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Miscellaneous - 54 STERLING LANE 4/30/2018
i BulluING FILE �� .--- -,�_ �, �,�<-�L e AdEhL Safety Insurance P.O. Box 55098 Boston, MA 02205-5098 1-617-951-0600 August 11, 2016 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectmen City Hall N. ANDOVER, MA 01845 Insured: SEAN M KENNEY and JESSICA KENNEY Property Address: 54 STERLING LANE,N. ANDOVER, MA Policy Number: HMA 0328375 Claim Number: BOS00071098 Date of Loss: 8/9/2016 Notice of Loss Under M.G.L. c. 139, 4 3B This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-referenced address which may either: (1) meet or exceed $1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143, § 6 applicable. In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed to perfect a lien under Section 3B, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B,please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated below, and include with such notice a reference to the above-described insured, property address,policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly at (617) 951-0600 EXT 3213. Sincerely, Allan Leavitt Claim Examiner `. �M101:T11y Zoning Bylaw Denial Town Of North Andover Building Department U� 400 Osgood St. North Andover MA. 01845 Phone 8784884MS Fax 8784884542 Street: S S er !N A Ma Lot: /Dle o?•cZ Applicant: -7d N a U��,a p Sofa Request d N �a f �.�a/ 4 a rr4 ej-e Date: 8 1�P - Please be advised that after review of your Application and Plans that your Application is DENIED for the following Zoning Bylaw reasons: Zoning ' =Qi Hem Notes Rom Notes A Lot Area F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting S 2 Frontage Complies Lot 3 Preexists frontage y 5 Area Complies 3 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 Complies `�s 4 Special Permit Required S 3 Preexisting CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient 3 PreexistinQ Height �/ s 4 Right Side Insufficient S 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexists setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies eS D Watershed 3 Coverage Preexisting 1 Not in Watershed &&5 4 Insufficient Information 2 In Watershed j Sign 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient Information 3 Insufficient information E Historic District K Parking NIA 1 In District review required 1 More Parking Required 2 Not in district 2 Parking Complies 3 1 Insufficient Information 3 Insufficient Information 4 Pro-existing Parking Romefor the above is checked below. Item 4 Special Permits Planning Board tom a Variance Site Plan Review Special Permit Setback Variance Access other then Frontage Special Permit Parking Variance Frontage Emeption Lot Special Permit lot Area Variance Common Driveway Special Permit Height Variance Con r e Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board independent Eldedy Housing Special Permit Special Permit Non-Conforming Use ZBA Lar a Estate Condo Special Permit Earth Removal SpecialPermit ZBA Planned Dwe4ment District Special Permit Special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Densitv Special Permit Special Permit presicisting nonconforming _— - Watrarshad Special Permit - The above review and attaGrod S pkwwt n of such is based on the plans and worm em submitted. No defrrriive review and or advice shall be beasd on varbal axplmaaons by the appYcarrt nor shell such verbal arrpMroWns by the appk=t serve to provide dafinifive arrawam lothe aborts raasars far DENIAL. Any huccuraciei nrialsadYq Ytrornnation,or other acrbesquant chsngss to the hfornmon submitad by the applicar I shay be grounds for oris ravtaw to be voided at the discretion of the Building Department.The abachad doaana t tiled?W Rataw Narrativs'dW be attached haralo and incwponiii harm by rahrenoe. The bu1kkq dsparlrrrerrt will ratain al plans and documentation for the above tie.You mut file a new bu" POrmit aPP1100fion form and begh the parmildrq pmeass. Wilding Department official Signature Application Received Wpli6atim Dienied Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application permit for the property indicated on the reverse side: IMMi1 Ift dd., \/��,�L ,aC�C /5 viN�c�' @r � v+Pry osPcl I /N o A-) C (-)n-' 110 r eC- 0 Cq,a i Referred To: Fire Health Police Zoning Board Conservation Deparftnmd of Public Works Planning Historical Commission Other BUILDING DEPT 04/21/04 14:37 FAX 978 837 3336 NORTHERN ASSOC MIRANDA, P 0001/001 MORTGAGE INSPECTION PLN tr NORTHERN ASSOCIATES, INC. 401, SOUTH BROADWAY, LAWRENCE MA. 01843-3522 TEL:(978) 837-3335 FAX:(978) 837 -3336 MORTGAGOR:WILLIAM VANAR5DALE * JANET hYMAN DEED FIEF: 5043/005 LOCATION: 54 5TERLING LANE PLAN REF: 13035 CITY,5TATE: N. ANDOVER, MA SCALE: I `-G0' DATE: 411 G/04 JOB #: 204.02956 i 0 N s �C-P �al� LOT 8 v :STORY 3 t ae4 WOOD 110 5TEKLING LANE CFRTIEIED TO: . OLDS TOWNE MORTGAGE CO C Flood hazard xone has been determined by scale and is not necessarily accurate.Until deAn,ittm ans are issued by BUD and/or a vertical control s ey is perfprffwd,pmc1se elevations cannot be dele i NOTE, This mortgage Inspcetio-n was prePared `� PhiMe inortgagc inspection wars prepared in aooantanea os4 speciflcall}/ for ariertgage psrponly and ,r•. _ h e Tcohnical Standards for Mortgage I4+an is e s to a relied upon tit a land or ing d a Itn �g nspeceserur atr odoptod by the MassacAusxtls Board of desc survey, used f6r rsaarn. pvepartsrg decd IZe /PRgislration of Proftsetonat Engineers and land sescrlpiions, of oonslruation No corners wan Saaraeyors ,250 CXR 605. set. Building to action and offsets are I further state that in any pmf¢ssal 4ono ntan that approximately located on Tround and �' the structures shown eonform with the local zoning horUcntal art Shown-ry net to �/ Ju zoto a ablisdeterininction � � . dimensional satbook requirements at the Aima of canstr+mtion ar i only and ora net to o used to establish prayerty are eyempt unator prey;sions of MAL CH do—d $ec. 7. LiMCs. Ths matters shown hereon aan based on QfE,`p, . olicnt—fu.rnishgd infb'rrnatton and nfay 6c su *ar d �' to further out—sales, takings, eaaerwnes and Tights ,MD �E� 0. Pmperty�lfoa.ao is not in Fiend IfazaaeL of'wall. and other matters of record and prase iue ti G k Proper[!///Xoase is in a Flood Xaxawl Baca or other rights. Northern dssocimtes. Inc. assuTms no O 2. rn)brmattori is insufficent to determine Flood Hazard responsibility hevein to land oumwr or occupant, Reed Hacard determined from latest Federal Ploed ¢ccepts no respottribility for damages Tesulting from said reliance by anyone other than the satd mortgagee and its assigns Insurance to Map Ftcnel 0� in connecttan with its prolased morigoge financing to said anartgagor. Aase Zane .d TOWN OF NORTH ANDOVER BU_ ILD_IN�G DEPARTMENT APPLICATION TO CON _ EMOLISH A ONE OR TWO FAMILY DWELLING is � 5;: `� xr r ,,-.:,--,.: " � ..F a -k,�.'-«&•'�.g�` -'°R Y ^Y�i"4 � �a BUILDING PERMIT DATE ISSUED. SIGNATURE: Buildin O G� ings Date SECTION 1-SITE INI 1.1 Property Address: _ 1.2 Assessors Map and Parcel Number: O _ o(3 C, Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red __ Provided Re 'red Provided 30 ao3 013© 1 a(. I i :3a 16a f 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No M 2.1 Owner of Record Vl>/✓���y/iJ913��il�•(/�l'au 1����IJiQfe. ��� "� �i�/�-''� 0`-'�/✓-� ,�� �/J - Name(Print Address for Service: I i nature ,g Telephone it 9z 7 2.2 Own ecor ; r —D, 4-- j / -S�-4 Name Print Address for Service: m Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supe isor: Not Applicable ❑ ��� Licensed Construction Supervisor: �/�s� �(' <<� (tel /. % �, S. //� /� / License Number Address 7 �(� ' Expiration Date Signature 1/ Telephone(�), t e- 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address / X/ c' '' //,--p. �s tU G Expiration ate p� Si nature Telephone !�/ SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Pro osed Work(check all applicable) New Construction ❑ Existing Building A, Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: J T z; SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OC,IALIISE ONLY Completed b rmit applicant- 1. licant _ 4 u: s 1. Building �_ (a) BuildingPermitFee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Pernnit fee(e)X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authc d-Agent of subject property Hereby autho e C/"l ✓14 f�--"S,J�/�� ll�l�t isr2 �X to act on y b eafters relative to work authorized by this building permit application.. y, i atu 4Vof"iej Date SECT ON 7b O NER/AUTHORIZED AGENT DECLARATION I, L ms's I,, ,as OwterYAuthorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/ 4 ent Date. , NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS Isr2ND 3RD SPAN DMENSIONS OF SILLS DEMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 4, TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING y H Ma AMU BUILDING PERMIT NUMBER. DATE ISSUED. ic SIGNATURE: Building Commissioner/1for of Buildings Date SECTION 1-SITE INFORMATION I 0 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas -Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required _Provide R 'red Provided Reqwred Provided _ 30 a0 3 0^30 la(. l 11 30 1 + 160 t 1.7 Water Supply M.G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHM/AUTHORIZED AGENT Historic District: Yes No.�C 111 2.1 Owner offf Record Name(Printf Address for Service: 1 ignat: Telephone 2.2 OwnKof ecor / Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supe sor: Not Applicable ❑ '1V '�j Licensed Construction Supervisor: �/_//T �V 1 ;lam e S /IanLicense Number Address /, �(� ///�/" V 3�%v x 2 .5 �/ i 5 i ` �- J Expiration Date Signature t/ Telephone(�J'q 4� ( �`��� r r i 3.2 Registered Home Improvement Contractor Not Applicable ❑ ' p! Company ame C/ " Registration Number 1r„ Address '(, � �, �' , �. �� � ., i/�✓�cin. � Z Expiration ate P1 Si nature Telephone Y/ SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1/7 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be bl +, etk(.USE ONLY , Completed by permit a licant y 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X tbl 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 G Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUnDING PERMIT I,� ✓�. �/yl�� as Owner/Authorized-Agent of subject property Hereby autho e C 1 4` 'Scf!/�� CQIII✓!�r �ir s to act on y be iMatters relative Ito work authorized by this building permit application. i na o Owne Date SECT ON 7b O NER/AUTHORIZED AGENT DECLARATION I, �0 1�S' SCCA as GanerYAuthorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si ature of Owner/ ' ent D NO. OF STORIES SIZE BASEMENT OR SLAB ND SIZE OF FLOOR TIlVIBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DINIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 1'kJl\lrl V LV1 1tLLL`ri,aL' 1"Vlrl11 A 01 A cr INSTRUCTIONS: This form is used to verify-that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained.This does not relieve the L 4 ' aolicant and or landowner from compliance with any applicable requirements. ..............................................■a.aeea.g....a.....ea.........m APPLICANT `d�� r U s11©I. PHONE ASSESSORS MAP NUMBER f CLIGIrR - SUBDIVISION LOTNUMBER STREET 5-z/ STREET NUMBER raemeg■.r.rrr.■rr■..■rr�rrrr.r.rrr.r......r.......r.....r....rrrrrr....r.■ OFFICIAL USE ONLY RECOMW1EN) TIONS T WN AGENTS gaga..O✓F. .................................. .........game GG6/ DATE APPROVED CO VA MINISTRATOR "s e DATE REJECTED colvn�N'Is U / W DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS I DATE APPROVED FOdwltMO-R E R-HEALTH DATE REJECTED DATE APPROVED 71.Af .zv - TH DATE - REJECTED COMIvfENTS L� �•, i �'- 7r PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONDAEN-M RECEIVED BY BUMDING INSPECTOR DATE 'I f 3 ✓1zP -Piom�nw�zuv-a/,� o�.,/�acluaelta BOARD OF BUILDING REGULATIONS ' k Io License: CONSTRUCTION SUPERVISOR } ` Number: CS 070415 s Birthdate: 07118/1972 Expires: 07118/2005 Tr.no: 1300 Restricted: 00 CRAIG A HANSON 40-4 COLONIAL DR G � i ANDOVER, MA 01810 Administrator i i Date: 12/15/2004 Time.: 1 :21 PM To: Diana @ 919786822397 Ta rpley ins . Agency Page: 001-002 ACORQM CERTIFICATE 4F LIABILITY INSURANCE 12/iiz 4 PRODUCER (781)246-2677 FAX (781)224-0973 THIS CERTIFICATE IS ISSUED AS A MATTEF OF INFORMATION Tarpey Insurance Group ]Inc ONLY AND CONFERS NO RIGHTS UPON TH'._CERTIFICATE 442 Water St HOLDER.THIS CERTIFICATE DOES NOT AM=ND,EXTEND OR ALTER THE:COVERAGE AFFORDED BY THF POLICIES BELOW. PO BOX 567 Wakefield, MA 01880-4667 INSURERS AFFORDING COVERAGE NAIC# INSURED Colonial Village Development, Inc. INSURER A: National Fire & Marine Ir,s. Co DBA: William Barrett Homes INSURER Safety ]Indemnity 33618 1049 Turnpike Street INSURER Travelers Indemnity Co of Conn 25682 North Andover, MA 31845 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTE[ BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR COND TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFC RDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICYEFFECTNE POLICYES:PIRATION TR INSR TYPE OF INSURANCE POLICY NUMBER DA MMIDD _ DATE(M 4)D LIMITS GENERAL LIABILITY 72LPE693330 10/01/2004 10/01/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABIL TY DAMAGE TO RENTED $ S0,000 71 CLAIMS MADE a C CUR MED EXP(AnY one pert n) $ S'000 A PERSONAL&ADV INJL.RY $ 1,000,000 GENERALAGGREGAT:- $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES F ER: PRODUCTS-COMP/OF AGG $ 2,000,000 X POLICY PzC JECT LOC AUTOMOBILE LIABILITY 1900226 03/23/2004 03/23,12005 COMBINED SINGLE LIN T $ ANYAUTO (Ea accident) 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per Person) $ B X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE - (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIC ENT ANY AUTO OTHER THAI FA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F7 CLAIMS 4 ADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 6KUB733OA86504 - AR 03/24/2004 03/24/2005 X TORY LIMITS 0R EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 C ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E L.DISEASE-EA EMF OYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY JMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 V:HICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS E: The Hyman Job CERTIFICATE OLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLO-R NAMED TO THE LEFT, Town of North Andover BUT FAILURE-r0 MAIL SUCH NOTICE SHALL IMPOSE NO OBL'GATION OR LIABILITY Town Hall OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA AUTHORIZED REPRESENTATIVE [Kathleen Munyon ACORD 25(2001108) @AC:ORD CORPORATION 1988 f Janet Hyman 54 Sterling Rd No Reading MA 01845 Phone: 978 689-9627 Date: June 29,2004 RE: Basement finish The following is a quote on your project. • Frame basement walls as discussed r! Two double door closets at bottom of stairs and another in corner by garage entry r • kdoor will be provided for access to the water meter • Electrical panel will be flush with wall and`painted • Radon pipe-and cleanouts to be boxed,'with access hatches • Column to be wrapped with post cover • Hot water heater will'be accessed from a door • A closet will be framed under steps • Mudroom to have a ceramictil oor(allowance for tile and grout is $1100) • All other floors to'be rug(rug allowance 's$2250) • Ceiling is to be plastered to match existing fin4 as on IS`floor. • Walls to�be plastered to match existing finish on 1 oor. • Doors-and woodwork to match existing as close as po 'ble. • Walls and woodwork to be painted(Ben Moore Paints to used) • All debris to be removed from site and disposed of in an acceptable i manner(dumpster) OurJ price-for_the above..is.535,000.00 RE: Garage extension. :tion• Cut existing pavement and pour new founda• Frame and finish to match existing structure• Move existing garage door and opener to neation. Our p ice or this item is$5000.00 Thank you for allowing liatri�arre omes to quote on your project. If you have any questions please feel free to call us. Pricing is valid for 30 days. Sincerely, William K.Barrett is ,WAV "^i add lf)9 4- 00 ►: .h ` i ty J `/ ✓/ y ' THLCONMONWEUTHOFAMSSACHUSEM Office Use only DEPAIZ7NIDVlOFPU LICSAF Permit No. �— BOARDOFFIREPREVEN170N ONS527CNIRI2 QD Occupancy&Fees Checked APPLICATTONFOR�PERMIT P RFORMELE=CAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH T. MA ACHUSSTS ELECTRICAL CODE,527 CMR 12:00 /7 QSE PRINT IN INK OR TYPE ALL INFORMATION) Date 6! Town of North Andover TO the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant J 1-,V 4 r 1-f V r11 A-A/ I Owner's Address II Is this permit in conjunction with a building permit: Yes nNo r--J (Check Appropriate Box) Purpose of Building A/be /c+M/ LY A/ 0'14 Utility Authorization No. a Existing Service a/(JU Amps ,9 W)-U+Nolts Overhead M Underground E:f No.of Meters New Service Amps / Volts Overhead M Underground 1:3 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -+• � �l�, ;i,ti t 4JL41 f L;� �✓�N,�-Zs�r f No.of Lighting Outlets No.of Hot Tubs g g No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round -"'tceptacle Outlets 1 No.of Oil Burners No.of Emergency Lighting Battery Units ditch Outlets �C A I No.of Gas Burners hges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons 0 osals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices %washers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices rs Heating Devices KW Local Municipal Other Connections r Heaters KW No.of No.of Signs Bailasis Massage Tubs No.of Motors Total HP etage.PumailttothewTq tuna ofMa%adu9easC�aledLam Fbky � Covaageoritsabsumalequivalat YES a NO validproofof theOfoe.YES If you havediededYES,pleaTnxbcatethe rypeofco .ate bo BOND OrHQt ?&a espa*) Expir,6mD& Etmated VahrofEec"Wotk$ hls wdonD&Regtiested Rough Final • Penallksofpeij . (� ;tAtN AA A,7 O /f�,, Lioa>SeNo Xnsw 1 /l��N)�' � .:��. Stz�� `'" UcetwNo / BusitmTel.No. _ a.� If 1l ifs, f ,%� y� � ILL-/✓ A1tTe1No. � �).NSURANCEWANII2 IamawarethattheLicensedoesnothaNetheinsr�umcoverageoritssubstantialequivaiemasrequiredbyMassadiusctsGa�eialLaws Ih, " signattueonthis petmitapplicationw&Nt!sthis tegtti mlin l lease check one) Owner Agent d w Telephone No. PERMIT FEE$ tgna ure o caner or gen f Date..�z.... .. ` ... �aORTM °�,�``°:•1"° TOWN OF NORTH ANDOVER = p PERMIT FOR WIRING This certifies that ...... .....::. .......... ................................ has permission to performs.z. ......? :-.:.......... .p...... wiring in the building of.. ...... . . ,.. ............................................ at.�� .. ':........ .........•a?..:> ' � ,... ..F............ North Andover Mass. Fee.�flc'c'.... Lic.No: F9!� i ... / J 0�', . �.��;c•... ��~ELECTRICAL INSPECTOR Check # 4SGS 5JUJ ME COMMOArR ALTHOF MSSACHUSETTS Office Use only DEPAR7AIMlOFPUBLICSAF Permit No. ��r BOARDOFFIREPREVENTTON ONS527CMRI2:OY1 Occupancy&Fees Checked APPUCATIONFOR PERMIT P RFORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH T MA ACHUSSTS ELECTRICAL CODE,S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date O Town of North Andover TO the Inspector of Wires: The undersigned applies for a permit to perform.the electrical work described below. Location(Street&Number) J T,Ae-(-�l AX LA4_ Owner or Tenant cJ�,(/4_r d 1-f V/m AV Owner's Address Is this permit in conjunction with a building permit: Yes[El No (Check Appropriate Box) Purpose of Building rT r,A/6 L t FA-M/L y 14/5-6044 Utility Authorization No. Existing Service _d U= Amps 1A W d-4i Volts Overhead M Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -( (L ii✓►<-i.AA4 Atrt 4J Em t,vf `u✓1Vu�-i�stSc No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round round No.of Receptacle Outlets 1 No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets (�C No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Si ns Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHFIR• kMrara'eCoVnge.Rusuanttodlero4mmr lsofNb%WhtSMCe�laws IhawaammLiabililylnAn=Policyin kdfflgComplete onsCovWageorzsubstffMalegtuvala>t YES E] NO ED Ihaw sub n1&dvalid proofof theOffrce.YES � Ifyouhaw dnedcedYES,plmseindic&,the geofcoverageby clmV ngthe bo 1� INSURANCEL]T BOND F-1 OTHER (P)ease SWecafy) EViration D& F9dmated ValueofElearical Work$ WodaoStart kgecionD&Regttested Rough Final SignedurnderTrPmal icsofperjtuy. (� FIRMNAMEW limeNo. liamsee i ?�rM!� � � Srgnahm 'Alt LiaffiseNO BusirmTel.No. Arlrlirr V U U l� �_r��- K �V Ut>�1✓/�/V Alt Tel No. I OWNER'S INSURANCEWAIVER;lam aware thattheLimedoes nothavetheits rarmcoverageoritssubs irbalecwvalmasregmedbyMassadu,)o9tsCene Laws andthatmysignAmonthispermitapplicationwaivesttvsmqu*ffmin t (Please check one) Owner M Agent Telephone No. PERMIT FEE Signature or Uwner or Agent " Date......... TOWN OF NORTH ANDOVER PERMIT FOR' WIRING •°•+n°rr'yq°i J A V e�� This certifies that ..�!��. .... .................... ....._..�.................... ........ has permission to perform .. %� al. L �� . ............. ............. .. .... T. wiring m the build' g,of. ,, ., . .... .............?........................... .:o..1 ����f....,............. .North Andover,Mass, 'Fee...-3.0 .0 0 ..Lic.NoN6.!414. !4! ....... ELECTRICAL INSPECTOR � Check # 5830 j JIM I.fJimViV[V"r.HLJ n Ur i u --•••_�-�/,� OF Permit No. v BOARDOFFM ONRDG&AH0NM5VCW12-W Occupancy&Fees Checked APPUCATTONFOR P TO PERFORM ELECMCA FORMED IN ACCWANCE THE MASSACHUSSTS ELECTRICAL CODE,527 CMR LoWORK ALL WORK TO BE(PLEASE PRINT 1N INK OR TYPE ALL INFO TANC IO Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the le trical work described below. Location(Street&Number) c q Me L i w E Al, A10DA)FA Owner or Tenant W d d@ R,*JAR _F Owner's Address 514 S TEAL I N)J L Ay Is this permit in conjunction with a building permit: Yes[Z] No © (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Underground No.of Meters New Service Amps Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 5q STEPLI $ LAr4 IWffR1 IVU'.e)1WNCRATbl2 AND 1�R/JSt'E2 SLU�7! No.of Lighting Outlets No.of Hot Tubs No.of Transformer Total KVA No.of Lighting Fixtures Swimming Pool Aborve al Below Generators KVA !L groucl ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets r No.of Gas Burner No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps .Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local 0 Municipal Other Connections No.of Water Heaters KW No.of No.of SiarmBallasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- - a 1r>5trdtceCo�a'�Ar�ttbderegiaerl�l�ofMa®da�llsGaraalLaws Iheneaaaat1dxTlylt mxeRfiyindtAvCarnplesl aritssdbdwM c}avalart YM NO IhAes hnittdvardp udcfsmriDt oflir—ya M ryoutg dwdedYMple= dXtmroftx by NSURANCE bmc BOND [:] OHM ED ftm*y) Eq*adanDw E=*dvatteofFlmoxd Wak$ Wakl0Stac Iits mdmDtrleRe x*d Rao Find E NAME � SAM ' COAr'ire I i i w :LN u Li==Na Btisiles TdNa /—goo -'1 y3-,-f C6 3 P1 111 S ! ,E, v s,� 2" ins �.� AL'It1Na }OWNSUSIlVS[JRAN(EWAIV3klamamdxtiheLioanedoesmtharetbeinata=wvawcrilssub�r�alegtavala�tasraglmedbyMl t,alaaliaws andthatmysigrreaaemdispsoric*picmmwaivEsalist *.scut (Please c ec one 1:3 ner Agent vx Telephone No. PERMIT FEE S SignatuR or Owner Irm tIUMVIUty rrr lL in yr inru MIL"V ua I u DEPAR730MOFPVMKSMY Permit No. BOARDOFFIRE RDGiJIM0M5VCt &W Occupancy do Fees Checked APPUCA77ON FOR P T O PERFORM ELE=CA,L WORK ALL WORK TO BE PERFORMED 1N ACC ANCE THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 O(PLEASE PRINT IN INK OR TYPE ALL INFO 110 DatG Town of North Andover To the Inspector of wires: The undersigned applies for a permit to perform the 1 tri work described below. Location(Street&Number) 16'4 5Td*9LJ1JJ LAv6 tJ, AN MEA (- Owner or Tenant W i d A010R Owner's Address 5 7-ER ANE C"�� is this permit in conjunction with a building permit: Yes a No (Check Appropriate Box) purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground ED No.of Meters New Service Amps olts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work u5q STERL I 4 LA r►l Tn1 f 9J /IJP,111/.,FWElL9T 7)Z gWp TRAA) 't=a/L ,SV 17- No.of Lighting Outlets No.of Hot Tubs No.of Transforrners Tots) KVA No.of Lighting Fixtures Swimming Pool Aborvve Below. Oenentors KVA Z a ri No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlet No.of Gas Burners No.of Ranges No.of Air Cond. Tota FIRE ALARMS No.of Zones Tau 1 No.of Disposab No.of Hest Tota Tori 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 Dryars Heating Devices KW Local Municipal Other Connections No.of water Hem= KW No.of No.of signs Bailasb No.Hydro Massage Tubs No.of Motors Tota HP bUere�t+ltrletRl�Gat�llawg aaw t Iiidattx yindtrdrg ar*xbdw altSuivalalt YES NO irr�i v a�plt ,tarsamebi�ecl�a��l�s ff}ouhacedrd1zdYMpl= lhetypecfanmpby acwO ammci a' D� :. �s k>�laont)IaleRtadFstirrtatadvatleefh]acmawadc$ Rao �rnk' Cvntl R 4(Z)J ::IU c LiartseNo. &rti=TdNa /—Roo hm"aft het oma Ak.TdNa M °r '' +eahTl�quimd�lc e1Ya °fits ntialgxvalaasaj9ueWby+Mffim =MGaxW1zm M 1:3: Telephone No. FEE PERMIT S -- D G� Q Q . r Date. . . ..�. `.. . . ... ORTM OF ,.ap 1h0 o= TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION �9S CH This certifies that .c""*,. ?� . . .`.- . . . . . . . . . . . . . . . . has permission for gas installation s. !�* � . . . . . . in the buildings f ` ` � s. . . . . . . . . . . . . . . . . . . f�� `� , North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . � . . . . . . . . . . . . . GAS IN`8P TOR Check# s/y 5i55 MMSSACHUSMS UNIFORM APPUCATO FOR PERNIlT TO DO GAS FTrnNG (Type or print) Date 6 - 0, 1 S NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Owner's Name � Amount$ c 3Av New® Renovation ❑ Replacement ❑ Plans Submitted ❑ Ux C4 w p U asN x ti e o °z o w g o ; Z o `nw � M p a H w www 0 o 5 5z F x o w o U 3 a a U. Ix SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3 R D . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLO.OR STH . FLOOR (Print or pe) Check o Certificate Installing Company Name �Q WL �I v c t.��c` — Corp. Address Q"�L- � ❑ Partner. ,,- © 2-8-( S usiness a ep one ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ;NSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes — No❑ i If you have checked Les,please indicate the type coverage by checking the appropriate box. Liability insurance policy q Other type of indemnity 13Bond Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and instalfa 'ons performed un04 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset tate Ga ode d pt r 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By: ❑ PlumberTitla'2 Qj_ t r_ City/Town ❑ Gas Fitter License Numoer ❑ .Master APPROVED(OFMCE USE ONLY) to Journeyman 9 r Location �� No. f Date �o90 TOWN OF NORTH ANDOVER F 9 • ♦ + �> ; • Certificate of Occupancy $ CNUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ L7 O Check # 17915 Building Inspector x { TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: 40 Building Commissioner/InSpeetor of Buildings Date z SECTION 1-SITE INFORMATION IO 1.1 Property ddr 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqtlired Provided ReqWred Provided 1.7 Water SapplyM.G.L.C.40: 34) t. 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes 2.1 Own r of 1Record � ) AU, Ars Opl� s Name(Print Address for Service Signatu r } Telephone Q 2.2 Owner of R d: VmNA Pq S-ba,41 Ndme Print Address for Service. gY 639- 9Zd-7 SPI Signature Tele hone SECTxON 3-CONSTRUCTION SERVICES 3.1 Lice sed Construction Supervisor: Not Applicable ❑ .d Licensed Construction Supervisor: License Number Addrefis Expiration Date � Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ rte kAIT .F' Cori pany Name l.3 7 � e) /� Registration Number Address �/7/o1c7U� / z Expiration Date S ature f Telephone G• Jp x r SECTION 4-WORKERS COMPENSATION(M.G.L,C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes....... No.......❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) [Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1,4 ,-sl T SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OF7F'IGLLUSE O .Y rt�x Completed b rmit a licant r « -; 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT QR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereb authorize �S ' ��// h,`lr%J oor� to act on My behalf,in al afters relative to work authorized by this building permit applicatioi. Signature of Owner Date SECTION JI 7b OWNER/AUTHORIZED AGENT DECLARATION as Owner/Authorized Agent of subject R j property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief &IJr aS ?5cS 4 e l' Print N Si ature of Owner/Agent Date / NO. OF STORIES l. SIZE • BASEMENT SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DD64ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 94") a FORM U - LOT RELEASE FORM L act 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*********************** N� WI.ANJ �- APPLICANT_ b t l) VANO, ek A°e, PHONE �' Y LOCATION: Assessor's Map Number V(Q C PARCEL o2 SUBDIVISION LOT (S) STREET Vq ST. NUMBER OFFICIAL USE ONLY ***** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD WINSECTOR-HEALT 0:���DATE APPROVED ATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED / z-/ DATE REJECTED COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 Jm William Barrett Homes 1049 Turnpike Street No Andover, MA 01845 (978)682-2320 (978)682-2397 fax CONTRACTOR AGREEMENT THIS AGREEMENT made the 28th day of Oct 19, 2004 by and between William Barrett Homes , hereinafter called the Contractor. 1049 Turnpike Street North Andover MA 01845 and Janet Hyman& Bill VanArsdale , hereinafter called the Owner. 54 Sterling Ln_ North Andover, Ma. 01845 Witnessed, that the Contractor and the Owner for the consideration named agree as follows: Article 1. Scope of the Work The Contractor shall furnish all of the materials and perform all,of the work shown on the Drawings and/or described in the Specifications entitled Exhibit A, as annexed hereto as it pertains to work to be performed on property at 54 Sterling Ln. No Andover, Ma. ' Article 2. Time of Completion The work to be done under this contract shall be commenced on or about 11/10/04 Time is of the essence. Article 3. The Contract Price The Owner shall pay the Contractor for the material and labor to be performed under the Contract the sum of $ 40,000 subject to additions and deductions pursuant to authorized change orders. Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: 1 st. At Signing of Contract $1000 2nd. At Rough Inspection $20,000 3rd. At completion $10,000 I r Article 5. General Provisions 1)All work shall be completed in a workmanship like manner and in compliance with all building codes and other applicable laws. 2) To the extent required by law all work shall be performed by individuals duly licensed and authorized by law to perform said work. 3) Contractor may at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this Contract. Sub Contractors work for William Barrett Homes only; any extra work performed will be billed as Extra Work Orders. 4)All Extra Work orders shall be in writing and signed both by Owner and Contractor. An administrative charge of$100.00 will apply to Extra Work orders over 5. Overages on allowance are not included in the 5. 5) Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of Contractor or its employees of subcontractors. 6)Contractor shall at its own expense,obtain all permits necessary for the work described herein to be performed. The Contractor will also be responsible for implementing on-site work required of the Order Of Conditions (OOC) issued by the Town/City Conservation Commission. The Owner will be responsible for implementing all administrative conditions of the OOC including but not limited to required recordings at the Registry of Deeds, bond postings, as-built plans or obtaining the Certificate Of Compliance. This applies only to houses or lots that fall under the Conservation Commission jurisdiction 7) Contractor agrees to remove all debris and leave premises in broom clean condition. 8) In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pending payment or resolution of any dispute. 9)All disputes hereunder shall be resolved by binding arbitration in accordance with rules of the American Arbitration Association. 10) Contractor shall not be liable for any delay due to circumstances beyond its control including strikes, casualty or general unavailability of materials. 11) Contractor warrants all work for a period of 12 months following completion. See separate warranty for detailed description of coverage and/or exceptions. 12) There is an additional charge for paint colors that exceed 2,trim is not considered a color, $150.00 each additional color. 13)Any landscaping, driveways and sprinklers that we disturb during construction will be repaired to the best of our ability within a reasonable cost. This excludes any work that is part of the agreed contracted work and cost is included in the price. 14) If Owner chooses to have their own sub contractor perform work they will solely be responsible to schedule work, delivery of materials and warranty the work performed. If any damage to work that has been performed by or will affect the job performance of William Barrett Homes, then the Owner will be billed directly for cost of repairs. 15) In any case where unsuitable soils exist or ledge is found, an additional charge may be billed to accommodate the additional costs. Article 6. Other Terms: Notice: All home improvement contractors and subcontractors engaged in home improvement contracting, unless specifically exempt from registration by provisions of Chapter 142a of the general laws, must be registered with the Commonwealth of Massachusetts. Inquiries about registration and status should be made to the Director, Home Improvement Contract Registration, One Ashburton Place, Room 1301, Boston MA 02108. Designated Registrants Name Colonial Village Development Corp Registration Number 134690 Salespersons Name CHARLES J PISCATELLI Notice: No agreement for home improvement contracting work shall require a down payment (advance deposit) of more than one-third of the total contract price or the total amount of all deposits or payments which the contractor must make, in advance, to order and/or otherwise obtain delivery of special order materials and equipment, whichever amount isrg eater. Notice: If the homeowner obtains his own construction-related permits for the work described under this agreement, the homeowner is hereby advised that in the event of a dispute,judgment and nonpayment of the contractor, the homeowner will not be entitled to make a claim to or collect from the guaranty fund established by Chapter 142A, M.G.L. J .. Exhibit A SPECIFICATIONS As specified in written quote. GUARANTEE: The contractor shall guarantee that he will make good, at his own expense, any defects arising from poor or improper workmanship for a period of one year after completion or provide the same guarantees from his subcontractors or from manufacturers of materials and/or appliances installed in this home. This building will conform to all municipal, state, and federal regulations affecting this work. See Warranty for details and exceptions. HOMEOWNER: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Signed under seal this day of 2004. Signed in the presence of: By -- Contractor By Owner Janet Hyman 54 Sterling Rd No Reading MA 01845 Phone: 978 689-9627 Date: June 29,2004 RE:Basement finish The following is a quote on your project. • Frame basement walls as discussed • Two double door closets at bottom of stairs and another in corner by garage entry • A door will be provided for access to the water meter • Electrical panel will be flush with wall and painted • Radon pipe and cleanouts to be boxed with access hatches • Column to be wrapped with post cover • Hot water heater will be accessed from a door • A closet will be framed under steps • Mudroom to have a ceramic tile floor(allowance for tile and grout is $1100) • All other floors to be rug(rug allowance is$2250) • Ceiling is to be plastered to match existing finish as on V floor. • Walls to be plastered to match existing finish on I"floor. • Doors and woodwork to match existing as close as possible. • Walls and woodwork to be painted(Ben Moore Paints to be used) • All debris to be removed from site and disposed of in an acceptable manner(dumpster) Our price for the above is$35,000.00 RE: Garage extension. • Cut existing pavement and pour new foundation. • Frame and finish to match existing structure. • Move existing garage door and opener to new location. Our price for this item is$5000.00 Thank you for allowing William Barrett Homes to quote on your project. If you have any questions please feel free to call us. Pricing is valid for 30 days. Sincerely, William K.Barrett Date: 11.116/2904 Time: 12 :37 PM TO: diane a 919786822397 T arpey Ins . Agency Page: 001-002 QCORQM CERTIFICATE OF LIABILITY INSURANCE ii/16/2 o PRODUCER (781)246-2677 FAX (781)Z24-0973 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tarpey Insurance Group Inc ONLY AND CONFERS NO RIGHTS UPON TH,:CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 442 Water St ALTER THE:COVERAGE AFFORDED BY THE_.POLICIES BELOW. PO BOX 567 Wakefield, MA 01880-4667 INSURERS AFFORDING COVERAGE NAIC# INSURED Colonial Village Dzvelopment, Inc. INSURERA: National Fire & Marine Iris. Co DBA: William Barrett Homes INSURERB Safety Indemnity 33618 1049 Turnpike Street INSURERc Travelers Indemnity Co o1 Conn 25682 North Andover, MA D1845 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATE.NOTWITHSTANDING ANY REQUIREMENT,TERM OR COND TION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VJHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFGRDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND C')NDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E}:PIRATION LIMITS L I DATE IMI': GENERAL LIABILITY 72LPE693330 10/01/2004 10/01/2005 EACHOCaiRRENCE 1,000,000 X COMMERCIAL GENERAL LIABII TY DAMAGE TO RENTED g: 50,000 CLAIMS MADE a C CUR MED EXP(Any one pere n) 91 S,000 A PERSONAL R.ADV INJL PY $ 1,000,000 GENERAL AGGREGATI $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES F-R. PRODUCTS-COMP/01 AGG 4'• 2,000,000 X POLICY JE T j LOC AUTOMOBILE LIABILITY 1900226 03/23/2004 03/23/2005 COMBINED SINGLE Ul T ANY AUTO (Ea accident) �' 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODILYINJURY R X NON-OWNED AUTOS (Peraccident) PROPERTY DAMAGE q; (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCT[ ANY ALTO OTHER THAI J --A ACC $ AUTO ONLY: AGG 7 EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE OCCUR ❑CLAIMS ADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND 6KUB733OA86504 - AR 03/24/2004 03/24;2005 X TORY ITATU- O MITS AR EMPLOYERS'LIABILITY C ANY PP,OPRIETOR/PARTIJER/E>CECUTIVE E.L.EACH ACCIDENT lOO,OOO $ OFRCERAAEMBER EXCLUDED? E.L.DISEASE-EA EMF_OYEE $ 100,000 If yes,describe and r SPECIAL PROVISIONS below E.L.DISEASE-POLICY_IMIT $ 500,000 _ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I W:HICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISION:i E: 54 Sterling Lane, North Andover MA CERTIFICATE HOLDER CANCELLATION___ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLD_R NAMED TO THE LEFT, Town of North Andover BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Town Hall OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. North Andover, MA AUTHORIZED REPIRESENTATIVE Kathleen Hunyor ACORD 25(2001/08) ©ACORD CORPORATION 1988 Date: 11/16/2004 Timr,.: 12 :37 PM To: diane e 919786822397 T arpey Ins . Agency )rage: 002-002 IMPORTANT If the certificate Bolder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate o`Insurance on the reverse side of this form does not constitute a contract between the issuing insurar(s),authorized representative or producer,and the certificate holder, nor does it affirmatively or n agatively amend,extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2001108) I i c i I I I t� �cx�� It IP'Ill J. 2-1 TI 1-0 IL•. �'�t-�d � .fid' •4�J i{�-',. - - - � n' ` -1' r a _ ..I _ VIf T ; z� NORTH Town of t _ Andover No. — �~ C% - LA E 1 dover, Mass., e1 / 7 • 010YF COCMICMEWICK Ids RATED 7 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System MOON THIS CERTIFIES THAT.1 !Me+ �!�W'dV ..I....d. ...1/A. ..A+.,e r s •/d DING INSPECTOR OR .... ............. ......... ............. Foundation r has permission to ere �N� .............. buildings on...�.7 T s r 1 i•. Rough to be occupied as.............. ..... ........... dQ N�►............ ..l.A!1.. �V...................... Chimney p ice........... ,�' ,�r 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. !0 toe. /a a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR C Rough . ............................... 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. +N �Q�e")IQ-V+- 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*********************** c�N e �— t.(�I Wt A APPLICANT I' 6t(j U A N 40^5 4� t- PHONE LOCATION: Assessor's Map Number V �- PARCEL c;� SUBDIVISION LOT (S) STREET ST. NUMBER�D OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INS ECTOR-HEALT DATE APPROVED DATE REJECTED SEPTIC IN PECTOR-HEALTH DATE APPROVED -� DATE REJECTED COMMENTS ---------------------------------------------- PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 im 4 1(^^1 V !2 • 1+7 a K' TA4f;�;� V'J At 1�M ! OM L Ha 41� sq st s " DateNo A 4 / ?. "* ...�J........ pOR7M TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACNUS� This certifies that .. ��...'.. SGt S C � /0 ....................................................................... has permission to perform ........S C.............s .Sf...................................... wiringin the building of................................................................................... at........�....Y......Sf ...... ! ....................North Andover,Mass: Fee.....1............... Lic.No.............. .......... ?..............�/... Erl&mICAL INspECCOR`C Check # /0 WHITE:Applicant CANARY: Building Dept. PINK:Treasurer -- (—ammonwea(M-of Pernut NoIfl, ac%ccaalfa. Offi Official use Onl _ cc77 , aParfiftanlr oy`ira�ervicai .IF BOARD OF FIRE PREVENTION REGULATIONS" Occupancy and Fee Checked Rev-11/99] leaveblank) APPLICATION FOR PERMIT TO PERFORM ELE,GTRICAL WORK. All work to be perfomlcJ in accorJancc with the Ntassachusctts.[Icctrical Code(�11:L�;:SZy CMR IZ00 (PL61PRItVTI R TY PE,ILL it ORM TION) . Date: Ctty o .Town.o B (his a itcati To the Inspector of lYir-es Y PP un igned civ s iibtt this.o Cr intention to perform the elcctricaI work described below. Location (Street�C Number) 1-k Owner or Tenant Owner's Address al — //U/Telephone No. '�� Is this permit ill con)ullctioxVyit�h+a buil ing permit? f Yes ❑ No Purpose of Buildinti (Chea:Appropriate Bos) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of 1lctcrs. New-service _ Amps / �Volts Ovcrllc ld ❑ Unde - br l Q__ - No.of Meters' Number of Feeders and.Ampacity Y Location and Nature of Proposed Electrical Work: e Corer letion orthe 1,01 ing table pray be haired be t/re hrspcctor orll'u•es. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Falls 1 0.0f Total Transformers K',A No. of Lighting Outlets.. No.of 1-iot Tubs Generators Fiti No.of Lighting Fixtures S►tiinlmina Pool Above- ln- t o.o meraencc lautmQ b grad. ❑ o_rIld. ❑ Battery Units b b No. of Receptacle Outlets Nd.of Oil Burners= ' .... FIRE ALARMS INo. of Zones No. of Switches No.of Gas BurnersNo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons �No.of Alerting Devices No.of Waste Disposers flent Pump iyumber ITons _)KlV_ No. of Self-Contained -� Totals: ^' Detection/Alerting DevicesNo. of Dislln asllers Space/Area Heating KWLocal ❑ tYlun"ipai Collnection ❑ Other } No. of Dryers Heating AppliancesI{W Security Svstelns: No. of Nater No.of No-of Devices or E uivalent I•Ienters htv i\°' of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total I1PI cleccnlnlcations `��iriil OTHER: No.of Devices or Eauitiarent e c Attach additional detail if desired,or as required b:•the inspector of FVir•es. INSUR- INCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including;"completed operation"coverage or its substantial equivalent. The undersioned certifies that such coverage is in force,and has exhibited proof of same to the permit issuills office. CHECK ONE: INSURANCE X BOND ❑ 0.11JER ❑ (Specify:) - Estimated Value of Electrical Work: -%0 pO (When required by municipal policy.) (E`p' tion Date) Work�D 6e '� — 0 Inspections tobe requested.imaccordance with MEC Rule,10,and'upon completion_ f cel-tij•, fill der the pants acrd penalties ufperjary;that thi'iiifortnatiotr oil this application is,trita,and complete. M F112f1I NAE: "z CLIC:N O.:A 17030 Licensee: Rld�ard Nua S Signature: / ]LIC.`i0.:E14t�y3 (1f applicable,..eritcr '-ev",pi-a:the license ntanber line.) -��•319-Iq�5 Address:'Q R. 1 4er $�. 2"d F1. 1� flf�Q Bus:TeliNo.. ,. IIE ... OZD50 Alt_Tel.No.:181-$34-2731 OWNERS INSURANCE WAIVER: I and aware that tale Licensee does not have the liability insurance covemge normally required:by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner agent. Olyner/Agent Signature Telephone Nu_ P.iiRAHT F.•.Cr S. -, ` Date.. .-..de,.ell...... No 2853 . ... ...... ... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 3 C$4us This certifies that .x:?:..../ ................................................................... .... ........ has permission to perform ............... ........................................................ wiring in the building '-':................................. —/. ........... .........North Andover,Mass. ..................... .............. Fee..................... Lic.Nok3-?C.. ........... .................................................. ELECTRICAL INSPECTOR Check WHITE:Applicant CANARY: Building Dept. PINK:Treasurer _ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGUL%TIONS Occupancy and Fee Checked(a� [Rev. 111991 Ocaee blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All A ork to be performed in accordance with the Massachusetts Electrical Code(MECI 327 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: AY\ To the hispector of Wires: By this application the undersigned gives notice of lud �s or her i tendon to perform the electrical work described below. Location(Street&Number) L S A n e_ Owner or Tenant � L I MaTelephone No. ' — a S 55c;L,;� Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Boa) Purpose of Building Utility Authorization No. Ezistine Service Amps / Volts Overhead❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead❑ Und;rd ❑ No. of Meters - Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of ff•'ires. No. of Recessed Fixtures No. of Cei1-Susp.(Paddle)FansINo.of Total Transformers KVA No. of Li-luting Outlets INo. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ 1n- ❑ o.o mergcncy tb nig grnd. �rnd. Battery Units No. of Receptacle Outlets INo. of Oil Burners FIRE ALARMS No, of Zones No.of Switches INo. of Gas Burners INo. of Detection and Initiating Devices No. of RangesNo. of Air Cond. Total No. of Alerting Devices Tons s No.of Waste Disposers (Heat Pump Number I Tons I KW INo. of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers lSpacclArcaHeating KW . Local ❑ Municipal El Other Connection No.of Dryers (Heating AppliancesKir becurity Systems: No of'Devices or E uivalent �1 No. 0 Ater (lvo. o Ohl., KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs INo. of MotorsTotal HP Telecommunications Wiring: No.of Devices or Equivalent OTHER Attach additional detail if desired, oras required by the Inspector of lVires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation" coverage or its substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND /❑ OTHER [I (Specify:) Estimated Value of Electrical Worts 6V (ExpirationDate) ii _ (When required by municipal policy.) Work to Start: 1 0 ' Inspections to be requested in accordance with NEC Rule 10,and upon completion.. I cert fi-,udder the pains and penalties of perjug,that the information on this"applicatian is true and complete. FIRI1i NAME: ADT Security Services 11] Morse Street,NorN40d,MA 02062 LIC. NO.: 1533C Licensee: John S. Bassett SignaturLIC. NO.: 1333C (If applicable,enter"esentpl"in the license number line.) / Bus. Tel. No. —27R— 1 Address' Alt. Tel. No.: 603-594-591 resi OWNER'S INSURANCE WAIVER: lain an•are that lie Licensee sloes not h,7i!e the liability insurance coverage normally ONLY required bN law. By m} signature below. I hereby waive this requirement lain the(check one)❑ owner ❑ owner's agent. Owner/Aacnt = Si:nature __-_ _ Tclenhone No. PERJIIIT FFF- .� 35,00 ' " Date?.e�... .............. N2 2567 .... ..ZV.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING IL SA This certifies that ............ ...................................................................... has permission to perform ...... .........fi.................................................. wiring in the building �� -A=e-- ............ ..... .................. at ......................... ....... .................... North Andover,Mass. Fee`�.7` ........... Lic.No............. ......................... . .......�LECIP46AINSPECTOR Check WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Commonwea&ol MaddOfficial Use Onl c� c�77 / a1JePart`nrent`o`.}ire�ervices Permit No. � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 11/99] (Icaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 ChIR 12.00 (PL E,1 SE PRItVT1,VINK OR TYI E.4 L—L INF,0RAfA7•ION) llate: 00 City or Town of: � ( C�L.p�. To the Inspector of R'jres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location (Street & Number) lo7— Owner or Tenant �c�L�/?�C �'� /r /r i l� ,t� ,t✓ Telephone No. � p q7i-I1�9 Owner's Address N ��710 �t? Is this permit in conjunction with a building permit? Yes ❑ (Check Appropriate Box) Purliose of Building /�• /t/ Utility Authorization Nu.1�1�3�_�� Existing Service Amps / 1'olts Overhead ❑ Undgrd ❑ 'u.o[Meters . New Service AmpsFulls Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e Completion of the following table may be waired by the Inspector of I Vires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)FansNo.of Total Transformers KVA No.of Lighting Outlets No.of I-lot Tubs Generators hVA No.of Lighting Fixtures Swimming Pool Above ❑ In- El el o.o merel . tg ttmg rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARtI•IS No.of Zones No.of Switches No.of Gas Burners No.of Detection and sj u Initiating Devices g Total \o.of Ran es No.of Air Cond. b No. of Alerting Devices d. Tons �jc o 1 Heat Pump NumTo ber ns KW _ No. of Self-Contained /O `o.of Waste Disposers Totals: Detectiot>!A ting Devices < No.of Dishisasiters Space/Area Heating KW Local t Iuuicipai Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Nater KWtNo.of No.of Data Wiring:Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover is iii force,and has exhibited proof 9f same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ O"i'IIER ❑ (Specify:) �Ai;D.rl�5'L 9x41JG&" (Ex iration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certif, atrrler theyzaLus aini pctralt' s ofperjury,that the information this application is trite and complete. FI1UNI NAME: U� � LIC.NO.: 4 10 Licensee: QX Signature LIC.NO.: (If applicable, enter "ct--X pt"jai. a licer s ir:rm r 1 re..) Bus.Tel.No.: Address ; Alt.Tel.No.: OWNER'S SURANCE WAIVER: I am aware that the Licensee floes no /rave the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I atm the(check onc)❑ owner ❑ owner's a,ent. Owner/Agent Signature Telephone No. PI'RtI1IT TEL••: $ i G �o ' 5� s LOT 1 EXIST. FND. EASEMENT �\ ti EL.=125.2' �%01i EASEMENT LOT 2 LOT 3 so' Bufm h REFERENCE PLAN NO. 13035 FOUNDATION LOCATION PLAN I mmy lmr nr mmm�r tAuicru�ma�v a r,a A cm To off"osawn Ao r-"W W APNW��r�cnu 6-m— FEW macs Mor I 1 1'min AW.9NMQ CLIENT. COOUDGE CONSTRUCTION CO., lNC aAlocros OF� � � =AMMSYIo XWL Mor Mr UM " TIE aM►r RW AW POPM On"THIS CEyPT/f�AWN IS MADE AND UMnW i lw mm 1K 10 INE ABDYE CLIENT. RMWMXLVWOF CMIKV &�1- uW AM AW UNURNAMD LOCATION: M/DOLETON, MA. � �'�r sm �"ADS ^' f6i nff aMunAr�r� �r aF 147M CIWAM NEEM \N OF MgSSq� SCALE: 1" = 50' DATE: 5/2/00 o? MICHAEL-J. yG� CHR/ST/ANSEN R SERG SrFtGl v� / /AAD SLOMFI NS A No.33191 40 10 A IWAWP Sr /MNM=J , VIAN TEL I7N-JJ.lr-a!/0 F Ono or awoawsmv t mm ma D.WG.NO.. Location C;2 -5 v No. Date �aRTM TOWN OF NORTH ANDOVER 3? ' O41L � v ' Certificate of Occupancy $ ♦ i ; i s�CH�s<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ l TOTAL $ f S' Check # 1370- 9 Building Inspector 1, i,r R a NO. APPLICATION FOR PFRNJITTO BUILD"' -,1-',1";NOR.T11 ANDON/El M A M u'—(N . DATE, 1100 PAG E /tiNl: S I)it 1)1 V. 1.O'I NO. PURPOSE OF 11111I.MW )"'aj A I \rit's iN:k.m r NO.OF STORIES ,27&, M\NtA','S kDDItESS ,,elel 'I.ASEMENFORS1,A1l /O_,l k C I I I I 11 CI'S N.0 1 KS I Z E()V I*1, It']I IN I I I I�I t Sr /V 3 Ro ��Ie"94,0 C>2 ly /a k;k I I DIS IANICI, NV kit I-.S*l BUILDING se�,E DINIVINSIC)INSOFS11.1s I)ISIANCE FROM SIlzlil:l, SCE. DIMENSIONS M. 110SIS E /9 7-4 6 M DlS*l.kM'E FRON1 1.01 I.I.NES-SIDFS IM:kil -C-7- DIMENSIONS OF GIRDERS AREA 0 1:1.0'1 FRONTAGE HEIGHTOF I:OIJNI)A'11(),N' % THICKNESS Aff Is 11011.1)ING NEW SIZE OF FOOTING x IS IWILDIM;AI)1)11'1(),N IS Mi II.DING'Al.ITI(.k I 101N is 111111A)IM;ON SOLID OR FILLED LAND MI.I.RIi11.DI G CONFORM TO RE0111HENIENTS OF CODE Y&-a is mm.mm; i!l)'ro'ro\ViN WA PCI( W)kit1)OF I ION, IVANV IS BIJILDINC;COMNEC'11:1) 101OWN SEWER IS 111111,I)ING,CONNECT VD 10 NATURAL CAS"I'll-, 3. LAND COST' ii-- - - ES'.". 13I.DG. COST 11\("il I I'liA,mj i sv(:I io,\,,s 1-3 EST.IiI.D(;. COSI JIVR SO. I"T. oV EST'. it I DG. COST Ill'it IMONI 1.1 1 C I R IC kI 1. IT.Its 1\1 UST M:ON 011PI SIDI:01:BUILDING SH,FIC 111:1W 1*1 No . If Will 1) \1115I CONFORNI'10 SFATE FIR VIMCIII.ATIONS BY: Ij 4 Pi \Ns NIPSI It I 11TI)ANI)APPROVED BY BUILDING INSPECTOR IMILDING IN.SPECT(M OWNERS TELP is (A "wool', • r 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� PH0NE�1 LOCATION: Assessor's map Number Me- oow, PARCEL SUBGIVISiON �A/</tn �p,p�sT �� LOT (S) STREET-5'7Z--&-/NC, 1-,,9N4--7 ST. NUMBER �¢ USE ONLY******************* ************** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS ko U e f-G JS --I -/\ k aU LA a I &( lt A===X TO N W LANER r DATE APPROVED D L. DATE REJECTED COMMENTS I/L 1(v/I I j , y FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED AQ � �? C DATE REJECTED_ TED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT W `'� FIRE DEPARTMENT p RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 j Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of,North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name o Applicant[on Building Permit(below) Address of Property for Permit (below) p Map a � Parcel : Purpose of Application (check below) P ce Number of Applicant: • Single Family _Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit irk issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in exist tire as of the effective date of this by-law, provided that no additional residential unit is created. exist lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the canoitiona of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shail mean persons over the age of 55. This application is a part of a development proiect which voluntarily agreed to a minimum 40%permanent reduction in density, (buildable lots),below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of canstrueting one single family dwelling unit an the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knows ge or ot, is grounds for refusal by the Building Department to issue a Building Permit. Sit mature of Gwrj&of Auth6tized Agent who signed the Attached Budding Permit ` Date / This form form must be'attache6 to the building Permit upon application for such permit Pet vet �r recorded at the Essex North Registry of Deeds. All application fees must be paid in full and verified by the Town Planner. 1 The applicant must meet with the Town Planner in order to ensure that the plans conform with the Board's decision. A full set of final plans reflecting the changes outlined above, must be submitted to the Town Planner for review endorsement by the. Planning Board, within ninety(90) days of filing the decision with the Town Clerk. The Subdivision and PRD Decision for this project must appear on the mylars. j) All documents shall be prepared at the expense c f the applicant, as required by the Planning Board Rules and Regulations Governing the Subdivision of Land. 2. Prior to any work on site: a) Three (3) complete copies of the endorsed and recorded plans and two (2) certified copies of the recorded subdivision approval, Covenant. (FORM 1), Right of Way Planner as roof of film . submitted to the Town P g . easements,and FORM M must be proof b) All erosion control measures must be in place and reviewed by the Town Planner. 3. to any lots being released from the statutory covenants: _ - a) applicant must comply with the Phased Development Bylaw, Section 4(2) of the - wn of North Andover Zoning Bylaw..This project is exempt from Section 8.7 Growth Management as the preliminary plan was filed prior to May 6, 1996 and the definitive plan was submitted within seven months. However the exemption will only run for eight years from the date of the endorsement of the plans as set forth under Mass. Gen. Law. b) A complete set of signed plans, a copy of the Planning Board decision, and a copy of the Conservation Commission Order of Conditions must be on file at the Division of Public Works prior to issuance of permits for connections to utilities. The subdivision construction and installation shall in all respects conform to the rules and regulations and specifications of the Division of Public Works. c) All site erosion control measures required to protect off site properties from the effects _ of work on the lotPo ro sed to be released must be in place. The Town Planning Staff P requirements of this provision er the applicant has satisfied the P shall determine wheth � PP prior to each lot release and shall report to the Planning Board prior to a vote to release said lot. d) The applicant must submit a lot release FORM J to-the Planning Board for signature. e) A Performance Security in an amount to be determined by the Planning Board, upon the recommendation of the Department of Public Works, shall be posted to ensure completion of the work in accordance with the Plans approved as part of this 2 MAScheck COMPLIANCE REPORT Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date i i CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE : 10-21-1999 DATE OF PLANS : 11-24-94 TITLE : Single family house with 3 car garage under PROJECT INFORMATION: Lot 2 Sterling Lane, No. Andover COMPANY INFORMATION: Coolidge Construction Co. , Inc . 401 Andover Street No. Andover, MA 01845 .J COMPLIANCE: PASSES Required UA = 627 Your Home = 528 Area or Insul Sheath Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1880 38 . 0 0 . 0 56 WALLS : Wood Frame, 16" O.C. 3184 15 . 0 3 . 0 213 GLAZING: Windows or Doors 570 0 . 350 199 DOORS 147 0 . 350 51 FLOORS : Over Unconditioned Space 199 19 . 0 9 HVAC EFFICIENCY: Furnace; 90 . 0 AFUE ----------------------- ----------------------------------------------------�I -- COMPLIANCE STATEMENT-:r The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1250-. of the design load as specified in sections 780CMR 1310 and J4 .4 . Builder/Designer Date MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Single family house with 3 car garage under DATE : 10-21-1999 Bldg. Dept . Use CEILINGS : [ ] 1 . R-38 Comments/Location WALLS : [ - - ] 1 . Wood Frame, 16�� O.C. , R 15 + R 3 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value: 0 .35 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location DOORS : [ ] 1 . U-value: 0 . 35 Comments/Location FLOORS : [ ] 1 . Over Unconditioned Space, R-19 Comments/Location HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Furnace, 90 . 0 AFUE or higher Make and Model Number THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE: [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems . TEMPERATURE CONTROLS : [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- r 677-1 ' HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulationsi and Standards Ashburton Place _ Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 105351 TYPe - PRIVATE CORPORATIONxplration 07/17/pp COOLIDGE CONSTRUCTION CO . , INC. David V . Zaloga 401 Andover St N Andover MA 01845 I DEPARTMENT OF PUBLIC SAFETYM CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Birthdate: S CS 885355 85/2112888 85/2111946 Restricted To: 88 I " , d'�j,:rX y.DAVID.V .'ZpL08A { 6 PENDANT CT ': ANDOVER, 'MA 81811 �^ The Commonwealth of Massachusetts _ Department of Industrial-Accidents Oce of Imies"iciations Boston, Mass. 02119 Workers' Compensation Insurance Affidavit i�►ame C00z D — CONS 770A� Please Print Jame: Lccation: CiN Phcre M (—j I am a hcmec:Nner perrcrming all work myself. aI am a sole proprietor and have no one.working in any capacity ,/ I am an emcicyer providing workers' compensation for my ernplcvees wcr-king on this job. Comcanv name Address Cih/ /I&,/��dl/D�I/C—� //`� ��� . Phone T ���- ��7-o/a9 insurance Co /tJti1 P fic•i COM02ny name: Address CiN: �hor.e Insurance Co. Pclic'r Failure to secure ccverace as recuirec uneer S a,-ncn 25A or MGL 152 can lead to the imc:�saicn cf cnrnirsi penalties of a fine up to 51,500.00 arc!cr one dears'in:phscrn ent as".veil as c:vii penalties in:.he fcrm d a S i CF'NCFK CF.CF=_rid a 5ne cf(51C0.00)a day acsinst me. I understand that a copy L-f;`is statement nay ce fcr,varcec to the Office cr Invescesticns - :`e CIA rcr ccverace verinc::ticn. I do hereby certify under s�wd pe aloes of perjury that the inferma6cn provide^accve is'rue and ccrrect. Signature Date �ZoD 9 Print name 0411 /� Phone Offic:al use only do not Nrrte in this area to be completed by c:ty cr:cw cfrtc:ai City or i cvn P=rnatlLcensirc Building Dept ❑Check d immediate respcnse is required ❑ licensing Board ❑ Selectman's Office Conrad:,:erscn.• P,hcre r r health Department ❑ Other ROBERTS INSURANCE AGEN TEL :508-6833147 Oct 20 '99 9 :5? No .013 P .01 K ,-l!;. R, 10 80 39 K. ��...�..............:..:....:.... INFORMATION ONLY AND :PR TIII>I< ClF1TIFICATi W ISSUED AS A MATTER DOES NOT AMENDa, 9XMND 0 ALTER 114E COIKRACONFM No RIM UPON Q AFFORDED Y T11E POUCI lww- 14.P. ROBERTS INS AGCY INC COMPANIES AFFORDING COVERAGE 1060 OSGOOD ST . ........................ ............. ........................... NO ANDOVER MA 01845 compAw A MARYLANDCASUALTY........................... ...................................... ODII►ANY 9 ............. ............. I.&w HANOVER INS COOLIDGE CONSTRUCTION O(WANYC OAKTRUST ....................................... .................................... 401 ANDOVER ST p LEGION INSURANCE CO NO ANDOVER MA 01845 E OOMPAW MARYLAND CASUALTY �� : ...�..:.:.:Kay.r:h KA• u. x'ry.. u., >}},.,a'. r ,x;;:.i.:l::i.:'f M1n7.i:.y,, .:.4ri:k>:a:Sxx.>......<".1 x;�?~.a<... �,i4,..; ��w;ifiir,.:o k,.,kafi...,..:,...?xe.r,«:x:::a:..,.. .Nx•o- .xa.,::.....w¢,<.n. PFRIODx TWI 10 TO CERTIFY YNAT TH6 POUCIE6 OF INSUR TERM o D gCONOMN OF BEEN CONTRACT OR OTMR DDOCUMEENT WITNERESPECTFOR ETo :, :..; , 3r.� ....:...... :.W CN T1�i1B 00C,AT'ED,NOTYVITHSTANDING ANY MUREME , CERT1ROATE MAY BE J"U£D OR MAY PERTAIN,THE INVURANCE AFFORDED BY TME POUCIES t)E6CPIEED HEREIN IS SUBJECT TO ALL THETERMS, EXCLUBRM AND OONDrriMA OF 4UCH POLICIES. UMIT$SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS............................................................. ........... ..................................................................................I................ ...... .................... ......... ., .............. � :POUCT■><PwA roup RSR POIJCY DAn 1 t#Alt>j TYPE Or mmDIIANCB OAA RGP 21236295 :12/13/9 NAEEdTY 8 .12/13T99 aENe11ALAGGR6W►TE �2,•�•000r000•,. � (OpAGO. .42 Q00 aao X ooMMERouw.oereRAL uASllm .............!............ <.,... n■KSoNa a...................... r A. ADV,Iraaruav�� �i1 000 000 owmm'E•coNTRAOTWO PROT. EACH OCOU RR@!C8 �1 0 Pl@MDAMAa:UroWWw1 150,000 ....... Woo,WPM(A y�. i 10 0 0 0 ... AUToueEaa u"am ADN—5 2 69 11T28/00 eoMaNeD$ uMrt ANY A11T 0 INJURY AiL*WNW AUTOG i v« ' aGIEDULN)AWM HIAA AUTOS H4"R0 AUTO$ eor 0.... (P$r"04W4r r 0 0 1 000 ON GARAGE LVANM PROPERTY DAMA06 's l a 0 0 0 0 LACM OOMARO CE E �UABy1Y AOQRKU►tE........... t,. CCx: ..``..O.N..�U• ':k:k•:;Yh'p C1MiR Tr" r rca t tATUTO a»' it 1111;'; `1 / / FORM o�•A W4-011s.os? 12/o6/9s iz a6 9 x fa ,TeN ■ACNAAOID �5oo,ov.............. AND ...... :......... -Po+xY. rc... 0 00 0 ............ ........ ............�..,..........:.. vlw"vWW UAEEATY MNLA69-11WH COVIN :8500L.0 0 0 EC 86814176 ` 9728/99 9/28/00 `•. BUILDERS RISK { ORION" R a oPID1ATIO11E1{OcJ MEWS LOTS 1 S STERLING E NORTH ANDOVER MA 01845 NG LAN i FAX NO. 685-7878 �T�'.�y .�..'�,.'• SHOULD ANY OF THE ABOVE DE$CRIBED POLfCIE19 BE CANCEUSD EEFORE TNEi EXP RATNO1 DATE THEREOF. THE *SUM COMPANY WML ENDEAVOR TO MAR 10 DAY$YVFEI V I NOTICE TO T14E CRRflFICATE MOLDER NAMED TO THC TOWN OF NORTH ANDOVER x Lfimmr. AILURO TO MAA. sUCH NOTIOE 6HAWINPOSE No 9PLWTION OR ATTN: BUILDING INSPECTOR yABIUTY OF ANY KIND U COMPANY.TTS Ad 'OR MW* NTATNES. MAIN STREET x„ A{1� 5 NORTH ANATW6 ;r MA 0184 ��° Ro r xy Mich �............ww.:. .. •n.:v..n,.:.w,:t:� .......:c.nr.%. Ka:i:,.',.:.x4k,..M..Yw.� aY.Yn x .?K"<�K•�.bY:e<.Y«nx�ai •J\�%XYlwxah.[> moi.%•.v x�•��I`�� �a'•natarxr a 'a"»x%:% rr:xH...,.xasxa. �M? aa'.o-:..a,:::.:«.:...�:`.: RFR fl ,kave9ax•x;atax„ax•w. 'i2.kM>.x;>2e%:..:u.�.,..•tYM+,c Ki:Mo- ?tQK:<, TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 NORTN � O ttao ,e 0 O •A p9gOP`�y{t _ 79SS4CNus�t DRIVEWAY PERMIT Date: 2 �' LOCATION. BUILDER: phone: OWNER: �phone: 7- O� • The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: l NO 903 -: APPLICATION,FOR WATER SERVICE CONNECTION' North Andover,Mass.— Z7 19i Application by the undersigned is hereby made to connect with the town water main ink treet; subject to the rules and regulations of the Division of Public Works. The premises are known as No. �"r e� '[ Street or s subdiviion lot no. L Cleo c Owner Address ( oGL/0aCoAusr. ra. _,✓C, /�/a. .q��ay�2 ; /�, eor � Contractor Address pplic Signa e T g PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby giants permission to Ce-v 6V4-4 e �' e to make a connection with the water main at e� �t h Street subject to the rules and regulations of the Division of Public Works. Board of P lic Works 214e,dl�, By Inspected by Date See back for rules and regulations BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with.the provisions-of MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: 6 0 Sly-- W( o (� ( ��LA "(1. Vt Location of Facility iOure of Pe 4/ t"� Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector i - I4 , 7 , { STERLING LANE ' 110.,00' _ _ 202.94' 21.4' LOT 1 20.4' / ? PROPOSfO 69.9' AREA 31,627 S.F. fOUNDAT/ONS _ / 20.5' Oti 10.6 OT 2 ti 61.0 ARE = 29, 162 S.F. a, 00 00 E�• 0 i i f 0 PLAN .SHOW. h 1i5 S.F. / FOUNDA Tl 9 L OTS STERL so. NORTH. AN PRi F,p ORTH Towno O .�o . ::. . Andover0 No. 4 A o dover, Mass., 'yam too T Q - LAK E COCNICNEWICK V AORATEO PPS\ �5 �SSACHUS�� FOR EXCAVATION AN oFOUNDATION THIS CERTIFIES THAT .....0. ...... . .. .. . . dN S • • 0 ....................C .. ........................... 4* has permission to excavate and pour oundation at .. .... Y..........1,�.......... ...... ...��! for the purpose od Qh m� Ol BOt.t.A.ShOl VAJ. r Si �� a6101e4X*& . .. ............ .......................... ........................... .................. .......................... 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. 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. BLDG. PERMIT EEE 40 �• C LESS EDA FE ....##.v ...................................................... /as # A 11!!!: DUE FRAME PERMIT VJ BUILDING INSPECTOR � NORTIy Town of And No. �0 _ LA � � dover, Mass., COCHICHEWICK A00ATEO p9�,`�5 `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THAT0. .10�.. . .... wv .... +.. ..`................................ ............. CER $ ................. � � Foundation has permission to erect.........�............................. bu'dings on.�*o ;t ��.. q....+.tNeb.t) Rough . . ............ t0 be OCCUp18d aS O R4Q�h�.t �b► A �..� ��i.......Vua�rr.....tiviVI! �s; � � imney ..... .. . ... .. ... . .... . . ........ .......... ..... .... Ch"............... provided that the person accepting this permit shall in every respect conform to the terms of application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final 01P Co PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTI T TS ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR' Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done I FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEElowStreet No. LESS FDA FE Smoke Det. DUE FRAME PERMIT$ JC11 ••)CEE REVERSE SIDE ��1t� � ... !. '�� 'i .� :+•�"� tea. � � I N`xF �� a �. int ! w STf '1 IV �' 'o \� ' a TONMa0 vvT e r .•i NO. L E o dower, Mass., �jCOCMICMEWICK V ADRATED S BOARD OF HEALTH Food/Kitchen rERMIT T Septic System1 27/ B'CJIL I G INSPECTOR l T CP '� � t �. THIS CERTIFIES THAT........:....................._ .. .......................... .......c....... [ Foundation has permission to erect.........I............. .......:...... bu' son, ..................... ...................... 1 ! �� roughfb to be occupied as l0: �: � .. ... .�.. 1 ...y..... ......... ! .. Chi 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. laugh& /I"C `�/� rye ` . � PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECT UNLESS CONSTRUCTI T TS . .............. .: .. ...... ............. ....................... ................................... Service BUILDING INSPECTOR �� q Occupancy Permit Required t® Occupy Building GAS INSPEC'T'OR Display in a Conspicuous Place on the Premises ® Do Not Remove a No Lathing or Dry (Nall To Be Done FIRE P1RTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEE to DOI I Street No. LESS FDA FE .�.�...� / ,� fF , EE REVERSE SIDE S oke D ,E PERMIT � _ � � _ A �� CERTIFICATE OF USE & OCCUPANCY Town of orth Andover Building Permit Number f C ! Date / 6? THIS CERTIFIES THAT / l THE BUILDING LOCATED ON X0'0 MAY BE OCCUPIED ASSf� Je !At1)1-14 �eest d eloC ^ IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ltgh iv r- ��� a/ !3�►� 3 Sid!/ v. c% . °• "°"T", CERTIFICATE ISSUED TO ADDRESS �t • r POS .. -.. j: � �✓l 'dsAcwus�` Building Inspector T0® ` O" ME No. 70 - CO _�- - LA E dover, Mass. COCMICMEWICK V ' ' ADRATED `s BOARD OF HEALTH mow Food/Kitchen An Septic System��,EKMIT T BIJI L I G INSPECTOR THIS CERTIFIES THAT.. �� '/�/ �C�uu�,e s�- .... ... �n . . . . . . ............................... . Fo d tun a ionhas permission to erect. bu'dings on . .. .... . #j Rough to be occupied as.I�. Q �. ►........ .. �'�I1...V . ..... ...�. .. ..:� ..... chi `' provided that the person accepting this permit shall m 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 W&. Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 1jVughl IP0C"< <��� PERMIT EXPIRES IN 6 MONTHS ELECTRICAL SPECT UNLESS CONSTRUCTI T' TS - Roug �:.............. ..... ....... Service BUILDING INSPECTOR q Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove a No Lathing or Dry Wall To Be Done FIRE P�RTMENT 9 i v%�Z;---/r Until Inspected and Approved by the Building Inspector. Burner . � , BLDG. PERMIT F � `o DOI I Street No. � � LESS FDA I:E � l , ' � EE REVERSE SIDE S oke D DUE FRAME PERMIT$ � � �(', i NORTFI OF Q 1O "h GOC-K- F y �SSACHLI APPLICATION FOR CERTIFICATE OF OCCUPANCYIINSPECTION ADDRESS/LOCATION OF PROPER-FY :—.1& — b DATE REQUESTED FILED/READY FOR INSPECTION ..TION / D' CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORKAND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE-INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE I, CHARGED IF.THE STRUCTURE DOES:NOT ME-FT ALL.APPLICABLE CODES. ROUTING n CONSERVATION PLANNING DPW -WATER METER Ile d v • � NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR 7U,, ITTAL OF TIJE,OCCUPANCYIINSPECTION REQUEST DPW �� Signature File: OC forth revised 618/98 I. ll� Fz: 1 loo of $ Y t� �