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Home My WebLink AboutMiscellaneous - 506 SALEM STREET 4/30/2018 G � � 1 G fi i 1 Per)mt f �{ Professional Land Surveyors Er Civil Engineers 'T r\,ws�-'ei A ESSEX SURVEY SERVICE. 1958 - 1986 OSBORN PALMER 1911 - 1970 �O BRADFORD & WEED 1885 - 1972 PLOT PLAN OF LAND LOCATED IN ,d OYL4 MASS. 160fau Zu T D A�f � 750x6 �SF M M N - 101 27; �r W 2?t /V f ' C�LDG 199.' N I hereby certify to the H%kW&PaJIM Building Inspector that I have //1176 examined the premises and the SCALE: 115b buildings are located on the ground as shown, and buildings SA E� 5772ZE shown conformed to the dimensional DATE: OCT I�. 19 9 zoning laws of/MV1 JIAIIP,,�77 MA REFERENCE: BK PG when constructed. I This Plan has been prepared for Building permitting purposes only for the above part c and is not to be used for boundary measurements, land conveyancying or mortgage loan inspections or MEub y plot plans.. Christ k�e e P 31317 r°tST�F;yp�i 104 LOWELL STREET ` `PEABODY, MASS. 01960 (978) 531-8121 FAX:(978) 531-5920 - I r No 2083 Date.... ,...../...��..... M f NORTH 1 :°.tom . ,,,"oa or TOWN OF NORTH ANDOVER PERMIT FOR WIRING cNUSE� 1 This certifies that ................. �!:.t�......5.!...1..10.......................................... � �has permission to perform ............................... �............................... wiring in the building of.......... ,I..'sl..�. ....................................................... 4-at......5 U S Gl/k'1A �................... .North Andover,Mass. ................ ................. . Fee... S :... ... Lic.No.. (J,7 .............................................................. ELECTRICAL INSPECTOR C 37, WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 19, �rThe Commonwealth of Massachusetts Use Only Department of Public safety rn;t b. BOARD OF FIRE PREVEN110N REGULATIONS S27 CMR 1200 oCe°Fancy b Fee Mucked_ 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed In accordance with the Maccachusetcs Electrical Code. S27 G WORK R 12:00 (PLEASE PRINT IN INK OR TYPE INFORMATION) Date g City or Town of Nx4 ®�� To the Inspector of Wires: The undersigned applies fora pe�rmit/to perform the electrical work described below. Location (Street & Number) -S reg^ �. Owner or Tenant Owner's. Address IPA, Is this permit in conjunction with a-building permit: Yes ❑ No (Check Appropriate Box Purpose of Building _--Utility Authorization N0. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service APs / Volts Overhead ❑- Undgrd❑ No. of Meters Number of Feeders and Ampacity Lcation and Nature of Proposed Electrical Work a No. of Lighting Outlets No. of Hot Tubs No. of _Transformers Total No. of Lighting Fixtures Swimming Pool ❑Above❑ In- KVA . . - KVA Abode grnd.- Generators Nc. of Receptacle Outlets No. of Oil.Burners No. of Emergency Lighting No. of Switch Outlets Battery Units 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 Pumps Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No.1of Dryers Heating Devices KWMunicipal Local 11 tniection0Other No. of Water Heaters KW No. of o, o Si s Ballasts Low Voltage Wiring), No! Hydro Massage Tubs No. of Motors Total HP (� OTHER: C.C L' INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed verage. or equivalent. YES( NO I have submitted valid proof of same0torthisnoffice' YES' NOC3If you have checkell YES, please indicate the type of coverage by checking the appropria e. box. INSURANCE BOND OTHER (please Specify) Estimated Value of Electrical Work $ Expiration Date Work to Start / Inspection Date Requested: Rough 8 Final Signed under-the penalties of,per wry:, FIRM_NAME � . LIC. N0. ignature •. r/ l Licensee JLLLx. Q�Gy�T g ._ �fQjc .� C. Address �0 3 �7E/l '��-e fly Bus. Tel. No. . o 7 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or tts 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) �j z Telephone No. PERMIT FEES V J�d0 Signature of Owner or Agent 12/17/9pp9 14:00 FAX 5081t 6889556 NOTTRTHT ANDOIBR 8001 Y-r .instant Signal & Alarm Company, Inc. 303 Highland Avenue Salem, MA 01970 (978) 744.9070 j781) 598-0323 fax(978) 745-8661 e-mail address- instalrw@dac net MA Ucease No.11410 Bu.rg)ar Spribkler Sgvrvjsjon * CCTV a Caard-Access U.L/F.M_Central Station Monitoring Facsimile Trattaciiittal Carr Shut c t ". Atrenticn; Fr or[1. ti ,mbe.r of Pages including Cover Sh►.,-. C'a2nmcnt�- Plcase Call if There is a Problem with Transmission '!Alis TTW.Ntiagc' is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, Confidential and exempt from �[�;.�I•,:a,cc under applicable law. If the reader oTehis message is not the intended recipient, ur the employee or agent responsible for delivering the message to the in telnkld recipient, you are hereby notified that any dissertrihatiQn, dkeributiut] or i►Ng of t:%is cZQMnlunication is strictly prohibited. If yea have scceivud this corninw);ra-tion in error please notify ua;mmzdiately by telephone and rerurn the nal trl!,sagP to us at the above address via the U.S.postai Service. Tl=k you. -Adinding Your Business is Our Business- I 12/17/99 13:01 TX/RX NO.7687 P.001 12/17CCi99 14:00 FAX 508 6889556 NORTH ANDOVER R002 j^rl'�''�J_1'�1 1 j..S.i 15-Ci f'�1��J(•J1 Zh;,TAV:'T Qf ATQssQch usetts �.. Department of Public,Saf�y, r -�� o. BUARO OF FrAE PREVENTION Rgr.ULAr10tiS 527 C1at6ti��p Vc e..w M7 1 ,APPLICATION �O11 rRilJII tl.�.e itl� ,.eek,.�p0 S meed 1i►accesGaae T° PERFOR�rt E�ECrRccAL WORK .w1th the Maaychs"M Mses:•)e+1 Cod#.SI7 CMR 12:00 XN7oRK&TT0bu 01 �3 r�'r 2ocrn 4 �j�t�d 1�-�-r. bac• =1)e ,;x'crejgZed apPFZes dor s To [he Iasprrsor ad Pe'ait//to pe;=org r, altCt;i41 work L.cac;on (Scrtec S. Nuaooe) �Q C' a�f�/S described btIQw, �cz':; AdCresc T I= this: Permit in cawluc+raoa filth a but, 'ding Permit: P`2T�nsp or. A;e<ar;i'i, Yea KO 0 (Check APProPriaee Be,) *tel-tint; �e2vl,ca spa / IItill.ty AmeholSutioq N0. dolts O�erhtaa tlndgrao volts --`- a+aztreab U"grd 0 Ito. of Sete-: y�Der of �cedt[� anQ Azp&Cft}r w Location and Katuc•r: of Frepez" T..Ir seal work tie_ �z L.t32:c��g Q�sleta Ko. of Hot. Tubs Ko. of T Total v^, u. Ligtee�rtb Ft;e�rcir Transformers fe'sF.t S"imiri Pool Above a- :�n, of ?ecPpcacle Wtleta d.Q emd. Gsa+varat{a "I No- of Ott Dur"Urs llo. of Emergency LiSRsLing ouClets sacra tJniu No. of Gas E "Wra. 72= No. of ZOBes w. of ,tsr weQ. =trim No. of aaeec[ien and �-- Vr, .;t Llt;poQaLt No- of Kate. Tot+l yob %nitlatipg DeviCea Pumps Ra. of SoundiAz Devices Oicnvasner,- Space/Area lieatins zu Ko• Of Sell Co11[aiRed No. of Dryern u.ceetiva Sweelnt Leviccs Rearing Davie es Vb Is+es2 Municipal tio- ..£ Water Rearers F.'H No, oe Conneeelonc7oae= 0 Si a Ballast* ' voltagt No- Nydro Noasatte Tubs No. of ttrss _ OMER; Tb CaL NY 1:(::URANC4 COVERAGE; Pursuant to cha re Z have: a c-rlen= LLaSility Zd9uliRGiR PoliC�?�its of*ysC�attC7 Genara2 Cyt equLval.:nt. -SES Np subesit: Y valid COxg dtt:d Oper4ti6as Covtraga_ or is aRsbaesnssal if :ou have cnrcAl- yrs *-god va21d p=vef of ssioa to this office. +l�S BOYO pleeat indi,ste t(Ye type of cov%r� �,rArekirr6 ,les apPrwP a box. INSJRnnrc ( (� � (please Specify) E=r twn Value, of Zleetrieal Work S [�O gra rieA e" a.;rk co Starr I I �4�cio11 t1aLa Rtqu*sttdr Slgned vncter CLe f"PA191el of per�u r Tt4k$h �itul rT' '-iccn,ev—4):,4.ln�. �` �PjGe� SL LIC. N0. z 7e. SER s ll4S1BLr,Si{3 JAZVERc i aA a++.rc tlsat tns i1e Alt. Ss]- Ito. 7�!' = c•i st snc13)- quivaLanc as a urea b Ma ensas does t nava the 111aUlaeecC a crags or ti SUo- 3p�linaLian valves eras rg 7 asachuaeet6 daa„erat�s2yt tqt Big OA tas egazraaeat. Duner Agtet (Please thecae Ons) pszmic .:,i;.r.ae•.:rt• �:1 .."ernTeloMone NL o. I?DQ FEE S s + tr ogant) 12/17/99 13:01 TX/RX N0.7687 P.002 12/17/99 14:00 FAX 508 6889556 NORTH ANDOVER X1003 11.}V 1 5 t ri Y�L.I♦Jy � Zr STL.T 4LS''P�1 p4l;G 03 NT SIGNAL & ALARM CGMPANY, INC. -'RCL.AR.FIPE_CCTV. ACCESS COKTROt RANK ONE TRUST COMPANY,KA 34.28 !U3 ralr`HLANG AVEN11e COLUU&J9.OM 43271 'iAI EM.MA 07970 25•Baa40 12"17/1r) 9 •'�S Cua r.111111.IJ Ir)iIr' t.\....................... lsll��l��.•�1��.�.1.• _ DOLLAPS sMJ'1.b.IJtn J'f+11`J 1'+1•.N .111':)t•+'.•1•�.' ++b,.4j1 11IP1 t Ii'1I;cJ!• 1\'11+:1 :� i rNOU 34 261I• 1:044000801.1: 04 1 1408 21,69011• SIGNAL a ALARM COMPANY.INC.I BURGLAR.F/RF_CCTV. ACCEsgrdNrR&L 3.4 28 12117f 1999 �1 VittrPER,NtT j�rli} '•" ti1rti+''+Ttl.:illiY'1Si'Y.1•1:K,1r11T ' .12/17/99 13:01 TX/RX NO.7687 P-003 12/17/99 14:00 FAX 508 6889556 NORTH ANDOVER R004 � 12/17/1 1_55'S 11:$6' 197,974$6bbl ii':STw:i:T 4'ILAAY4 F',;GE 84 ` r-- ORD- CERTIFICATE'OF'.. MWE F nrtn.)t.I n T"'- CERTiFICATE IS MSUED AS A MATTER OF INFORN"A714 ONLY AND &ONFERS 1Y0 muwrS VPQN rKE CQFMF10AT 'r, 4C3kOtir'� HOLDEn. THIS CERTIFICATE DOES NOT AMCNO. EXTEND O ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOY ;'JAI 3 J."'=Tr.� COMPrANfES AFFORDING COVERAGE PA � COMFRi�'r L X_ 5-j1-9442 AI COMPANY GEPTBSIS INDFN),v tTv Ih�unrl+ - - ALARM CO. , INC. a SAFETY INSURa,NCE_ -rr-��ILt'LND Al!I E1TTJU COMPANY - - � ' ....... COMPANYCOVIERAGki ..— p I:,,I;, c•,<_ER-,_t Ti•A i rHE POLICIES OF INSURANCE I I&TED BELOW RAVE 13EEN ISSUED TO TME INSURED NAMED ABOVE FOA THE I'�,IA,V F%-KQC, •Lu. x::rrdtTH';,T;,TaL'laii'.:,zv'��EQutRE�1ENS, a:SUF. Tn7o OA Cp1`1 MON OF ANY CONTRACT OR OTMER DOCUMENT WITH AE-SPECT TO WHIf'H Tn1:f `Z--1I rI MAI L:L r ') OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCftIeEQ HFaELN Ig$I,l$USCT TO i1;,)- TI to-c iRdS A,r•;i t..1NI)I IIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN AF-DUCE-0 BY PAID'CLAIMS an TYl'C Or Itil URANCI: - _ POUCTEFPEQTMfE POLICY EXPIPATIOpf LTJ! i POLICYNUMBEq r AOTF/IWM/DAN» M7f191A►D:AY:! a1f�lT5 nL`.:.•(.L r I.nn I r: .1 I='lEJXQ0.'.A::ce rti'.E lI �,...1•, ,: .. . mrm.0 u.,,,._;•al Int t IAM:ITY I _ i•— PRODUCTS.'-f:mP.•or�Aaa,S :•1F I aulc„nnr I r:', i r— --I--- ` , _ t.' PE'SO)vtiLB AQ`l INJ11a+ !s .. �• :;:r';xc; :cIr•' INISStIE i OIi'Ol j99 0 1/0 1 f0 0 ;_cAcWoccu;arlt,.ct �$ 1, 0a r F',rF oAMA;r n-Y cra • � � ---- ..._.. —_ -'- __-) - MEC EXF(Any cul Q , .b r r j 4 COM!RINFR S;re3LE L+;1; S f �- _ _ '..i •:N'Ni a,tl r I,i:. G1'X.lZY4�.CA4'1' I ' i ) 1500029 �i 02/OI/99 II 02/OI/00 I ScOlLY - i - - - �• LVJJEIv, Twaccicero PRQPFR'Y DAMAC.= 5 1 �>u`Gl r11Lt�cA.ri,�•'SE': S Trlpt:z..Tp t::ALr ` ' i A�CREGATEIS _ 'l"'rrYL Lrt�lllCllY I .__ Ill! '� I EACs Ca.Cua.'1CrICr �S A'tN:l;FI1e�I}MPEHSATIt.H zmu I � W,:,,A ll:'�rij r.I I:as'I nYr•ns•I 161771uTV n ��ur�yT•i r-ca ___ I 1 eL EACH AC.Crr}F:Yr S ilI _ S :,t X"-.'U1,,; I I I EL01SESSt_PU_C:Y U'1'.' I _ �1,:��,.c;,r:n:.' I •I 'S,i.' 1 EL O:SEASE-EA EMPLOYEt S ._ . inrl,ru7,7T17." N'',, . OF TNSURAN^F, I - ?Cs,^tvPTn N�f i PCIrATroN;+lc/t:AnnN?,vEHOCLE&SPECIALITEMS ?� .•: 'r.' iIt ril-urine—'/' Alarm systems repair and installation whilc ::�.,,','1.,1'i'. . 1:+ (:•}`, ;p,1i.e•: L_'.E?Yf.GTCiIiZ'iL3 WO•lk. 211- all t1TTLe5 Tf1Onitoring 1"• t:'':r ! , i , /:•,I I yi,_•i, named as Addi�iorsl �Er��iricarE IIOLDE'A -_ k. -- SHOULD AkIV OF THE ABOVE DESCMeEO POLICIES 6t CANCk LLrn M vnr.q 'rnl- EXrIRATrON bATt TREAEOP• THE ISSUING COMPANY Will. ENriEAYQf1 T4 wfi. :1.Q_DAY-3 PRITTUN Nonce TO Int UfflflfICATE HOLOCR NaMED TO TI+L LI I.1. dvr FA1LOITE TO MRfc SUCH NOTICE SiIALL IMPOSL NO 0SUCATiOm UR!i.fitt iTY OF AMY %CLUCI UDOLL Tkc- C011.PPAILY. 1T^. 1.GE%'Tt QC, t1CGL1♦.•:Lk:>r^.4!. AVTHO D REPRE8ENTATIVE c r4CAf1D CORPORATION !9f 12/17/99 13:01 TX/RX NO.7687 P.004 N22021 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING .7 cmuto This certifies that ......41 .............. has permission to perform ....A�f-w..... T ....................................... wiring in the building of......C St.. ......GhSt (..v!? , .................... .... . .................... ..North Andover,Mass Fee�fV.,.c)().. Lic.No. ........... ZZ:44,,1�-tom, i LECTRICAL NSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TLE COWWO.NwEALTHOFAL S"07UMM DEPAA7 h4F..NTOFPUBL[CSrIFEIY Permit No. BOARD OFfIREPRE IIEMONREGUTA770,NS 527 CNR 12�W Occupancy&Fees Clteckcd ' ' A'FUCATION FORFFJ? lT TOP RFo1 K==CAL ORK > . ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,_527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE'-.ALL INFORMATION) Date To the I IeS;1 Town of loith Andover nspector of W1 Th e-undersignedappBes for a permit to perform the electrical work described below. LSP PARCEL Location(Street&Number) „j-p (o C, g t t.t S ,. Owner or Tenant C v R ut S �' o�t S �.�c t t,,J C o r ~ Owner's--Address P O QoX S 3 lTJa . ✓e cQ2 6 LA-Q--� 1-414.._ OI t'4' S^ Is this permit M- conjunction with a building permit: Yes=No r7 (Check Appropriate Box).. w.: _. Purpose of Building S i S/t PCL” ; I V -2) w //�'., r - Utility Authorization No. ' Existing Service Amps / Volts OverheadUnderground No.of Meters ' New Service GU Amps/2u / Zya Volts Overhead Underground r7 No.of Meters / Numlier.of Feeders and Ampacity - - -- Location.a ad.Nature of Proposed Electrical.Work Ne L-'J C-044 S4-,-g c.t,' J - No-of Lighting Outlets: No.of Hot Tubs No,of Transformers. _- - Total KVA DTo:of Lighting Fixtures ._._. Swimming Pool Above, Below Generators-- - KVA - and aound 170.,of Receptacle Outlets No.of Oil Bumers No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Bumcm 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 LocalMunicipal Other EDCormcctions No.of Water Heaters KW No.of No.of I— Sims Bailasis No.Hydro Massage Tubs No.of Motors Total HP r OTHER.- ItmaaaceCo�.aa�Aaala��tbere�.m®a�s'oflvla��ettsC�eralL3ws � Ibawaazmd.iatal hml=P iLymchrc�3gCcmp�e C�aa�arilssial�iaz>balec}rivaks�t YES NO Iha�s vaUd ofsatnetnthe0 YES C�C O Y5uuba%eclmc�YES,pmtbetArcf cuaFbydiedar tr INSURANCE B01`ID CII IER F"j (P1e2SeSpe* c,_. UEqx=Dam FstrEdedVabx Ebtical Wa k$ Waz&fft ///2 4 9 mD& Finai Sigoeriutlda�iel�altiesofperjtuy. �.S—,3�3 t� FI12 VINAME I e f fZf tt*t i , i -- Lica3seNa IleS4=0Nihil i Tf Iicaisel b 5�3 r 3- r2 aEh2ssTeL1,o. C&,F)6 Fs-s✓To C- /Z.3- /Z3 rel,t/ rtes Alt Tel Nb. OW,I S24SURANCEWAIVER;IamawatetitattheLmwdoes mthamed-r-m trance crilSst>1> ale�rivaledasret}medbyM�Cx aiLaws arrltt>atmysit�hnemtYns�nrtapplicahrnwai�sliristagzaaT�t� - (Please check one) Owner Agent F-1d Telephone No. PERMIT FEES 2_Z Z SHman ze of wner or Agent CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Y67 " ?q Date a — a�1 —O O THIS CERTIFIES THAT THE BUILDING LOCATED ON X d--T) ASO 6 CS MAY BE OCCUPIED AS 6LIV�g le 7, 07l a (SiV/ ytidpfe IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. C4 %O oT; CERTIFICATE ISSUED TO AdIl ,• . O ADDRESSo • • 'SACHU'` Building Inspector i CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 'y67 " 9'? Date THIS CERTIFIES THAT THE BUILDING LOCATED ON o� �� cS d le M S MAY BE OCCUPIED AS &4-), fie- f07l h Q� (k// (,Jy&t p1f IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. of ;�ti CERTIFICATE ISSUED TO �'P�Sai() / Ad) a ADDRESS PO 'Jc""' Building Inspector CERTIFICATE OF USE & OCCUPANCY Town of North Andover Pond r Building Permit Number �� Date oZ9' D THIS CERTIFIES THAT THE BUILDING LOCATED ON 0 /! C 5 alf AV s T MAY BE OCCUPIED AS / k -AO / ` U �i�IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. o� "°"'" CERTIFICATE ISSUED TO •.ti0 3 cS 3 . p ADDRESS �O 8 P 7/1 vµe/'L s J"c""' Building Inspector NORTH T0VM OM},:':.. over 0 No. L "A COCH,C�i`EJ dower, Mass., �sA ORATED p,?YGL C5 S H S` BOARD OF HEALTH Food/Kitchen PERMIT Septic System -Vllg THIS CERTIFIES THAT. . if oqfv r1o" P.44 �R V�� BUILDING INSPECTOR .......................... ....................... . . ................ has permission to erecfi�:::............. .......... ....... buildings on .�,ptz..C45®4.)... S�. Foun atio I l d ny�✓y1 .......... Rough 104 04/� to be occupied as �.N :It.-F. 4�n1 W i• p h .. ..... provided that the person acc ing this permit OVA shall in every respect confo to the terms of the application on file in this office, and to the provisions .of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final✓�f `` Buildings In the Town of North Andover. PLUMBING INSPECTOR 1. VIOLATION of.the Zoning or Building Regulations Voids this Permit. Rough �� o M318 r AL PERMIT EXPIRES IN 6 MONTHS �. I � "00 UNLESS CONS ELEC ICAL INSP TOR �� TRUC O STARet"�� ii � 5 � � ...... .. .. .... .. .. . .... ............... .. Service BUILDING INSPECTOR �� 1, -Fi Occupancy Permit Required t0 Occupy Building 100 GAS INSPE TOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove , /" No Lathing or Dry Wall To Be Done d Until Inspected and Approved by the Building Inspector. FIR DEPARTMENT Burner Street No. Az + SEE REVERSE SIDE Smoke Det. C` rw Cowlruchon Co oration P.O. Box 583 North Andover, MA 01845 (978)6884080 .,2i29/0_01* Town'of North Andover . Building Departnient 27 Charles Street North Andover,Massachusetts Attention:Mr.McGuire Regarding::occupancy at 506 Salem Street Dear Mr.McGuire, •I requested a final'occupancy inspection at 306 Salem Street today.I appreciate your assistance and professionalism. You brought to my attention several items that needed to be addressed prior to issuing a final occupancy permit but agreed to-issue a temporary permit. The following are items that I will have repaired within thirty days.These are the reasons that a final occupancy.could not be issued; - 1)Xfhe°dryer ventneeds,to be aluminum,it is currently.installed but it is made of a plastic type material. 2)',The two penetrations in the garage must be 100%sealed,the plastic pipe from the central vac must be . swi -hed•to,;netal x' 3)T16'rear deck steps must be,plum and level. Thankyou for your assistance: Sincerely, h JoseplOelich .. . s + BUILDING DtFAR.TMLNT Location 50 No. 17 Date �� 2 40RTh TOWN OF NORTH ANDOVER 3? O F R Certificate of Occupancy $ s�►cMustI Building/Frame Permit Fee $ 3 O C) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 300 Check # / 15793 Building Inspector Inspector •s The Commonwealth of Massachusetts State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code 780 CMR APPLICATION TO CONSTRUCT REPAIR,RENOVATE,CHANGE THE USE OF OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number: Date Issued: 8 —I?,`0 zz- Signature: /" r Building Commissioner/Inspector of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address:�' �1� 1.2 Assessors Map and Parcel Number: Map Number Q Parcel Number O < v I. on' g 1 ormation: 1.4 Property Dimensions: f ST Lot Area(sq) Frontage(ft) ZoningDistrict ��3Pro osed Use 1.6 Building Setback ft. 7a r Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided 30 I-1a 1 00 ,c r10571 (30 oZ"73 , 107 Wat r upply 9M.G.L.C.40.4 §541.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private b Zone O Outside Flood Zone Municipal a On Site Disposal System 2.1 Owner of Record J IA Name(Print) Address: Signature Telephone a� -710 10041 2.2 Authorized Agent: e(Print � A dress Signature ,w� Telephone 3 SECTION 3 CONS--,/----. SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE 3.1 Licensed Construction Supervisor: Not Applicable Q Licensed Construction Supervisor: License Number (f)WqqB � ddress D Ex iratioll Date Signature IMp rie:31al 3 3.2 Registered Home Improvement Contractor: Not Applicable 0 V?an Name Registration Nunber Address 5T Expiration Date D Lo3 Signatur �' /� (/ 'p l ph e Revised 1997 JMC � i SECTION 4 WORKERS'COMPENSATION INSURANCE AFFIDAVIT IM.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 i%uance ofthe building permit. Signed Affidavit Attached Yes No SECTION 5- PROFFESSIONAL DESIGN AND CONSTRUC 10 SERVICES-FOR BUILDING AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE 5.1 Registered Architect: oaf2 — No Applicable i. Name(Registrant): s � � Registration Number _ _ 7 Expiration Date 013 Signature 7 wn`e 7 5.2 Registered Professional Engineer(s) Name -.r Area of Responsibility Addre Registration Nunber Expiration Date Signature Telephone /130 103 Name): Area of Responsibility Address Registration Number Expiration late Signature Telephone Name Area of Responsibility Address Registration Ntmber Expiration Date Signature Telephone Name Area of Responsibility Address Registration Nunber „ Expiration Date Signature Telephone 5.3 General Contractor //yyam� m Not Applicable Q Company Name: &bgw QA= Responsible in Charge ofConstruction f 117 �r Address Mffft&fn, UA nt;�5c2 Si atur 3 SECTION 6-DESCRIPTION OF PROPOSED WORK check all applicable) New Construction Q Existing Building Q Repairs Q Alterations Q Addition Accessory Bldg, Q Demolition Q Other Q Specify Brief Description of Proposed: Supkm" (1sxsA -F � � � ►r✓ u.ui o or mou&K SECTION 7-USE GROUP AND CONSTRUCTION TYPE USE GROUP Check as applicable) CONSTRUCTION TYPE A Assembly A-1 A-2 A-3 IA Q A-4 A-5 113 Q B Business Q 2A Q E Educational Q 2B Q F Factory Q F-1 F-2 2C Q H High Hazard Q 3A Q I Institutional Q 1-1 I-2 I-3 3B Q M Mercantile 4 Q R Residential R-1 R-2 R-3 5A Q S Storage a S-1 S-2 5B U Utility Q Specify: M Mixed Use Q Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index(780 CMR 34) Proposed Hazard Index(780 CMR 34) SECTION 8-Building Height and Area BUILDING AREA Existing(if applicable) Proposed Number of Floors or stories include basement levels _ Floor Area per Floor(so Total Area(so Total Height(ft) SECTION 9-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes Q No Q SECTION 10a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT s 1, As Owner of subject property J p P rh' hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date ' revised bldg form/state JMC I �. SECTION 10b-OWNER/AUTHORIZED AGENT DECLARATION I, arl.)o 7Y"1 n ur) as Owner/ uthorizedA hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. p Print Name Si ature of Ow r/Agent Date t SECTION 11 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to Official Use Only o be completed b permit applicant 1. Building (a) Building Permit Fee Multiplier 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee(a)x(b) 4. Mechanical(HVAC) 5. Fire Protection 6. Total= 1+2+3+4+5 Check Number t o - �`io E3 0 0 30 L� N G 30 o D©oZ 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 ,4-'e X M a 84oq PHONE Crr) �'� G CO �I I LOCATION: Assessor's Map Number 38 PARCEL a SUBDIVISION LOT(S) STREET Salem S� ST. NUMBER �© ************************************OFFICIAL USE ONLY *********************************** 4REMME�NDATI0NS0F TOWN AGENTS: CONSERVATION AMMINIST TOR DATE APPROVED ,2 DATE REJECTED COMMENTS X t) yue s �� v't ry oS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS IFOD INSPECTOR-HEALTH. DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS c PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm Juk 1L, Ui2 U:J: UUf- U-=tt=r LivimG JUt3.J:Jli::J:.J4 p. :J pr gr'os>rn 3 AARON PORCH ❑ � I5'X 15'C APPROX)A FP.AIvtE St1tiE -5"EP5-r H ROOF 5Y59M NEW 6SLIDING 0003 FROM PORCH (DOORS NOT 5HOWN TH15 VIEW) qFO D ` -.- ------N�INb'y IDINC n0UR5 FROM PORCH L� '11-i1i=11_=.11-.:!—III--:III:-1'.—III—ill.. `�p-.�—III—III III-I,I—II(=11 1� L ITI—III'�ll--lls=� N�I�=+�• =Iii—,Il=il i�1=7T1.=1J1 ITr_Tf—nl lil-l i-ITi=!Ti—� iil=n l -II!-111=11111; 111=III—!IIIf=III=111 LiIhIII=.IIf-1113 1-"=11f=!11-a11. � �Clllr_III—III—Illc:fl E11=1i' =111 III-111=11--111=.IT—''=III-1ii. 11""I I'— 1=_111-1i1 if 1 1 -1 11=J1 11_111=111 ( Il pl?OPQ/G EG 3 5EA5ON PORCH 1 15'X 15'OWPROX) A FRAME STYLE 3"EP5+ H ROOF 5Y5TM 5PAN) ---. NEW 6'SLIDING NEW 6'SLIDING ---- 000R5ITOM PORCH < 19OOR5 FF,OM PORCH _ —\� (DOOR5 NOf 5HOMN N5 VIEW) -lT'fT1- Uii_-!II-1If-1-ill =llr 11=ul� L=IiiH1111= IJ-111=1�1-11=111 In--1�I=1_13 I� IIII:_I _III—IIL=III_Ill::c� rill=111—III=11-111- }J11=111=1i .N III_'III- ^a�Jli=111=111.-111=�1�=1i1=111—R1 I III=VII-111-III=I iI'-111-11 -Ij1= IJII—III::III=111 1PI1-_=B EII=llrll'— "' kill—"`�I IYil:-;il. Li ...-.- LJ"— 111-1 Jul lt, UL: U:J: :J:Jp Uctt cr L 1v 1 r15 :.rUUULP l L!UUt p. L: F --EX15fING 000? FROM WU% �� II JL � I I 15' A)1 T_6 KINx� mmmem, PRUP05EP NEW PECK(21'X21'APPROX) 1.240 Pf PRAME e 16"D.C. 2.Low Zip 1/2"X5"LA05 52'O.C. 3,J015f Ka aG 5 @ LWW 4,P6L 510E J015f5 5.(3) 2X10 Pf TRIPLE ItAM5 6.5/4"X 6"Pf PECKING 7.(12) 12"0 X 48"17EEP F16;5 W/ANCN03 B.(1) 28"0 X 12"PEEP%A P00f P00TIN6 9.51411 f&G PLY OV'MAY 10.6X6 P05f5 W1 WE DDa5 11.5fA1R5 12.vm J015f5 @ awr Of ROOM 13 2X10 Pf 170L ENP BEAM(NIMN) 7� 4 Pro)sd: 5fale:1/8"-1'-0" Pfawirq: Befterl ivingPACA ��51P�NC� PATIO ROOM18%AVERN5 DRit7GE VOK A-1 NORM ANDOVER,MA 01645 loo otic street Nothta%M0.015. Phone(508)393 0900 Fax(598)393 0390 Pate:7/15/02 Sheet 1 of 2 P all iV 4s s a t�` LAYOUT f LANS j WALL SECTIONS EXISTING,DUILDING 1 , ' '-; 96.75' 96.75„ � o ( ' (MAX) p (MAX) V GABLE 51DE WALL(A). GABLE SIDE WALL(G) r ` ° — - ASSEMPLY DETAILS a f . ("t ��, ,- 5EE ALLOWABLE LOAD a TABLE FOR PANEL 51ZF5 P. 81!'x781? 81"x78"D P_ 96.75' i L[ur --Ltr ,o7J (MAX) " ,, -•` r s / P�1 81 C j B15'WALL , PITCH 1:12 10 5:12 GA6LE FLOOR PLAN s GUITER FASCIA ' (NO f TO SCALE) .;�` HEADER SUPPORT BEAM-� - A FRAME KIDGE BEAM OR� TRANSOM(OPTIONAL) GLUE,LAMINATED BEAM LL GABLE FRONT WALL(B) ALUM.5LIDING DOOR OR WINDOW ALLOWABLE LIVE LOAD (ABLE FOR 9 FT. PANEL WITH 8 FT. OR LE55 5FAN) „ 20 I'Sf_I 25 PSF 30 PSF 35 PSF 40 PSF 45 P5F 50 F5F 55 PSF 60 PSF �3 TEMPERED GLA55 3 HC _If 3"HG 3 HC ,,;r 3.'HC 3"HG 3"HC 3"FIG 31PHC 3 HC a "� 5LIDING DOOR ON 51LL t ° u EPSrFI 'i'L'PSrFI 3 EPSfFI 'EPS+H EPS+H 3"EPS+H , 'EP5i 3"EPSrH 3 F PS+II C �''``f N�'%rN4�`% SECTION WITH DOOR It �$�° •.•'° ' •, s FLOOR CHANNEL IJOTES'FOR GABLE CONSTRUCTION P ��r,= cnnr� ''•� i.STRUC'fUP.f\L MEMBERS SHALL COMPRISE q.WIND LOADS=20 PSF 10.ABBREVIATION6' t Y a _" JOHNJoss ' DECK/SLAB — --- ] 6063 T6 ALUMINl1M EX7RU51ON5 PROVIDED FOR 80 MPH EXPOSURE A,6,G D=DOOR BY CRAFT BIL7 MANUFACTURING COMPANY. 5.DEAD LOADS=5 PSF DM=DOORMULLIOFIy/ `yyINDOW; TYPICAL SABLE SECTION 6.DOOR AND WINDOW LOCAT IONS C 7 ALLO4VABLI LOnDS ARE BASL'D UPON WM-WINDOW MULLION '�A °fS' f Ns c ', q :NOT TO SCALE THE LE.S5OR'OF THE ULTIMATE LOAD/2.5 ARE INTERCI-IANGEABLE. U U GHr NNEL ��''��,SroNAL�N",o rhlntmtttt OR THE LOAD AT 5PAN/120. 7.GLA55 KNEE WALLS ARE HC=HONEYCOMB PANELS --- -- , ti of rn� 3.HC/EP5 REFERS TO CRAFT-BIL7 STRUCTURAL INTERCHANGEABLE WITH PANELS. EP5=POLYSTYRENE PANELS �j Asd�o PROJECT:,' CONTRACTOR: PANELS WITH ALUMINUM 5KIN5 BONDED TO 8.ROOM PROJECTION(A or C WALL H=THERMALLY-BROKEIJ $O� CRAIG J. 15'-0" x 15'-2" HONEYCOMB/POLYSTYKENE GORES(3 h%z" WIDTH)MAY VARY PER DOOR& ALUM FI-STIFFENER. cross } AND 6"THICKNESSES.. ti WINDOW LAYOUT&RIDGEBEAM/ O/H=OVERHANG C(URAL v; GABLE ENGLO&LIKE y COLUMN DE51GN(UP TO 16 FT). P5F=POUNDS/50.FOOT r 40324. w, DWG NO.: ADJACENT PANELS ARE CONNECTED USING 9 0 a. RAWN BY:GJJ 9.AUTHORIZED FOR BEl"TERLIVING P=PANEL \ o FGrCTENi,f�`:, ern4O-15x15-2 GENERAL LAYQUT VINYL CLEATS OR FIS ,1 DEALER U5E ONLY ALUM—ALUMINUM °_,: � I r �sIG{ SCALE:1"=50" DATE:1/9/2001 3 d5' Q, / T$ MID t ins F Ic, ON C ^,•.�7 �:�K-.n.�= ,� `-v_ S_�'^� "t r. =� �.i.v.�. �:a.`l{}�C)✓��`J .`v. — t.J)� , `. _ ..,,....�_. _.._.._esst� l� — SCJ b Alt dojo t Da_e erJ. J is'. .moi vtL t late,itgt"�> - ___' > S V v.TII' r'�' `��i;�i_ ' Gil al:L1:, t'nr:.�•-t-,-„-,. _ _ --� � =.L ;^ . J t 1 JGv L I � J 1 ��:•)� �, •.� -r:v.�-r� .i ' L., - n •r -'•._ - ':r'T' _'�:. c.i+' '•r tv il;�'"r�:'R` 1I2' jMaSSaChU5B�i5 Side Building (`0di,t r�i(J Ctt7'?i mctC:-S :'di5:0i y a_jG 0 additions 7 i 1 : i_.V: 5t t uae •S. i.2i5 5i ✓Ut 'il a I CC �IJ_Y� : CRh�1iN. 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Via. '",7 ;ia= ' -�'�>E., a''.'inr�a 1111 1..:, l'F.5^7V?_1, ;J1Yi.�r'.►c'11F.%:>_'•'7it. .-�r�t_v`ii:.�..'.s``''1':J F.k.✓S"'T..E'...:,.-~-.:J i t =GAi.tr'1..�.af'�-'....�iYt�:.:-v.l'J vtr:.s..=ai _ __:.rte ."'y_t .}': "•�-'-::;= .'•^ - __ 1. '_`._ "'.'a.+-.., __ ::JiFv _ ,=.Ki•^'t.<. _ _ .�,:1r::.'.._��-••..•.�: - ..- _ _ �+at'.�� - - - 'yz-'>.� - .fr`."-.i x.^tom`_i�•-J e.t.a-y - -;;:�.:_._ -,-.r�n`:r _ -•��;^�'ix_ - ._-�^"' `his'.,µ r.o Y. -_frvr,�-v„`=r,•+f.}"�47.:.�r+. •+'.%•t^-i �ui"� .. '''{. .� 9 _ 'i` �'t:c. ��E•f.F.r...,. <'t� jam""' �..a„K,,,�va.^_:i.'f^ ._`-Yi:.aN_., ry ,it`i��+•F•Er±..;,c��,..{:e�.�t2 �s:Q y t_.1._:=i.`:r�;+-.t.�.:�;r ...L•......et."'+a>'•- ..f G 03/19/02 TUE 12:17 FAX 734 487 8922 Personal & Confidential z 002 ACORN CERTIFICATE OF LIABILITY INSURANCE DATE(MWOoffY) 03/11/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR JP McKeone Insurance Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 333 INSURERS AFFORDING COVERAGE Ann Arbor, MI 48106-0333 INSURED Patio Rooms of New Hampshire INSURER A: Hartford Betterliving Sun Rooms of New Hampshire INSURER B: 1 Action Blvd#5&6 INSURER C: Londonberry, NH 03053 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRTYPE OF INSURANCE POLICY NUMBER P LI FFE TIVE I POLICY PIRATIO11 I LIMITS _ LTR DATE MM1DDlYY DATE MMIDD/Y1' I A GENERAL LIABILITY 35 SBW KZ7087 02/01/2002 02/01/2003 EACH OCCURRENCE I$ 5,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) I$ 3()0,000 CLAIMS MADE M OCCUR MED EXP(Any one person) S 10,000 I PERSONAL 8.AOV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG $ 2.000.000 POLICY pRC I LOC A AUTOMOBILE LIABILITY 35 UEG UH3916 02/01/2002 ( 02/01/2003 COMBINED SINGLE LIMIT 1,000,000 ANY AUTO (Ea accident) AS X ALL OWN ED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person), HIRED AUTOS - I BODILY INJURY 1 S NON-OWNED AUTOS (Peracddenl) PROPERTY DAMAGE S (Peracodent) i GARAGE LIABILITY AUTO ONLY.EA ACCIDENT I$17 _ ANY AUTO EAACC I$ FOTHER THAN I AUTO ONLY: AGG 1$ _...ESS LIABILITY EACH OCCURRENCE S I1 OCCUR F—I CLAIMS MADE AGGREGATE $ I IS DEDUCTIBLE 1 RETENTION S a EMPLOYERS'LIABILITY WORKERS COMPENSATION AND 35 WEG GJ7597 10210112002 02/01/2003 I I ORY LIMITS I I ER I. E.L.EACH ACCIDENT _`S _100000 E.L.:OISEASE-EA EMFLOYEEI S100,000 E.L.DISEASE-POLICY LIMIT 111 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES1EXCLUSIONS ADDED BY ENDCRSEMENTiSPEC;AL PROVISIONS CERTIFICATE HOLDER I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN INSURED COPY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRES NTATIVE N; j g gre Aa-lable � - ACORD 25-S(7197) O ACORD CORPORATION 1988 ,Apr 05 02 10: 24a BetterLiving 5083512994 p l \ ��;, '(o�rrm✓.�aaun.,c.;az o.•.!;��:;-:c:�,z�»,:i; 3ozrciofBuilding Regulations=nd.S:'.z,�az.... ? 1 SI -ti'i vi_ i 1Ce;. C Cr`01St au0 1`;'a10{Cr:L.di'id1-1 ASe Qn.V HOME IMPROVEMENT CONT RAC,_ i)= Tz oLnd recarn to: _ c B—ovd.of EuildiRg Rec:li3 imi-and Stalzdaxds Registidtio�--, 251ou Orie SSS�G:�Dn YIace Rm I i0 EXP ra ion=1i0G21103 3oston., Via. G21.08 _:.`TYpai--relvate Corpo-a*ion ra 7-;'z = ' FIAT 10 ROOMS O BGSTQKa lN.C` ANDREWS MALN - F'l 100 OTIS ST -•— NOR T HBOROUGH, MA 01532 Ad pini.ratoI. ;Zor valid without si,; ature V;f Js„ciCic. .L. "•A'l;L;/-''<� '�,!(i6�'✓lc:;t,'FbL:riS,%1 !. 30ARG OF 3UiLGiNG rtEGUL.4TIONS CTION SUPERVISOR -:r. icerse: Number: CS u70:95 3irthuaef _c,:1 _voires: 0?I42:12Q ir.n0: 7 Gi Restricted T ei 1'v ANDREW T MALOi 1117c i 41 1VAS-3INGTON 5T=2 NATICK, MA 01760 a instrtor i A-MI�VzT In. acco=a-ce wIth !�.-L.icle 7 Se's icM 11-4 . 1.3 c t.e Mass�cr�us2tts St3te1?ild � rJG`u c�=tifV �t X11 QPpZiS r 'tSu1 �I1Cx -From work azscciated with Pa=it a °x_11 be properly disposed of at i�-y5�' Sod, 1 WAST r SDCSa- � C11_t"_v' a5 OE'inc.; �1 lvkV-1, /l `i1. S=Siler_. l Iii--- J1�12tL�a OT tPermlt 2,"nn 4camc t . 1. . HARVEY & SQNStcNr- 63 HOPK 1 NSG ! RD _Na^-ie or A=Dlic�-� t ST8Q R0 aMA 6- y� r2 ( Y r (R E 135 ) 158 C V IV 6 P4_71 r- � / Flit nG,•'nd =festive Se�trm? e 12 �g1 the Depastraeiat cf Health/Code ifs-cem��t acting w-ice= Cnar�e.r 2 Article 13 of th�e 1985 Revl__eu Cia-u-1-ar-cGJ^1Gu acv �= ^f r?�crr.cai n_ +CDZ15 geneia i.GcS a' r eSLll t Of L.} __s p�-=jt_ The^procf shall be a dated an^ sin— ed receipt from the licensed � - r- '�;� ane fellowirg i_fo-_7nzt_on, a; �p.._sosal Facility contai g ne -r; r is iahe weight and JC1-ume of tlae 3 __.sL__r_>tion o_ the dear 5 debris th_ location Of -h-e diposal facii_7y. ill_ receitat mLs� also have a signature of the Gf e dis'posals facility, FF-4 iluzre to co=- 1v Wi h a =eCI'l�rc�e_�`C of ch-is azai:7amce rr_11 r`s'�1t 1:^ cn_crCsmen[ action, by the City. TOTPL P.F-12 I Town of over . No. 7AJ -„�n;..war-+ ;•y� T O LA ori dover, Mass., COCHICMEWICK SRATED PC5 H BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... .'. .. i� R.�...a........:. c A ......... ............ .... .............................................. Foundation has permission to e 5 ... buildings oRough ......... .. r . . ......t5 .. . �.... . .. Roug h to be occupied as S vN iw ► !�C�!' a ` A� L 5n y ............................................. ................................. �1!................ e provided that the person accepting this permit shall in every respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 8 3a a OD PLUMBING INSPECTOR nowVIOLATION of the Zoning or Building Regulations Voids this. Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TSR T Rough AA W-WW-j 1 .C... ................... Service ......... ... . ........................................ 00* ....... 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 J r FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i 1110 IL 1. C�A C_r l� I N S 11_I C 11.0 N PLAN N NORTHERN ASSOCIATES, INC. 401 SOUTH BROADWAY LAWRENCE MA. 01843 TEL:(978) 837-3335 FAX:(978) 837-3336 MORTGAGOR: JEFFREY L.& MARIA R. BACA DEED REF. 5689/287 LOCATION: 506 SALEM STREET PLAN REF. 13488 CITY,STATE: N.ANDOVER ,IIIA. SCALE: 1" = 60' DATE: 2--19-2001 JOB #: 20101029 75.21 — 100.0 r - - N W i LOT D 71100 6 CO 00 i Vit` f� Lei opt-Q DEU 4�1 _ _' s#sos� -57 ST): WD. . cfl 17OL 1 112.70' SALEM STREET CERTIFIED TO:. ANDOVER BANK Flood hazard zone has been determined by scale and is not necessarily accurate. Until definitive plans are issued by IJUD and/or a vertical control survey is performed, precise elevations cannot be determined. NOTE: This mortgage Inspection was prepared — e.t specifically for mortgage purpose only oral gage inspection was pared in accordance This mortd — with the Technical Standards for Mortgage Loan i not to be used r re as a land or property /'�j�A OF (� Inspections as adopted by the Massachusetts Board of lime survey, used Jur recording, preparing deed ,/ � S - descriptions, or conslrnution. No corners wereRegistration of Professional Engineers and Land set. Building location anal offsets are �U� Surveyors 250 CMR 605. approximately located on ground and g CARMEN I further state that in my professional opinion that are shown sIeci call o A. the structures shown conform with the local zoning horizontal 11 y for zoning determination " TESTA dimensional setback requirements at the time of construction on r �` only and are rust to be used to establish property are exempt under A sg 4xi- lines. The matters shown hereon are based on o No. 18467 p previsions of MG.L CH. 40—A Sec. 7. C injbrnation and may be subject P F 1. Properly/Nouse is not in Flood Hazard r s to further out—sales, takings, easements and ri hts F �/ N. a, }' i r s of way, and other rnalters of record and preserytive sJy S7E p 2, property/House is in a Flood Hazard Ana. tHn r w or other rights. Northern Associates, Inc. assumes no OyAI LR!!D 5 3. Information is insufficent to determine Flood Hazard. x r art ,--,� , cceptsino re herein to lanai owner or resulting occupant, resrvv Flood Hazard determined i w accepts no responsibility Jbr damages resulting from said from latest F deral Flood reliance by anyone other than the said mortgagee and its assignZ l yf�� Insurance Rate Ma F.711l Z,5—pa p� aDp6� in connection with its sed mortgage Date ^ q Zone X ��e tla r—n ? Pofinancing to said mortgagor. k stn l�}baa 1: is fir` i \ VV Ul r_ r Location No. Datero r Of N RTM TOWN OF NORTH ANDOVER r ? ��4�c � •ti0 O •• n Certificate of Occupancy $ 9 Buildin /Frame Permit Fee o; Z Eta Foundation Permit Fee .., CMUS �- Other Permit Fee $ !�$ Sewer Connection Fee $ Water Connection Fee $ •�� TOTAL $ ' hIg BuildIII I spect0 12 5 Al2/% 12:20 '012.00 PAT Div. Publi• W rks ERMIT NO. APPLICATION FOR PERMIT TO BUJ ?,***** **NORTH ANDOVER, MA }rl f �I aP NO LOT NO. 2. RECORD OF0N5NERSIIIP % Y DATE BOOT: PAGE KONE SUB DIV. LOTNO. Je-o- /'VQD 3e*leclY,e0 Sett e1')CIOS24 LOCATION �� J PURPOSE OF BUILDING Pim (�.n ��rif.C��`of` NO.OF STORIES f w SIZE O\VNER'SNAd1E �� e 'MNER'SADDRESS Q NQ � BASE<IENTORSLAB � )� O C, o _ SIZE OF FLOOR TIMBERS 1 1 Z`D ✓� ��/ 3RD ARCtlll'ECT'SNAJIE Aix � U 14� Ci r/) e J n!p BL%ILDER'S NAME y iorj SPAN DISTANCE TO NEAREST BUILDING �dd _k� DIMENSIONS OF SILLS a X DISTANCE FROM STREET / P DIMENSIONS OF POSTS aa � DIMENSIONS OF GIRDERS DISTANCEFRO• LOT LINES-SIDES ES REAR 1EIGHTOFFOUNDATION 1 AREA OF LOT J`,VFRONTAGE / /� a } \ } SIZE OF FOOTINGIS BUILDING NEW S V IS BUILDING AllDITION �✓�S DIATERL4L OF CHIMNEY Z�f-(D C A� IS BUILDING ALTERATION OU IS BUILDING ON SOLID OR FILLED LAND ^ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ( IS BUILDING CONNECTED TO TOWN NATER es BOARD OF APPEALS ACTION, IF ANY /j 0 k,J,o IS BUILDING CONNECTED TO TOWN SEWER 0 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST Ale, f}© � PAGE 1 FILL.O(iT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST.BLDG.COST PER ROOM ELECTRIC DIETLRS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS\LUST BE FILED AND APPROVED Bt'BUILDING INSPECTOR BUILDING INSPECTOR ONVNERS TEL# DATE FILED CONTR.TEL# (� %e1I' j l7 ,!}C�i ,i�5 �1J o r7 3 SQ, cs}ep kev mn �u �. I sa,®� A fat-01417b CONTR.LIC9 SIGNATURE OF ONVNERORAUTHORIZED AGENT �f� Gt9NC�W� FEE $ 19 1/1n?, PERMIT GRANTED A) / 19 Revised 5/5/99 J`1 .- . _.. (Ong /3A-� o as = 9S�SQ q — I ®bso: q io a,— � o / p i n • FORM U - LOT RELEASE FORM r 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*********************** Lom,� tAPPLICANT g f C,[06Z X,/ J PHONE ? `�� PARCEL ? �� LOCATION: Assessor's Map Number i SUBDIVISION LOT (S) STREET �� AAn j ST. NUMBER *****************************************OFFICIAL USE ONLY******************* ************** t RECOMMENDATIONS OF TOWN AGENTS: r, • j k CONSERVATION ADMINISTRA OR DATE APPROVED DATE REJECTED t COMMENTS W C+'f "3 10 01 ow i 1 f TOWN P DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED o2 DATE REJECTED COMMENTS PUBLIC WORKS --SEWER/WATER CONNECTIONS ' DRIVEWAY PERMIT --T Co 9—Z/ 9 FIRE DEPARTMENT ' - `7 v� RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm 1 P >_�� .1 7 y: y $ 7 s It t1 Sr V 7 s T Ff f .'J r r i - 4J -1-11W4S.; � , ! +�F. 1 1 r I "-�ti, w'i .S dC r ! �.*rJ Y�;+�Y r{� jLYf 1 . Y J Ike.. -'4E,1W- 1"i , },r• I' r r r 1 } r•I'rty r' d _ ,!.,' �111 17�,a w t 7r{d Xj.. > + �" y t !,,>,�61 SS "i ! 1 64,E x3!y.�„jjr,�!, '. 10. "lT Y I 1 3 F }r4"t,, 11. l '4'''A't':f!Fi�7 7 r iirt1t z3r yi ; b., 11 x E ' r } +: `r �71`47''1'1 i kX .. :a } j#raf ci t a n, d 4 - ✓ .� I},}Q� Pt rt J s .,r c ,,l..l 1 Jw't t; - 1 1. , r r'( {fps GrowthsManagem- t1Byfaw EJ( t>lon 'Stateme t �', 4\ i ! tl f: ,.a ...-. - t i t�F +' 711 c!ie.!' + ° 1��}` ` Town of North Andover 8ullding Department r i * � ti "IllI t a .,yr , 3 p. e) f { n r u A I-u T5 Jl j rt.z i :fi ' J.,..t,.:h t i ♦,. �: t , t qR dn7�4 j't �I �'"'�.� �1f �GG,.. toy X f5i' c} '�f ,n a .e: s, ,3� ,at'N;; , : ! }t r:,g >«'�ht. \ t This�lomt shall be ' d'io..assist thea' "' ng:Department rn thelrtdeterminatlon of exemptions under section 8.7.6 of the 1. a 5i t1�:l ;Town of;North Andaver Growth Management Bylaw The budding applicant shalt provide all of.the necessary information as requested,below ,. x 3 E 1. 7 to I fV + IT.T'.:t5 ,: r, ,, ` ', I ` 'r� t,',h ' '� 'e i�A° re i ; Name of Applicant on Building.Permit(below) Address--l", of Property for Permit(below) i1 '� / /04 \/.1 \J/I/�/[J�•I/1 C ...(Jl��. ,/. - .` �y/ (1: �` - \�^ /� /'- / I.v i f 0,ti i I t- \ / \ VI�l - ��\SI / 'U'C�l�/'• / � ..SU C yy� J ��"/J�� .4 !1(^ 61 J��d„I.4{ Map and Parcel : Purpose of Application (check below)t .I ;r�.,l'# r PhoI.ne Number of Applicant. ? �Single Family ”, _Two Family„ ss ,;l,�':H;,,',l; ,i I ,the undersigned'applicant for the above'property attest th111. 1 -1sat the attached building'permit for which this I +I 4 r, 1 ,.form is;completed;does comply;with;the EXEMPTION secUon`8.7 6 of:,the North Andover Growth: t r t^�yri�l] Management Bylaw l.alao understand;providing thio fo{m does'�ot,absolve me or:any party to this permit 5>>t,'a t��"1 ` q y grp p. q d pnor,to the,J uance,of.the Building.Permit. '„�,',-4' from.the re uirements,of,obtainin^ other, ermits re uire i tion of the.EXEMRTION1.rstatus;isisubject to review by the'Building ; ,11 Further I understand that m rote reta Department and is only officially accepted,when the Budding Permit ig issued. f y'. Based on section 8.7 16:6f the N1:t I . 1. Growthi,Bylaw the:above'lot and the work as applied for on the 1"si.'4' above lot, .in the building:permit application and associated attachments, complies with one or more of the ` `," �' following seciions`as indicated by a check mark , s ,r This is an applicationfor,a budding permit forthe enlargementrestoration,or reconstruction'of a dwelling in I r t�� i' existence as.of the.effective date of this by law;provided that no additional residential unit is created.. 1'i t-,� 1 k1. t ., .; 1 The lot(s)were/was created prior to May 6 1996 are exempt from.the provisions of`this Section 8.7 of the Zoning 7.',, - �1�. This application is for dwelling.,units'.for low and/or; income families or individuals,where all of the41 f ,conditions-.of 8.7.6.care.me.t'and/ocrepresents;-Owelling units for senior;residents,where occupancy of the units is ' ;;t, �,;4�� restri�ed.to^senior,persans through a'properly,:. . 11ed.and'recorded deed restriction running with the.Iand For, ' �s'� i purposes ofthis Sedlonr"senior;shall mean persons over thelatte of 55 ` :f tt'� -1�, ;' !')1''}+tri t r , ff vbl+, 1 ,z 1` .9 4.,u a-_'^ ?`t�i, r 1 1. .,t �:,f(,! .. b Hz;!7' t s `'t K�k)Wt- 7 r<Y.- Y :..yytz J f �4'trt�,��r This:applicatlon`iso part of a development protect;which,woluntarily agreed•to.a minimum 40%permanent : f l ' 4 1' reduction,;in density;`(buildable,lats),;below the;density,(buildable lots) 'permitted';under zoning and feasible given the , `+r ,Pi6 E y, ,environmental:condiUons.ofthe trod;xwith,the surplus:land equal,to atleastten buildable acres and permanently,: k ^Y h "+I, +r,��}', `desi noted as,o enws ace"and/oryfarmLand,,�The land,to;be preserved"shall be ratected from,devela merit b ,an' 5 p' �z`" 0.1 l,, 9 P.. P ... P P Y. .,� ! r �( Agricultural,Preservatiori,Restndivn ;.Conservation Restriction dedication to the Town„or,other similar mechanism +s ,rr, 1. ' , � ,1 ' approved by,the Planning Board that will ensure its pro'Wlltection `� F , x Y f' ,-.T, �k4��, j+ r r�71'`rr.;F.t ,.SN,It,ti�fi3 ..,1F$ '��..:'ii ", t <.1l,Fr ;S .-,,;r �r Y I ,,,;f rw;ui i+. ) , This applicatlon;:re resents:a.,trad,of.land existin 'and.not;he-ld b a Develo er.in common ownership with an "�. `° ik P 9 Y P P i'E ftp t� f wr> 'adiacent parcel,on'.;the effective date'.of,thinSe tion�,8.7+shalLreceivera;one-time exemption.from the Planned Growth , \. t Y ,_ ; Rate"and Development,Scheduling provisions for the purpose of constructing'onesirigle family dwelling unit on the: raa' �'a, ttE parcel 1 ( F „A ,,YT.;y J ,�,✓ :,r "zs vr,2ti,Y i... }t 't`' ._.1 ! , }1,t ; .. 1. ar`Ft.!,,�� 1 b; + t 6 d'` <lr Yli;} -1111,7 ::7 z Ak SV rr��Y 3. {Y}3�/ f?ki t,s 7rJi;� , t7}i,� r r •*, py",1 eN 1 !1� 4 /Y .p ; a .,.'.f,a , .;s_i 1. c n C.+.jnhs .�x: �" ` � :o-3 -�i?,.ra i`, f!,Sw�1. ,,1 !' ,This'appllgtion:,represents a lotwhich is,ready�for.,building;permits,(I a all.other permits from all,otherboards and �1.! f a I Pt ,commisslons.hav1.e.;been received.and therproiectsis,inxcompliance with those'Oie its);:and the Development Schedule , e1”) . $ya a *t f does not accommodate,issuing,a;buildrng',permit in,thatYear;ane building permit will be issued per Year per - �5'' >w � ` + t >;Development..untilstich Gme asaheiDevelopment Schedule accommodates isswng building permits.:Applicant must >' `,g,-I, ;i supply approved,form U wdhrthis EXEMPTION trFi; ar f= , _t ' tx t,,%+g" ! 74./'ry''.- {S ':1\ a'�<.� },i�bt ..,':A+;' , ,. f": 1,.eNR:��—� ,V s ''< ,,,r ,,t..•A` tri 1,aJXl') r Vr p� .hl¢'r"F�i Y�t S' '% Please provi'de any:and,all`rnformabon thatwould assist,the:Building Department in making a determination ; ;r�k`;�'',J „z „ thatyaur,application is allowed one orkmore ofthe,above;EXEMPTIONS. y,; iw ;f � ,A,(2�7 514 „(I ,Jct rr�{r3, tM:-{e. S,.,Itf t;.t gr J1 hr ia� .l.yl.,d, .,vr a ;yy.t p i• tr.. �s j`-- qi Y.I' S 1.1".....- r r�,H d,t� ::t+ fekl ,«0 M N,C Y, ,9:E 11i 1:..f F^,.'i M',E,rl Y "' S' t _i. _ Y1 etill-aA ,�t ,r� r By signingbelow.l attest fo:the accuracy ofithe�informationtpr;ov.ided and that.the,attached building permit is ^*+�i � t t ,i + � ;allowed an,.EXEMPITION;asclted?above t;,Further lYunderstandnthat the: ubmittal of:misleading`.and or , _ ,q ,a" ' �t F, t;inaccurate lnformation,s oc the checking off o,,,ab ove',:item,which does,not,comply;whetherdone;to my ��5�� W n 1 r: �,� knowledge or not, is grounds forrefusal tiyfthe Budding 0epartnient to'issue a Buddirig;permit.` „ ; f rI; ,;3 s , t .. 'j51 ytx' 4i.,� t !j.�.st,gziY1 j r r °F)`.\#1,�' 'kl•:u3°r, ><r itna+,y..l+t, .1{'< '�'t� tnrl' r, I 1'(. -- r a . ,.a�•Ni t t S .r i'• ,,' },1 ," �'e7T+'p'77•,.( z t SMS. ,+.. a v ?,'&w f c , t d ''�S.P�i F , k: .! . .'e ,,:r rS -,k".y a, a ">yf}(,\r;t - 11 ',i,�f'l�' ,,y4':.t,t 7, '.54 r S a-ft 41 M� T ro 4., E'+ c'E+Y it Fpr "` �t i d.� rJ 'tS -r,rr 19-, el`,,11;i w hti hwii i't }�5 1:,Y i7 .1 Q i; Ir, ! r•, k i}y;`i�`! ? ! ..S ,.7s,, e..Y;:. I v S"a. +tP lty:,.?.f a ,7_13 T'T.}"r N1''.- SR - {. `_''1 / ! t ` ,U i`S�'wlxn7 11�: 1 n t:a ignatute o er,or.,uthorized Agent who: igned.ttie Attached Building Permit' A. . Oate }! K y4,J , This form st be a ched`to the Building Permit upon application'for such permit ,�a',� � 1 tie+� �; pr ,.,"+!.. r 5 1t t 1 at it NY 1.�,c L4T' e, t ,f, 1,a F { , - t , 1 :4tkd C z i n 1d a g z< J 4 .-4xt 1. C "t + Z+ , 1 3 .-I. u., k , 1 �! r a 3 ,ryr r s '.,: . 17 { k + - 3 f 1 i �., p �}`.P SS, g tri-- t iZ t r( <.. D ., tf - 1 1 �' i , +X7i„y,Y F -1 1 ✓ -JI '. k ° r , C e t`-r•., } r l: 4y r11 v t t y.. c r F N A' 1 I '�zii F 1, -4 1 J 1J: .5 f e 4fiYdK; yr>11 ' Yj A { (r' i I ' I f t r ,. t '1t s ! f. f 144,T1 i ' `k { f ,}i yti et `Ark r 1 M,7�Ur1 04 1` r y r C7F k�y4A bwr� +•'t 1' f cr r; i r§ } V: ! ,�' :p i. rte t�'.Y'; L 4 ` 1 •.:.:�:::'::::;:::•..:.:i.::....::.. ': is :. Town of North Andover Planning Board This form represents the schedule for allowing the following lots to be considered as eligible for building permits under the Town of North Andover Growth Management by-law Section 8.7 of the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of i. Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any building permit or permit for construction. Name and Address of Applicant for Lots: Name of Development: „q Cyrus Construction 492 Salem - Form -A Lots P.O. Box 583 �i North Andover MA 01845 Map and Parcel of Original Lot: Map 38 , Parcel 2 Date of Application for Lots Division: December 4, 1998 Lots Covered by this Schedule: IA, B, C, D 'i The Planning Board by their signature below, or a signature of a duly authorized representative, do hereby establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth management By-Law. The applicant, their assignees, successors and or subsequent property owners shall conform to the following schedule that limits the eligibility of the following lot:; for building permits. This form must be filed in the Registry of Deeds by the property owner or representative and be referenced on each deed for each of the i following lots. Such deed reference for the died of each lot shall at a minimum reference the j book and page in which this Development Schedule is filed and contain the language : " This lot 3 is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all owners, representatives, and future purchasers should avail themselves of said restriction by reviewing the approved Development Schedule as riled in Book insert here and Page insert here. The fact that a lot is eligible for a building permit is subject to the limitation of the number of building permits per year pursuant to section 8.7.2.d of the Zoning By-Law." J The Planning Board hereby schedule the lot(s) for the above development as follows: j •1 Year Eligible Number of Building Office Use Building Office Use Lots Eligible Date Lot Eligibility Notes Completely Utilized 1999 `i i it � I Signature of Plannipg Board member:or rized Representative `r Date Signature of Property Owner or Authorized Representative Date APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA RMIT NO. - 2. RECORD OF OWNERSHIP DATE BOOK PAGE LOTNO. ^ + ` PNO. 3 c �/ rE SUB DIV.LOTNO. See /7QD 3e-Hlemer,4 Aety-emlosed' . �� PURPOSE OF BUILDI`G P� C.r)n lr EAC7?1 p AnoN / L SIZE O t' NER'S NAME NO.OF STORIES 7 UJ A/oH BASEDIENT OR SLAB q N l II\\ NER'S ADDRESS . 0 D 1 a JD 2�D x / V 3� a / SIZE OF FLOOR TIMBERS CHITECT'S NAMEer ' •fin l SPAN ILDER'S NAME C f Cory I k 64 yV ,v DIIN[ENSIONS OF SILLS. ',TANCE TO NEAREST BUILDING >/Oo DLMENSIOYS OF POSTS TANCE FROM STREETet DIMENSIONS OF GIRDERS p ;TANCE FROM LOT LINES-SIDES a a REAR .. Q� Y�je r` THICKNESS rr�� EA OF LOT FRONTAGE d jee ?XCP )�N HEIGHT OF FOUNDATION �f �} e 0.1 l �� P� } v yr 066 " SIZE OF FOOTING p BUILDING NEN Le DIATERLAL OF CHIMNEY Z�� C e �yJ CQ- BUILDING ADDITION /✓!S a IS BUILDING ON SOLID OR FILLED LAND BUILDING ALTER4TION ` e< IS BUILDING CONNECTED TO TOWN NATER G CONFORM TO REQUIREDIENTS OF CODE /LL J )ARD OF APPEALS,ACTION,'IF ANY IS BUILn.ING CONNECTED TO TOWN SEVER �/V it/2 IS BUILDING CONNECTED TO NATUR4L-GAS LINE LAND COST 'STUCTIONS 3. PROPERTY INFORMATION EST.BLDG.COST EST.BLDG.COST PER SQ. FT. AGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER ROOD[ SEPTIC PERDIIT NO. _ECTRIC DIETERS MUST BE ON OUTSIDE OF BUILDING ITACIIED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: BUILDING INSPECTOR I.ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR ONNERS TEL# ATE FILED � y CONTR.TEL# / CONTR.LIC# IGNATURE OF-0YVNER OR AUTHORIZED AGENT H.LC.# 7z4� EE $ 'ERD[Tf GRANTED 19 :wised 5/5199_,_JNI A. U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT' .w { _.! -_J B k�,1 ,ronn.A mv<d Will Nn.lAnlaA3'J 1 t 1.�FIIA TYPB•Op'LDAN +:po-,'I17:rvt,r,;•;mxi,q 2•_PMIIA J.X CONN.UNINS. w ARDIFF & M - ORSE t P.C. 4. VA 3._CONN.INS.. 1 6, Pile Number q t 7. Loan Number 84190 SETTLEMENT STATEMENT' 8- Mortgage Ins.Case No. C. NOTE: .lhfs form 11furnished to give you a statement,of actual settlement cora. Amounu paid to and by the srrrfemrnf n l trent marked '(P,O.C.)'werepald outside the closin; rh ' D.NAME AND ADDRESS OF BORROWER: i.f g they are shown here jot lnfarniationn! a gent are slmwn. 1, PETERSON'FARMS R. Purposes and art not included in the rnrnls. 725 BOXFORD STREET, NO. TY'''TRUST - JOSIiPII PLLICII,.TrusteL ANDOVER 'MA 01845 E.NAME,ADDRESS AND TIN OF SELLER: MICHAEL J. DEMIRDJIAN, DEBRA M. DEMIRDJIAN F,NAME AND ADDRESS OF LENDER: DANVERS SAVINGS BANK ' ONE CONANT STREET I' G.PROPERTY LOCATION: DANVERS, MA 01923 O v v��( 492 SALEM STREET NO- ANDOVER MA 01845 I' ,1 ❑Property or Sol Recolvad H.SETTLEMENT AGENT;. 1099S-Cont act 1) ARDIFF & MORSE, p•C. PLACE OF SETTLEMENT: 5 55 FERNCROFT ROAD TIN I1042936393 I. SETTLEMENT DATEDANVERS: ,-,:,MA 01923 06-10-99 • ••_ ' 1• ° !`SUMMARY)+OFyDORROWB R,S:11 RANSAGTION 44s 111 iii 5�'x 111 I,;t1 XT'lig"?i. 1. 100, CROSS AMOUNT DUE FROM BORROWER i;SUMMARY"OF;!$gL(BR S'rTRANSACTION' rtl 101.Contract sales price " 400. GROSS AMOUNT DUE TO SEVER ItinlGal I„h,Alli :h;q r j Iq2.Personal Properly 401.Contract sales Price IOJ.Sculemcnt charges to lorrowcr(line 1400) - 402.Personal property 104. 4U3.-, ., 404. ... Adjustments for ltnnr Paid by seller in advance. 403. t z I06.Citypown ones06-10-991006-30-99Adjustments jar irrnks paid by seller ndvanct o 1! 107.County lanes to 406.Ciryltown uses 06-10-99 to 06-30-99 . .. . r 08.Asscssmens 407.County uses 109. to 408.Assessmenu 110. 409. .:. to 1I1. CIgSING 410. ADJUSTMENT -. = 112. 411. CLOSING ADJUSTMENT IJ. 412. 114. 413.• 115. 414: 116. 120.GROSS AMOUNT DUE FROM BORROWER 416. �. 200:'Ah(0UNIS PAlD DY/OR 1N BEIIALF� -' - 420 GROSS AMOUNT DUE TO SE ER 201.Deposit or earnest money. OF:BORROWFR- + : 'li; nl, t �,,a S0D•REDUC,70NS 1N;IA(OUNT•• 202.Principal amount of new loan(s) 22,350.00 301 Cxcess deposit(sre instructions) DUE TOFSF11F11 !t e"^rs O]sl advance * 207 310.00 302:Settlement cbarges to seller(!mr/400) 20).Lxisting loan(s) taken subject to I 204• 303.Existing loans) taken subject to . 205 ' .......... 304,Payoff of first mortgage loan I i } ' 206. 505:Payoff of scconsl mortgage loan 207. _. 306. 208. 307. (s 209. 508. I. Adjusrmrnrs for iremrunpaid by seller309. 210.City/town taxes e Adjustmtnts for items unpaid by seller to 211.County taxes 510,City/town-taxes to (,. to 511 1:.. 212.Assessments .County uxcs to to 213. - 312.Assessments to 214.' .. , FY' 213. _. FYr:99 4,241.29 241.29 I3 , 514 . .1 AXES + INT i AXES NT ( rt 216. SIS. 4,200 r,29 217. ._ 516. ........... , 11 r; 218. 517,.... 219. 519 - ...:..;. IF . ' PAID UL' BY/FOR 220. TO -• BORROWER TOTAL REDUC77ON AMOUNT ! JOO.;GSN<'A71'S67771ayFM SkFROUli [BORROWFI2 vd f 320 DUE SFrI xR 301.Gross amount due.from. 6 4�h91 n l9)4 °d s f s I l borrower(llne 110/ax h7 {7(,hr�91�600 GSIf ATr,'S TO/FROM`: 672lFMEN1 302.Less -------amounts Paid by/for borrowcr(hne 220)' s G01:Gross amount due to sellcr(fime 420) _. 602.Less reductions in amount due sol i. JOJ.,,GSN:(;;, FROM) r' ler(!mt 510 i (.�Q X't TO) DORROWER,:• :, _ 1 •' TA%PAYf:R IDENTIFICATION NUMOER SOLICITATION:SELLER 60J.GSII.(,.^ X TO) ( FROM S I Ya.re „ 1 EU.ER I M=r.abnlr4 by lar to Pmddr ARDIFF•MORSE,P.C.Hd, u.rber.ram, h a• I'll"li -d o,wm U-in"s"n.m<r.if j Is.kn Pewdn a ver b1°n a<I.0«<rlml rl moo«d M I,r,Is<t�,1 d0 not P o.kk ARDIFF R MORSE P.C.wbA yar<o M u .107•;1 ttnlfY aW de umber horn on W r n.r+rerr n N'Ktq'addun a'd u<Mknlficatlm Mwb nr)Ir shorn In tum G +7roY<r i m9•<'«rlel WMYer k1mul<rlon amber, +boK and awed be<k<ked for aivracY,1 ',? Th I.-lil,im<arw�lntd In Bbcka E,G,II t rd 1 rte lel la I r anion rill k I�q<td on nporu,a W Informa,lon and la Ari i �1 Ya If W 1 IRm Is r.pdnd b be u9«rrd.d ar IRS dekrml n fornlr ,k nncmJ Rerme&rvke. Ya Ir , .. nes aur h Au roe r<parted. .. tae Ind m ale.rtum,.until.K,nlq or nae, . JIVA AK nnewi.: ..rae2i ...: I SETTLEMENT CHARGES -IIUD 700 TOTAL'.SALES/DROKER'S.iwCOMMISSION t +1,n11'jT'a'Ii?jll�l BASEI' j;rI,I,IIIi,i;l l;r;: F4rl.i�tl;l D ON PRICE $ I, Division of Commission (line 700)as follows . •;I r PAID FROM PAID FROM 701. Si: `. a BORROWER'S SELLER'S to FUNDS AT 702. S r: to FUNDS AT 703. Commission paid`at Setdement SETTLEMENT SETTLEMENT 1' 704 I , 1' 'vr.�}800,y172AlslsPAY,1BLtimiNdCONIV .EQ iiONlI;Wj1''iXI:1 N1l 11 1 'pIto� �I Ir n'Fee 801. Loan Originatior9p t l�lpll;(i III 11iII III liY:St /l hai.lf:!I !j 41VIIhl1 A lira % 802. Loan Discount' DANVERSr'SAVTNGS BANK " r ,. 807. Ap raisat'Fee to „ GASPERONI'>'& COMPANY: -- 804. Credit Re It to 805. Lender's Ins coon Fee to ! 806, Mori e''Insunnce'A Ucmlan'Fee'to"•'"' 'I it 807. Assumption"Fcc to '.. 808. PLOT'.PLAN'FEE'to'EASTERN AND SURVEY: 809. FLOOD CERT FEE to FZDS i 810. . . ' 811. `'�'•� 812. ;. t 813. 814. " 900:'I7EMS!REQUIREDr$Y'L$NDERt17Dr'$tPAIDr7N'ADYANCE 901. Interest from to O,S_. 9(12. Mortgage Insurance Premium (or /d°y ( da s) months 1n 9f)J. Ilazanl Inwrartce Prcndum for 904. year 10 '4070.iR£SFIZYES'DEPOSI7ED':'.WIINdLENDER,'jil+l j4 ! L.:rC;l (11 111�..IrI IWI.}Tazard insurance I:r;l months•® S 1002. Mortgage Insurance months S ., I003.City to rt taxes per momh months 0S - r month 1004,County roti taxes months ® S per month 1005.Annual assessments WG. months 0 $ months•0:S .. r.monlh 1007. 1008. months ® S ner month 1100.777ZE:1'pURGESA V1 d I,;IrI • 1101.Se0lemcnt or closing fee to .,:• r i I I,'1 1.1• .�,.^. s 1102.Abstract`or lilIC'Mich to-t- 1103,Title examinationto•' '"JIM NEILSEN}° 1104,Title insurance,binder to - 1105. Document'ITCparittion,In' 7 1106. Notary fee to ,. ._. 1107.Attorney's fee to ARDIFF &'MORSE ' P.C. (I-ludrt above lremr number,..*,1 103' 1105 " 1106 - 1108.Title insurance to" TICOR TITLE INSURANCE COMPANY ) - (includes above items numbers 1109. Lender's'covel e 17 . / 50 00 S 700 000.00 IIID.Owner's coverage ' IIII. OBTAIN PROCESS DISCHARGES) to ARDIFF & MORSE P C• 1112• SELLER ATTORNEY'FEE to MINASIAN'& MINASIAN"' 1200..G0VERNMENT vRECOR,11 1 III I NSFER:GIARGES Q., .`. 1201. Recording fees: Dccd' . ,'S y 25.00. 'Mon a e S ' 8 8 29:00'':Release $ 40.00 ' 1202.Cit /county tax/stamps. Decd S' " 'S .. . 1207.State taz/sumortgage ms "'""' Dced $1204. 959.88 :Mortgage $ I 1205• RECORD'MLC'to'REGISTER'OF'DEEDS" ;'1300.'ADDI770NAC`d'SE77uyElV]eFC1L4RGES - 1301. MUNICIPAI;-.I,IEN'CERTIFICATE' t0'TONN OFNO: ANDOVER r I302. COURIER'FEES to•'FEDEX..`"•.' ..r_. .. L.• li 1303. RECORD'PLAN'to'REGISTER"OF'DEEDS " y• t0 1704. 'RECORD ASSIGN'OF''CONTRACTS "to`REGISTER"OF'DEEDS 1305• •RECORD-COVE-NOT,T0°ENCUMBER to REGISTER OF DEEDS 1306• RECORD TRUSTEE CERT to REGISTER OF DEEDS - - 1 707 1308. Z1, :;i --------------- r, 1400,TOTALI SEZ7ZENENT' p1AigCFS 1(enter on liner 103;`Section`7 and 502 Section A) I, I love earerdy rtdewed hh IIU0.1 Sen4mex Suunen ad,b th brat of my arowkd vyuaelleM1 i,t Welt,"Wry the I have received a copy or- Setllevtnit Suatnm.to and belief.R Is a uve-aurone rWemM of all mclpu and div,,.•....• h t. SEL ERI . E E / SELLER) 74 I- BUYER 1 .., ,,.-I 5 - .. �...,. •�. . .,- _ •., / � sen To th bevt or tm Irlow4dae,tie IIU0.1BU ER \ ' . ottk retdmnx of Ma 11, .KIlon �"�` Sraktrux oi�eb l hve preii Is a true red aefvrate BUYER . ., acioua or bile fads wNeh were(MIK4 old haw been of wlll4 ditturud by if. WARNING: 11 II a crilrc0b krovtirrl.�m.0�rd...._._� . . ' 1t r. { P ✓�ie -6oatl�reoruuea/l/i o/;,jliCa4oac/utvell4 rp + o ► r v+l r..c a to$I �sf4il ` I BOARD OF BUILDING REGULATIONS 03-0 -67 •03-02-99. M 5'11 D' 03152 + ',J ` 1 Date o Birth Expires .Sex l Height 1 Class - Nlgrlber - t, J t t �jr?a� t\r t I License: CONSTRUCTION SUPERVISOR ; I �('.�'�tr�y�. I Irt r T ` + - Number �CS 073482 4 f <: p / „ t f I Ili 4.. t ash ,� `2`Vt1Yfi+' "s t rs Birthdate 03102/1967 �VI�tw- lrc..jlUkf. ... ..,ywI v +td f' f? Z 'Jr t```' a >�+�r Y U t yc(y f STEPHEN M o {}A't F ti`r 1 +;i tt�,++ Expt�es 03/02/2002 Tr.no: 73482 t 11 WiLDWOOD RD • + , 5 t t Restricted To: 00 MIDDLETON, MA i'• `tr ' p5(rii, ` ;i v ., r`i ( 01949 'Iit r r,A c I y, STEPHEN M MAIURI 11; ~% ' . r / ' j 10 ADMIRALS LN +•+'� a.', E ! 11 '' i t 't. r I ".. t r.. r SALEM, MA 01970 Administrator r 1 l . l;, r t +i s i 1 - �:i. ,"1 > t - ^r-^--'Y'-r--^ t r 1-. r i.l+ ,,,. G. +:^.t[:i' i.Y ' 4 r 'it+Yt '? ; 'cf't S t �,ii�?1�{1.1`�,w,�t,,, ,r�6a`. 7�4 Y 1 < +st+ r(1 1 fi i v / 4 i dFII sf 1 -. e it i3r f� t9S�'. :•,fe °n rp JI YH 4'\ r „ZnM1t 7 }Y.II 11 ,rr t.l tvl 414i.{+I{n 11a. 1 -r fitJ 1).( q{x !{ 1 yr t t .I r }i \c ! `}rr4 17,'tt i♦ r I>tr r��{t , ; 1 r t ,ir r,'t Q'f., f+� 1 t 1 1: + t v l t t / I •r i ,+ S t t+, t _, t t } r, +1 J'. s it ;, ..,.. 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J 5 �Y ti lti�ti`f ' t- rir avl:'G,r.�1trR{ir } s t ,, tt n''S '1r-'ta.,r l',` 7r r<_tl• a k tf ce,,�r d.t"t'y.,lr tii•(-'S%r I 11 1/ t 1.v�: I r Y�:1 e+Ci ."'1 5 tri t'n 1p! ,r.. -�,.i 5r:^ �'ti rl�t'','St��r3f�sTy�' 1gi� tl. }. +,w� y ,t t{t f r/r .11.Y.,.! I�r r vC ,. Ji r y rl,.t..:. I' ,� ii,l,.r.+r l)1 1'.j71-, � a r Irl (t'i. li„ t 't,.{ t<<t: le Y a z t t A } t ii I: The Commonwealth of Massachusetts u is T Department of Industrial Accidents Office of Investigations \9e Boston, Mass. 02111 Af 5"0y Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. 0 I am a sole proprietor and have no one working in any capacity F-1 I am an employer providing workers' compensation for my employees working on this job. Company name: C- CbQST(-uC bQ C 0 9=P0 2—A-h -W Address U -- Cityr Phone#: 3 J 60 0 J Insurance Co Policy.# I, 1 Company name: I C C I/A C' Uq 1N, N CR— Address o( I Ci �" �1J T° Phone#: Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment.as well.as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t ains and penaltiesofperjury that the information provided above is true and correct. Signature Date " Print name DO S �'� Pei 1 L� Phone# �� J360 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing ❑ 'Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department 0 Other °Mt v rr i rvi:P. ;>,' is>� lJ l:.J l!`1.L 1;'Ia3.l t I I V\7a l�:l`"1 �.�::: t S.r r„ ..�., .. i,,l 4.: C RU5:- ,r ::. :r•: >'• Y 1 :.11 7''.9 rr•. t ?PRODUCER,.;y r , s\ r. as r`"> / / `','+ ��„<w,. •...,_,,;; r r:.::.4 + ,' . !r.; r',y=?? THIS CERTIFICATE IS+ISSUED AS'A•.MATTERiOF#INFORMATIONr:^t:,i �” `•F, � " ' " f '�' OtJL''YyAND�C`O.NFERS',NO'RIGHTS UPON.THE±CERTIFICATE:! '"j ;; ¢I '!�" k C J,'McCarth .Ins,;A uric Inc e �' X. +? .. r ° �'� � , , + y. 4 y, ,., .,Y t HOLDER THISI'CERTIF,ICA1 E,D'OES'.NOT."AMEND:EXTEND.OR tb,� " ,22.9u;Andovez :.Street I. 1 -S_m a 'ALTER$TNE?C'OVERAGE?AFFORDED,BY.•THE'ROL'ICI ES'BELOW z•,.K`+ r;ti �iilmington MA 01887 ;., ' !~j' i �,�s;t, �� .!,;!COMPANIES`AFFORDINGCOVERAGE';' "' ''r +' ��'� +fir+r, �+ r I � h ,t ! w, I ($ i, r {lJt1"' : COMPANY.1i 4j y ;, ^' i' 1. +i'. \h {7 is ;'N + ;t,`r y�i?f��l�' �/j a,rt��' Maryland Insurance .Group. ;f's } (, IPhoneNo '978-657-5100' •Fax No. 978=658-9185 ,I,+ Fy; 1x INSURED wa fi1.rm �'r,.;.i1, - . .. , 4 '�n� }COMPANY +' ,'�, y ,, , '. -.y t ..•. a1. - , r' ,f P. „' ; ; ` f�++l B.'; t'; I.�tArbell'a Indemnity Ins Co. r'� r,�+ $J 13,E 5 1./r r,r.t 4 1(t1: + r 1. , , J EJt9 I f ryi irpl al a 1 (lkl y;IIrCOMPANY i ' y , ,tr 1. Vii' N , , ` {° 'h Ci Rel'lance National t' t + +,r;° + ,' kti;,Cyrusa Construction Corp. , , I. r v r �fi vl,p ;PO'Box '583 ,'. , + r t yl, t >.+ i } t ',� i t r / , , r COMPANY 'ri * t.z.4.,+. r r t. I,.I A.I: , 1 t , , i 1• ,{$��:�� r sNo',.Andover MA 01845 , , t ,F „ '1a + e (f9F1`+:r,aR�a r...::' a t y ( �)p +t ,.Maryland 4 Casual ty Ir; y 4}; :y>� IN;,. v 1w4+�>'S qI f `'S':''r;:a,l1J';.5.,... > '' 1.( , .. � til i�! COVERAGES >.,.• '':� :•:.: t ., ...5;.., .;.;:.. ....................................:.:::::.::...:.::::::..;......... .:r.: i:Fi: Lx i% t f0 Y: ti•t. :�l S !" 11 SN; S ti lie '•1 7 IV+I,A J' 1 E..... #'.'•'., , •'II.t':.. " 51}.:': :i:i:i i}:•1'r"i•".. " -1 A S �,� :�,�aI HIS;IStTO CERTIFY;THATTHE.POLICIES OF,INSURANCE LISTED'BECOW;HA�E;BEEN;ISSUED2TOTHE INSURED NAMED ABOVE FORTHE POLICY;PERIOD d=:��,?y r ,}}�i�1 �j NDICATED,NOTVIIITHSTANDING ANY REQUIREMENT;'.TERM.OR'CONDITION;OFIANY;CONTRACT OR�OTHER•.000UMEN`i:WITH RESPECT TO WHICH THIS + + n1r;r�'l ,� ;4pf;CERTIFICATEMAY BEiISSUED OR MAY PERTAIN;;THE INSURANCE'AFFORDED;BYrTHEPOLICIES'•DESCRiBEDHEREIN IS SUBJECT::TO ALL THE TERMS; t l y�;,,la ,F".r" "a ft EXCL'USIONS''AND'CONOITIONS'OFSLICH POLICIES:CIMITS'SHOWN MAY:NAVEiBEEN EDUC 0`'B r ' ?:f t" H'. '�'.t•<?''•'' I + l.'I a �� + '';�` ,t R E _ Y PAID CLAIMS )f d I G.v l 1 t :, A +.r+,�y �.1 P"\ �^'7t'•\i rir, 4 rr,,cF.; 1 ':= 2 i - IS/ �*. CD' ,� r M ,r, .J , 'd r > i' ) !U^.•-p.A;rc, Hl4fI Yh.P..t 1 r , , I '.', ' r %+ Ah t' #4'tl ,�+ M ROUCY EFFECTIVE POLICY EXPIRATION'; J1. •1 'CTR' rN+ TYPE OF INSURANCE POLICY NUMBER t? + a s LIMITS n 3 ( .,`�. ! : DATE(MM/DD/YY) f DATE(MM/DD/YY) + ' :, .,' #•, I ` tri tiiT I.I� +y"s .GENE RAL:LIA81LffY;71 t , ' ` . . ''a°xi,' : GENERALAGGREGATE S'lOOOOOO } I 1 Y1�r ,i y^r.t ,,.r4y lY + '. w 6 qqqp� �A�?}i9X1 ;COMMERCIALGENERALLIABILfTY SCP33893315. 98 t..,�lO/01/96 , 10%01/99 ;PRODUCTS'.COMP/OPAGG" $'I 000000.,'',,tar; �'Y rsy l� ��, CLAIMS MAOEr, OCCUR Ila}Y(y { ; ' PERSONAL&ADV INJURY .i $ 500000''171,r'rn ' .4 +i r r OWNERS&CONTRACTOR S PROT ' i J I z, ,'j.L: It EACH OCCURRENCE• i .':''S O O O O O ti�, t �i; � �r a t j.�•hn t N. rw fJ c ^ FIRE DAMAGE(Any one iiia) I S O O O O qtr r Iry ](�rr��. r: r " , , I .. MED EXP(Any orie�person) '. _ ,,,, t`}y', ,k 1-,, ly W i- 4! � y r�.. AUTOMOBILE,LIABIUTY .. , # , t h., Y�Sx. ;',$74'•, %ANY AUTO ' COMBINED SINGLE LIMIT S 10 0 0 0 0 0 1"'n, ,' an .. Q3N51692 O1 98 05/27/98 05/27/99' •. �J iiiii�,1•t..I , jALL OWNED AUTOS . + BODILY INJURY ' S s t L + Per erson t1� ;'X SCHEDULED AUTOS ` + I ( p ) s t„;1 I an ( - � , A i., r? ', _ia t �' '1 h✓ft h -� ,,lXC .HIRED AUTOS r i 1 1�� : (- ,, R r ,H ' j�*� ��,tl y 'r.y .'..+ x .' ".. i 14 t , + .t.. 1 t't BODILY INJURY • $ r, .tkl I'7yh X NON OWNED AUTOS`••• r'11i r.1 t (Peraccidenl) + rr I/. 1� Sil�i ✓' .' ' t {I 1, b l 11 . ' j <I" f .'s'�Lill yp ,, t PROPERTY DAMAGE t, S t ltA t i i ditii, '�,j.el,y4 f t. .! ( A..,•,: , :',a I ,.•:1` , :a t�,°c 4�j; N� r TGAR�,GE LIABIL''ITY' !+. yt r l,UTO ONLY=EA ACCIDENT,: S i J r I tvi(r'ANY AUTO 1. 1 4r , } .1 bTHER THAN'AUTO ONLY. O1 + 'S : 1 s }fit; s4 , r t ! {+ Y" ° ' If? #' EACH ACCIDENT: f i I :y keit? fir.__ .A,.r.. ...:• AGGREGATE' S i ',iq Af.q.i EXCESS UABIIfTY a , ', %„ : EACH OCCURRENCE•' ' S.:; T ,l'IAff ''lQ-- , 1. 1 t }+ } %q "UMBRELLA FORM ''. I' AGGREGATE s. 3 r 0 al”.,OTHER.THAN UMBRELLA FORM s I. ¢ !{f WORKERS COMPENSATION AND1. ORYT M T H. ",;.. :;:;, ►;�,jE`MPP�LOYERS'•LIABILRY T S' ER : u r y�tPrXr",p� etr:`a;:i'.:'.' I I'' �, t 1 a. t , *. ..', EL EACHAUi. `CIOENT $•100000 -1.s "t' Er. +sa aT E PROPRIETOR! , l . 1' r �. r R INCL .6R10UB470X5421 98 1',11'/04/98- 11%04/99; ECDISEASE POLICYUMIT s 500000..:!4• ,; 1, Jy Vi !OMTNERSIEXECUTIVE+ ,• , t;iOFFICERS ARE::;±;^' EXCL .. .rr ar ''•;,'.*;;la, r `EC OISEASE�EAEMPLOYEE S'100000's t1a jai ' - f.,F OTHERZ. �,�; '"IT 7Install''/Builders .R BR92193441 12/05/96• . 12/05/98' 4 '• v A i � . " t' OPEN T, DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES/SPECIAL ITEMS F y�:S , "' ' �iY: f• C y,t } , t , , , , 3 a yI t R fTl r4A. ,,,, `, M l , ;CERTIF.ICATE HOLDER .. ........ ...... .•.... CANCELLATION 3 . ::. .:::.: :, sti6r'1* '. TOTOPSF a^+SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ,:,"A' .{t!,•tier r¢ '• ,. (. .. , I i. S � i jxr' -., - t....:,? s{i,... 1#1.1 .,..:,y '.,o. 1 h..: ,• ,�o'11fj n. < N �,Ij , ,,EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1. ,' I i �' 7 (1 O DAYS WRrt7EN NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE LEFT •} l t; �it .ri,lC r ', n1�11' �^^ r ;�! M I + r.Cp t .T •..n ",. •.. '...{ , r ,; ft�.l,µ {' t.'°�y j BUT FAILUREtTO MAII!SUCH NOTICE SHALL'IMPOSE'NO 08LIGATION OR CIABILRY ,,( j+�j��f i ,r .` [� a d 1 7r"I 19 IN , > 1,..,,••.,,., :., V.Yl, f 4.1,:.+i ^'lo-i i•✓: t V,tS,`:rl, d r r ,..;t:';'.d...P,,..�:•,..:...:�, S r i o , , �,�t •jc !}ral .1 I r T +a�'OF=ANY,KINb UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES�t :,. 11 , A Ill t' t `, 1 n AUTHORIZED RESENTATIVE ;: r.,>F J M , 1, „`�' , ...1 IJ`' ' ` - ' t l,�ry f r ', ..y.1 'I , I ` r r.. v��k� 0� �i 1 h' 1.- , t• ri. ACORD'25=S(1./9$).:. t :.: ORD:CO PORATION;T988 i i Ra.. 7@1.1:,F E ;•j.}r i -.f F -�','}'. "P! v:z 1 {j .,:y(�4t y,v 1� ,i #.,, {,r �.. #« .-::"4 tF n� ,. ' ! C. -. - ',; j. E':i.:-ff t�E,sJ':�.v ,a. i ^':,r sL ;tr n* s, ;s# q. »t:.' E. i. u t .E { If, T- i' t ♦,i r. ,r r#�:' x,•., ' ,r I,Si,, �1}.. .fk�:. .i.k+ e:f, �;E"+� :, 'ti t. ` ^: ..:k ..Is - i r r',j{ r? d 1 .. .. .{,,. a,- -, 'it•,rc e'.:2' 9! ':�' �. ;, .„ r >, ,y E t,. 'i r' P. 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T,:, <, ,o .i- t i ;.d 3 Y { s :7 .,.....'1 !z ,,<, ,. 5 .:.: .,,, r SaF... ..r «,.:'Lry -:r..._..,. ..,r -. .'`i#.,,.. +. ,. `,..,. +... tv f, `.1, •� ..r°+_ ...d,``.....1. ,$ _ a. f-^""�-fir .1. ...t.. :,r- ,.: :.... r .,,:pp- lx. -,,.., s: .,fir....,. ,,, 'xF ;.4r r .. rr_t+. . ,rr... :.i9.. ,,, ,a.: ,f., # . ,. tw..,4^ ,:.� r w::. J. :r.t. :k._i St P9.... rn ... .#. sra.. .C.. ,1."• ;,.,�{l.„ ,,i'a a ::.,.. t ..I qq Y, Y;:.h .,•y .,L•«y + ;. (.,:, al,: IW cr;.:, .0 .,,,t a t 1 o e:.;,, a ., #. as,. f+, t'- 1 jri,s, �, ,.si w ..j ,!# f E. f J._„fid-7•.v.., .... €''i'_.r... ,.5`?E.1..:.,, ._ .,..., .,..r,y. �ii..FS'y ,'. :.:,E, a. _. tl,.sl. ..fe._t.:#r- ,• •:or,§. u._.,,:;W',i ro i#..._#fa::;7+4.. ,. �. t. . _-y`::,r. _ ._ _- _.-.--- __ -- TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)6M9573 r10RTM 9I. X20 ,ttrOL t 6 �9SSACFHUS��y DRIVEWAY PERMIT Date: 2r LOCATION: 50( SA t-6-" S i_o BUILDER: cYIzJs phone: 493- 3405 OWNER: PET E-)2% A phone: (- 3 - 3re0 The North Andover Superintendent of Highway Utilities A 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: Professional Land Surveyors Ft Civil Engineers ESSEX SURVEY SERVICE 1958 1986 OSBORN PALMER 1911 1970 BRADFORD & WEED 1885 1972 PLOT PLAN OF LAND LOCATED IN lye', . '/,� ✓�r�' MASS. I6a s \�5 I Ga h i r t NORTH Tomm Of ...:,,'. 4 ... ®ver No. 7 O - /I C E I dower, Mass., n OR-ATED "'*" \L C5 S H E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System � . � _.. � B UILDING INSPECTOR THIS CERTIFIES THAT . � O .Nr .......................... ...................................'...... " Foundation has permission to erect.................'..................... buildings on .Lk.D..� S.a,h M 5 ! Rough g to be occupied as.....�.�.N �. ....F ly....Pvo-wl-h-p.. ......tewt-erms.5'�' ..I.I.....U.�U.�l+e.r Chimney provided that the person accting this permit shall in every respect confo- to 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 M 3 18 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR T'-1) i�O**K UNLESS CONSTRUC O START Rough R10C Ak I a 5 A- 41 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ORT � N T®vin o =1►2 X10- 6 Andover 0 No. Y617 _ Z o ndover, Mass., �D TL A K E O ~COCHiC HE-;CK 1- �q ORATED P, �C5 �SSAC HUS�� I T FOR EXCAVATION AND FOUNDATION e �r oN rw� s •� �� T� � THISCERTIFIES THAT .�..�......�..............f�........................�................ ---........................ ........................ f o6 s 0 has permission to excavate and pour foundation at ...�Q.........�.... .�.......�.............................................. for the purpose of..... ` �. .�l w.r I 'V "S to l V N d*r The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. 800x VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. 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Slope For drainage ' o I > 3,:500 p<s.i, concrete --- --- i .► '= 6 x 6--6/6 welded wire fabric _-- 5assment Cf%I1 I � placed at mid-depth of the slab. __ ll P__ _i 1 1 i 411(min) Step down into G-stage 20 mkxite fie door (min.) `� -'• ., 1 i ------------------------------------------- ---- ------ ------------------------------------- J.. - I _cTJ i ►. ---- _ _�— ---------- ------------------------------------------- — ' ---------------------------------------------- " 16'6" I21'611 2'0 38+0 [7tt48: V4' = 1,0' 1 . All d(meions do be field verified and changes made ac�ordingly. '~ 2. 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'.>1'. :-L. .`�'�'S-..• . u Y r .a, .. ..._ -... a, .. aa.r_... .t;,'.:.a..*_.. .—.c.--•r.+� .. r�...,- ....�_n �, ,.., _—. � � .•v.: 5. _.t.:^.r,. �F, 7� f"!`_�``� - .. Hr �• T n :�t._ "S:*?F. '.t";'.,,-. .....,+ ,..�. . � .,.."' '�n.'_'`.`J' .:,s....._.'m""G....."b...,. .._'r.��^:�.�.+�.�'�.'t..� __ _.,.__.......�,-.._. ...5....,.-._. .•�_�.�.R_ 3._.�E._ __ _. _.._��._<e_�..,....._.. ,,._....... .G _ ,....a..s..• _. _,e __>_.. . _._ ......s_... .. ,.._�s.w...__.a. �,.n..u. ..........re.. .,.._....f_u.zc ...x..._,._.. a•...._S ............. ._ ,-........_. .. ....u_ ..�.... .._..Y,.�_ .._...,,_ _a_.... .,__a._...•,...,. ...�....ott:i._.... ...,. ..z' _. .,. ... Lac .� s rnsc�� ,� P� N�� i I NORT1y '9 O st�ao ti bt z1� bb - a OL O ti • COCiwcw-ncrt V po'4�r[o r4P` �y 9SSgCHUS�( APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPERTY :- DATE. ROPERTY :DATE.REQUESTED FILED/READY FOR INSPECTION a)o �/OO CLOSING DATE ON PROPERTY: ��? ?/a O FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORICAND 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 Z-hfilu»o DPW -WATER METER NOTE DPW MUST INDIC TE THAT THE WATER METER HAS BEEN INSTALLED PRIOR T=AL OF THE OCCUPANCY/INS ECTION REQUEST Y DPW Signature File: OC form revised 6/8198 -;,,4„ri.�+.. ��a,.�.e�-,: a'.^1'�.,..nr•..sr'i"�r''-,� _,.,.,a�,��-.r-.,w.+ ".+w�...a-.t—.-. ....----e--°.'^--....,,v ._ 1�+ Date 4190 NORT►, ?�.,��°„• �oo� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMusf iG: G �i This certifies that . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform_. . . . . .7.. . . .. . . . . . . . . . . . . . . . . . . . . . plumbing in the uildings of . . . . . . . . .... . . . . . . . . . . at.�?71A . �! . . . . . . . . ., North Andover, Mass. ev Fee ?•. . . . Lic. No7 . . . �. . �. . 6--PLUMB�� NSPECTOR lam' 1 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer � 90 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type( _ aV t Mass. Date // �� 19 �?f Permit # 0;(hOa �7 B'ulidlnQ Location .� c"�-i 7 Owner's Name `� Type of Occupancy New �' Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES z w O Z Z W W Y N Z N < ¢ ¢ Y h v1 = O Z = rA F O h W ¢ a v - C 0 UX O ¢ <N W W ¢ 3 < O < h Z S ¢ W yr {,�O N G J - O C � ti 2 W < I ; 3 Z Y CL OC O U I I _ < H < F' = N a 4 N -K O < ¢ ¢ tt < O < h- 3 -g m vi o o 3 I r w ,L u < 3 a m o SUe—BSMT. t BASEMENT 15T FLOOR 2N0 FLOOT 3ROfLOO♦TH FLOSTN FLOO 6Th FLOOR 7TH FLOOR 6TH FLOOR Installing Company Name � f/T Check one: Certificate Address ✓A corporation ❑ Partnership Business Telephone �G ! T 3 S5 ✓'��' ❑ Firm/Co. Name of Ucensed Plumber INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yea V No ❑ it you have checked yo. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy 0 Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licenseedocs not have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permft application waives this requirement. Check one: Owner ❑ Agent❑ Signature of O.vnet or Owner's ant I hareby cartily that all of the details and information I have submitted for entered)in above application are true and accurate to the best of my inowiadge and that ail plumbing work and installations performed under the permit issued for this applrcauon will be in compliance with all pertinent provisions of UA Massachuselta State Plumbing Code and Chapter 142 of the Ganes(LAWS. By errs x P gnature of Jbcons&du r Title Type of license: Master Journeyman❑ Crty/Town ! L Vicense Number _ 't i I iI u BELOW FOR OFFICE USE ONLY I FINAL INSPECTIONS 3ECEs FEE . PROGRESS INSPECTIONS NO. r I i APPLICATION FOR PERMIT TO DO PLUMBING NAME i TYPE OF BUILDING C LOCATION OF BUILDING PLUMBER ; i 4 PERMIT GRANTED DATE g � I PLUMBING INSPECTOR r j 3304 Date.. . ��..� .!�� ... .. NoRTM TOWN OF NORTH ANDOVER I �? '�.• �p PERMIT FOR GAS INSTALLATION ,SSACMUSES This certifies that :. �� .°:'� :. . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation '. . . . . . . . . . . . . . . . . . in the buildings of . . .�` : �� - ~. . . c��,:..: '. . . . . . . . . . . . . . . . at . . . . . . . . . North Andover, Mass. Fee 7-:). . .). . . Lic. No..(-� Yr. . . � /��.r ,, r... . . . . . . . . . •� �� - GAS INSPECTOR W ITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI NG (Print or Type) Mass. Date 19_� Permit # Building Location 56 6 N" cf— _Owner's Name Type of Occupancy New Renovation Q Replacement Q Plans Submitted: Yes[] No ❑ V) W ui Y z N N N U X }- x N tt 1A 2 O > N S F W W CL O U ca t = Jf J o w a } = z o F- A m of F- y W O Q N W a = Z O > W W Y u W N a a W W N a = ¢ ¢ W ¢ W ~ W ~ _ N ¢ -� W > LL. {-' V J W i W J a C ~ F' >- N m Z O 2 W O u 2 Q W > 2 W 2 < ¢ a a O O W O w f- G ¢ = O C� S u ; O C� J U ¢ > O a H O SUB—aSMT. BASEMENT 1STFLOOR 2ND FLOOR IA 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR v 7TH FLOOR eTHFLOOR Installing Company Name �� e�tA/ Ca-zj� Check one: Certificate Address c2 7 C4ZA&ft �Y a 3 jp Z Corporation p ❑ Partnership Business Telephone 6d3 0 ny,,a ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter. SL-L!/z TCL-d INSURANCE COVERAGE: I have a current lability Insurance policy or its substantia! equivalent which meets the requirements of MGL Ch. 142. Yes 9- No ❑ �f you have checked Pees. please Indicate the type coverage by checking the appropriate box. ;i 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 ❑ r. 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 under the permit issued for this application will be in compliance with all knowledge and that all plumbing work and installations performed pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General taws. By T License: l X� umber Signatur of Ucensedumber or Uas Pitter Title fitter .7 ter License Number City/Town Journeyman dr/ BELOW FOR OFFICE USE ONLY r PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. V. APPLICATION FOR PERMIT TO DO GASFITTING NAME 5 TYPE OF BUILDING ' I t I i LOCATION OF BUILDING I PLUMBER OR GASFITTER LIC. NO. I PERMIT GRANTED DATE 19 { I it GAS INSPECTOR i