of Switch Outlets No. of Gas Burners FIR$ ALARMS No. of Zones Total - -- No. of Ranges No. of Detection and No. of Air Cond. tons Initiating Devices No. of Disposals No. of Ileat Total Total Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area heating RM No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No, of110. o Low Voltage Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total NP OTHER: L/mac�i C /� g2 d �U f li? INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liiltty Insurance Policy including Completed operations Coverage or i substantial equivalent. YES NO[] I have submitted valid proof of same to this office. YES[]'NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work S /� (Expiration ate Work to Start Inspection Date Requestedt Rough tu.L�� /rLG Final 1ige / Signed under the penalties of perjury: FIRMI NA1!E Lieensee_ �,l)/f�� Signature �L LIC. NO. f-2.2S, Address U p!�S/��' �E���� Bus. Tel. No.__ Z- -Alt. Alt. Tel. No. (;4-ar--j oZ L OWNERIS INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub=— stantial equivalent as required by Massachusetts General Laws^,and that my signature on this permit application waives this requirement. Owner Agent (Please check one) �1� . d6 Signature of Owner or Telephone No. PERMIT FEES Agent -. IM C?t