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Miscellaneous - 544 SHARPNERS POND ROAD 4/30/2018
544 SHARPNERS POND ROAD 210/105.D-0125-0000.0 j Date . Z�. . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION hThis certifies that .'. . . . . . .f-Lt . . . . . . . . . . . . . . . . r has permission for gas i stallation . t !"f .� . . . . . . . . . . . . in the buildings J. -: .1.tyr.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . ? of �117 . . . . . . . . . . . .North Andover, Mass. Fee . GASINSPECTOR Check#-��'- — 8411 s ' MASSACHUSETTS UNIFORM APPLIiwTION FOR A PERMIT TO PERFORM GAS FITTING WORK WCITY DATE zl-)a PERMIT# JOBSITEADDRESS rS?lq___S_ rQ�VS ^a_a�Cr►_ OWNER'S NAME Naln� I) -- G OWNER ADDRESS --- - TELFq?T_h$J'n_o_!—tiFAXj----— TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW:J- RENOVATION:© REPLACEMENT: PLANS SUBMITTED: YES Q NOQ FLOORS—APPLIANCES 7 BS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER I I FIREPLACE FRYOLATOR _ -� - - - - FURNACE GENERATOR GRILLE -- INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN � � POOL HEATER ROOM/SPACE HEATER _ I _T.=__1 ---- ._I ,_ _.. ROOF TOP UNIT _--_ _ ._� .__ - [ � -r_ I._.— . -.--. ._( _-- -. . _I _- TEST UNIT HEATERI UNVENTED ROOM HEATER �- __.r�-__ __ -_ !__ i m_._ _ !�� I.��_-1 _ �,l • WATER HEATER OTHER --- - - -- INSURANCE COVERAGE 1 have a current liability insurance policy'-or its substantial equivalent which meets the requirements of MGL.Ch.142 YES []NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F- OTHER TYPE INDEMNITY Ej BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER - AGENT 0 SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true agjd accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in comp' nye ith ertinent rovision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / PLUMBER-GASFITTER NAME LICENSE# ®b -3� SIGNATURE MP MGF JP JGF LPGI CORPORATION I#L ��PARTNERSHIP 0#= LLC - i# COMPANY NAME:�f{r1�rr W_ _ _ ADDRESS a CITY L_q.a��C e ._ _ _-.. __I STATE MflZIP -01- _ _ _ TEL q1 `6�3- a"7'] FAX _- �CELL -EMAIL 1'� ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No — L d THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES i , x�° • �` 1 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 uqpw www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): H I-(�rn r-r-j Address: '1i�VngEye���l a.D� City/State/Zip: �akjelct1K. Mq 013q.? Phone#: �78' �$3 a`771 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6 employees(full and/or part-time).* have hired the sub-contractors F1 New construction 2.E] I am a sole proprietor or partner- listed on the attached sheet. $ ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. ram an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify der to pains andpenalties ofperjury that the information provided above is trite and correct. Si nature: Date: (o` h - !& Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license orpermit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax# 617-727-7749 www.mass.gov/dia J.. i+ ommu pUN1 rRS AT4f: ft � sF1TTFF'S LICCi�lSF[) P;> A.'J,0UhNEYPtRAI� l .1 N' �,3 ISSUES:THE'ABOVE:LICE�ISE NlCHOLA:S T DOUCETTEco } 11 1' 7, SMITH CORNER KD NEWTON NH 03858 4002 f � 301.13 05/O1/l�F J Date ll fl r� . . N- 9646 i. NOR71y � •'�o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'T cmus I� p� This certifies that . . . . 16— . . . . . has permission to perform . s! .�,f? C��6 '. . . . . . . . . . ... . . plumbing in the buildings of . . . . :j c at. . . . . t Gr-2r 5d�,c , North Andover, Mass. Fee. .;�b-"' .Lic. No." I 1 ,+ . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR p . Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 3b.oD F . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY or ndovv _ __JMA DATE 10-3 -Ia PERMIT# JOBSITE ADDRESSL5 Shq n�.nr Poi)A rA OWNER'S NAME (3 ;n Hpr�l POWNER ADDRESS : TEL TSI: 91 _$_CD`]_ FAX _ TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL © RESIDENTIAL PRINT CLEARLY NEW: Ej RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES n NO©I FIXTURES 7 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12, 13 14 BATHTUB CROSS CONNECTION DEVICE _( DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM -3_,-.__J i _,__._._I _.____.1 _. I f DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN _( ._._.....{ __....___l _.....___ ! .___._..� _—$ _..__..__I FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) i _-_-__i ___.__._I ___.__f _..._ l i ..__ ._.1 _._____._I _...... KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL �{ .__._..J —I .--__ SERVICE/MOP SINK TOILET URINAL ----- WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER _ e� /oma w•F�Ncgrtl._4 _ _I __1 _l ._..- -$ 1 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESE] NO _ IF YOU CHECKED YES,PLEASE INDICATE T TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY i OTHER TYPE OF INDEMNITY 0 BOND 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER © AGENT 10i SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are t e nd accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in ance ith all P rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME 1 146_Eho qj LICENSE# - ()I II 3 SIGNATURE IVIP Fil JP i CORPORATION F# PARTNERSHIP LLC U� j COMPANY NAME 9 e�'1 - ( ADDRESS CITYSTATE LoGW�Wc� �� M_ I ZIP [_.()I y I TEL 7$- 4j'3- a_77 1, I FAX _ ^�° CELL EMAIL l I �J ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No f/— 1 Z-- THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES " 4 t i The Commonwealth of Massachusetts rh Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �Jq'1'T l r rs Address: 0(4 9 y City/State/Zip: LcAor-�ct_ nA CSI g 4 3 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.[J I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on the attached sheet. E]Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LEn Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]l employees. [No workers' 1311 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. f do hereby certify, er 11t ains and penalties of perjury that the information provided above is true and correct. Signature: Date: " './—ra Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111. Tel. #617-7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia a: P PJM,E-RS Ari f'�SFITl"EF'S 4 =LIGC�lSF[�.,AS A J. i1h.fJky9l�AI` ._ ISSUES:THE'ABOVE.LIGF�LSE � wee NICHOLAS T DOUCETTE � F 77 SMITH. CORNER R NH 038.5�i=:c�00� MEWTDN a . t .1,817 07 0,/O1/1 ► ,r 30113 / :'1 10399 Date.... .................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ..........Pao....... .......&- ................ ............................... ...................... has permission to perform 3.... .............................. wiring in the building of........ ............ ............. ............ .............................. at........ .......5l,AA0424- S... . .... , rth Andover,Mass Ile e !/P Fee j. ............. Lic.No.............. ..... .......... A- WINSPECT19 Check # - � Common-wealth of Massachusetts Official Use Only Department ®f Fire Services Permit No. � r Occupancy and Fee Checked x BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINTININK OR TYPE ALL INFORMATION Date: j d Z LI City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 Ll L4 S k V ,5 1PO n d R- d Owner or Tenant 8 -e-� `-,lam � ►n Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes [ No ❑ (Check Appropriate Box) Purpose of Building ` ' 6J) �1- GL�� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: I,tf t e v2 fit^ G_Qz1aA Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators )ECVA AboveIn- No.—Of Emergency Lighting No.of Luminaires Swimming Pool nd. ❑ rnd. ❑ Battery Units i - No.of Receptacle Outlets No.of OR Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners NO..IDetection and nitiatin Devices No.of Ranges No.of Air Cond. nal No.of Alerting Devices To No.of Waste Disposers Heat Pump Ntnmber Tons KW No.of Self-Contained P Totals: - ....................... Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local El Connection ❑ Other No.of Dryers Heating Appliances Imo' Security Systems:* rY No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters signs Ballasts. No.of Devices or Equivalent.. No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: /0&0' 0-�— (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the ains and penalties of perjury,that the information on this application is true and complete. FIRM N l� -� Y` 'eG LIC.NO.: I 6 6 Licensee: _ r l l ?(w Signature Hola . LIC.NO.: c� (Ifapplicable,enter"exempt"in the license number line. y Bus.Tel.No.•V'X4,E 7l ro V Address: ✓l A,(17 Alt.Tel.No.: -_ *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety S License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑owner's agent. Owner/Agent PERMIT FEE:$ C;onatnre Telephone No. The Commonwealth ofMassachusetts >~- ! Department of..lndustrh d Accidents i Office of investigations 600 Washington Street Boston, MA 02111 t'' wwhwss.gov/Via . Wowrkers' Compensation Ilnsiarance Affidavit: Builders/Contractors/Eleotricians/Plumbers Applicant Information Please Print LeQ►bly Nanne(Business/organization/Individual): Address: City/State/Zip: Phone#: . Are you an employer?Check.the appropriate box: I. I IF oject(required): , ❑ am a e mployer with 4. ❑ I am a general contractor and 1 employees{full and/or part-time).* have hired the sub-contractors construction 2.Q 1 am.asole proprietor.or partner- listed on the attached sheet $ odeling hip and.have no employees These subcontractors have olitionworking for me in any capacity. workers' comp.insurance. [No workers'com .insurance 5. ding addition p ❑ We are a corporation and itsr wired trical re aie9 ] officers have exercised theirp rs or additions 3.❑ I din a homeowner doing alt work right of exemption per MGL• bing repairs or additions myself.[No•workers'comp. c. 1.52, §1(4),and we have no 12,0 Roof repairs insurance-required.]t .employees. [No workers' camp. insuraance required_] 13170ther 'Any applicant that checks bo>'#t must also fiat out the section below showing their workers'compensation policy information, t fiomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. - $Condactots that check this box must attached an additional sheer shorvirrg ahe name of the sub-contmetors and their�iorker'cutup.peli��infar at'oa. l errs an employer that es pro Inforpreation, vidin"orlteps'comPensados'feasuranre for my employees: BelOw is tile policy and job site Insurance Company Name: " Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: Ci /State/Zi h' p: Attach a copy of the workers'.'eompensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c: 152 can Iead to the imposition of criminal penalties of a- fine up to.$1,500.00 and/or one-year imprisonment;as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Simature: Date: Phone#: E only. Do not write i_n this area,to be co.;,pletedby ch-�or town.offrciaL n: Permit/License hority(circle one):Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: Date . /P-S/.- l ?- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . ( . . .1/�!�,t,K/hJ. . . . . . . . . . . . . . . . . . . has permission to perform . . . . GA�. .�crw��7Z. . . . . . . . . . . . . . . wiring in the building of : . . . . .4D�f.'�,.... . . . . . . . . . . . . . . . . . . . . . . . aty�'� North Andover, Mass. Fee .p1-C. 7. . . . . Lie. No.-3. . . . . . . . . y .l. ELETRICAL INSPECTOR j Check# J LI_ 5 S2.S7 Z :7 11186 rs'` Official Use Only �� C,ornm-0nu/eaft�o�JYla�dacher�elld c� D�] • Permit No. 2!J arimenl or. '•ire�erviced anii-Aee Chec Occupancy Iced ey BOARD OF FIRE PREVEN I ION REGULATIONS I IONS [Rev. 1/07] (leave blank) APPLICATION ION FOR PERMIT TO PERFORM ELECTRJCAL. WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 Cib1R 12.00 (PLE,,JSEPRINT7rVdNX OR TYPE ALL INFORAMTION) Bate: -QC?.- 30 2,0 12 City or Town of: NOR+k &40cwa R—NSA. To the Inspector of Wires: By this application the iind.ersigned gives notice of his or her intention to perform the electrical work described below, Location(Street&Number) 544 54ARIPNER5 %r,30 ROAD Owner or Tenant BoaN Telephone No,9V (081 e80'7 Owner's Address CACL I'Ml F— Is Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No, Existing Service Amps / Volts Overhead❑ Undgrd❑ No,of Meters New Service Amps / Volts OverhY❑ Undgrd❑ No,.of Meters E Number of Feeders and Ampacity s Location and Nature of Proposed Electrical Work: .=d. GAg R jgN&F— REND a �-::rf(— —1'ng�n l I C91�i G� nN E- PSEW %-Q R17QCE ("1=#g=f QG nM L Y Completion of the followin, table may be waived by the Inspector of FKres, No,of Recessed Luminaires No,of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers. KVA No.of Luminaire Outlets No.of Hot Tubs ' Generators KVA Above D In- INO.or Emergency Lighting No,of Luminaires Swimming Pool Qrnd. grnd.o Q Battery Units No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and ONE Initiating Devices Tota! No,.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Yumber Tons IOW.•••....• No.of Self-Contained No.of Waste Disposers Totals:, Detection/Alerting Devices _ Municipal No. of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances XW Security Systems:*. No.of Devices or Equivalent No.of Water KWNo.of No:of Data Wiring: Heaters Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP, T elecommunications Wiring, No.of Devices or Equivalent FTHER: Attach additional detail if desired,or as required by the Inspector of•Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: p-30—)2, Inspections to be requested in accordance with MEC Rule 10,and upon completion, INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee'provides proof of liability'nsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE.❑ BOND ❑ OTHER ❑ (Specify:) I certify, under thepains and penalises of perjury,that the information on this application is true and complete. ' FMI NAME: LIC.NO.: Licensee: --TtM �yNN� Signature 4��j.�.N.1Q LIC.NO,: 31�45 (If applicable,enter"exempt"in 16 license number line.) VBus.Tel.No.:978 99Y 4p 221 Address: 1 L1 01AV832- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,securityArkrequires Department of Public Safety"S"License: Lic,No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by laws.'By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PEJU11TE'EE,S . TYte,Co»tmonwerrhFh o Massachusetts f , t4e Accidents Office ofinvesd9adoxf 600 eNrushington Srfreet Boston,MA 02111 ie r z lvw nuursgrivldea '1orkecs' Compensation Insnranee Affidavit:Bw'IderslContractas /haecteaan 'lambers Aonla_._cmnt Information _ Please Pant Le:ab Name Business/Organi�attmJ[ndividuei):_ �j'Z y .. Addrfss:_ �10(n 3 fin fa tJ W l(�`-1 Slav e Rh► �� cltyiz. IM A o t Phone-#: 9?8 94`/ 22 L Are Type of yon ae raapfry C6ech.tlre approprite bo> . 1.❑ t•cru a.employer.with 4..Q I.am a general co�otor aMd I p�}-t � � enVloyees(full and/or * have hired the m&oontrsctors 6.. Now colistrucpion a lrartrme).. 2.*1 am.a.eola proprieor or Px1ncr- listed;on the attach Shea:S 7 0 Rerrrodeli g ship and have no employee These sub-contractors have 8. Q ETetnolitiom working for me in any capacity workers' comp.mun nee. q, .�Buildir�addition . [No woritens'comp:roalnance 5:•Q Wa act a,c6rprna#ion end i� IO,Q.Eleotriea3l orad 9d.) 'officers have exercised#lien mpairs ditions %3.❑ [am a homeowner doing all work. : right of exemption.l MDL 11 Phtrnliirtg m addiEions myself(No'warl s'camp: c, t52; f 101'and we have no 12: Roof �. inswrance:regtm�dj t •MPloyees.[No woticas' 13,.Q Other comp.histwenc a requinsd.] '�Y aPPI tient checks b.W#1 um also fill our the sudor below slowing&Wr vmkeo:'aoinpeaseion Policy i uramtion t onou Down*ti ob aublaft this.aQlUavitlr►driuting ihega�at doing all work and then hae oumkle contract n innst su 64 a raw affidavit fiWk tisg nt1l�atcheckiiaboxmustattmbanedditiona Www'showh fidwmuneofthe :Odo*.wb*• POW f brm mon. I on an f,�kyer&&PTA ttg.workewt raot a ieee inrsr or•f tafon>udloe� °� I°Y °Balo"'•!a't&ePoulecJ'msatbsfie - Inslnance,Company Name: ' Policy#or S.olf--ins.Lie.#s Expvatioa l3atie: Job She Addrass:_�4y--SHARPN RS Protan RD NoR'rt1•4C -'.rrl�1. . ity qr OI8N Attach a copy of the workers'-fmpeoseitlon policy declaration page(showing the poky number and aspiration dabe� Faihme bo secure coverage as-re under SeWon 25A of Mt3L c. lS2 cant{cad is a impositiorr.of crimina6 pettaWes of a foe rrp to$1,50Q:t1a and/or one-year imprisomnalil;as well as eivrl in the form of a STO p� P WORK.ORDER.and a fine of up to$25Q:00'e day.against the vlo OW.'6e advised that a copy of this statement may be forwarded to the Otfim of investigations of t6 DIA for rnsj sl covorage verifrcjtion. ' Ido he ; , .... 3' fy t< the pWm aged peerddil of perjury chat the b6 onna tfon peav above is aue'and eenm -Signature.• � Dabs R 20! Phone#r 41 A R 14.L4 Co 7 1 Offi ed ase rely. Db ernr write in r� .019 co0*Med.by�or mKne o,�ciai: City or Tow= Pennit/Lieense# Issuing Authority(circle one): . I.Board of HeaM.2 Building.Depsrhacut 3.C /'town Clerk 4. City/Town Electrical Inspector nspeetor 5.Plumping inspector ' Contact Person: Phone#: r 0274 _ Date... :..�.�' .��..... b HORTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING s i b ,SSACMUS� p, 7 This certifies that ................. ff ....... has permission to perform....�t�?.Z.��r'..i`.. .,a/.�:�......�......:`�............. wiring in the building of .... North Andover,Mass. L r Fee.9 .�6I. J ...... ...... Lic.No..I q;.. ............... . ...... .. CAL INSPECTOR Check # 2; 6 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. /19 2--7 iK Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �_ C s t City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) S i er,6 PD Owner or Tenanty il Nt) r n Telephone No. 27d to V ft7 Owner's Address Ge., 4!fn e— Is this permit in conjunction with a building permit? Yes FV No ❑ (Check Appropriate Box) Purpose of Building V PI�-e( �d'0 tr A d Utility Authorization No. Existing Service 2,0 0 Amps /'2-0 ? olts Overhead ❑ Undgrd ❑ No.of Meters I New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: U j?��� �� p v (' 1'0 Gggle Completion of the ollowing table may waived by the Inspector o Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- E] No.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons g o.o No. Alerting Devices No.of Waste Disposers Heat Pump Number Tons I.NNY No.of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: a 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 if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the ains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: (J J c 1/7 LIC.NO.: IF l g5�o Licensee: ffi U) (-f D-erg to P7Signature LIC.NO.. (If applicable, enter tempt"in the license number line.) Bus.Tel.No.�7l�' ✓�— � Address: 72 f7 .SI— /Y6 ✓le�r'7d�t^ N1/iC�• Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61, security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑ owner's Owner/Ag ent Signature Telephone No. PERMIT FEE: $ f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: .ST' City/State/Zip: kpfi,40bV 6V 4hone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.KI am a sole proprietor or partner- listed on the attached sheet. $ F] Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.[:1 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby ce ijy under the ams and enal ies o etWr that the information provided above is true/and correct. Signature: v Date: l Phone#: 7l Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Location i No. 01,5 7 Date NORTH TOWN OF NORTH ANDOVER - Of ..o 0 A ` Certificate of Occupancy $ c„UsE< Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � Check # 13661 �JI Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ` �� �. `"#b °i �. '"y�rb5i M BUILDING PERMIT NUMBER. o� 07 DATE ISSUED: 1� aO 0 s —,07 SIGNATURE: , / 2 0/—O O 'Suilding Commissioneffl for of Buildings Date z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �y �Stis�����s ,i�r�Tzal _!rS D -oia5 Map Number Parcel Number EN 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Franta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 4- 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M AOwner of Record COIQ.+ @ v ► (moi 114 w-, Name(Print) Address for Servic : Signature Telephone 0 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Nril&f�er ue Licensed Cons ruction Supervisor: 63 ! 690 O ` "S r,/ r1Te.,dld �� r License Number wn Addre Qh 7s — 736 Expiration�D e gnature Telephone tm■.. 3.2 Registered Home Improvement Contractor Not Applicable ❑ sv 3 ns � Company Name 1 5 �j X11 fs skrvKav-5 Registration Number r Address r 975--3734, Expiration Date Si na ure Telephone Y/ t . 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. Si ned affidavit Attached Yes.......❑ 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: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be +S3FFICIAL�USE ONl.Y Completed by permit plicant s 1. Building (a) Building Permit Fee S Soco°oo Multiplier 2 Electrical (b) Estimated Total Cost of �0 Construction 3 PlumbinE Building Permit fee(a)X (b) 4 Mechanical HVAC gc� 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 I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date ..SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Iproperty, D as Owner/Authorized Agent of subject 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/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND 3 RD 71 SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH A4NEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE • FORA! 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. *******************AFPL1CAi4T FILLS OUT THIS SEC T lON************y`y`�*{ APPLICANT ° 1 A�l' ICAe_ PH0N;=�� LOCATION: Assessors Map Number /P V PARCEL SUBDIVISION— LOT c[' ,/ �,f LOT (S) STREET 5!7 y/ �h�5 P44% J2 ST. NUMBER ft tr********-************""""OFFICIAL USc ONLY'f�* RECOMMENDATIONS OF TOWN AGENTS:(//s CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED G COMMENTS FOOD INSPECT -,HEALTH DATE APPROVED DATE REJECTED 1 S" CTOR-HEALTH DATE APPROVED dZ) DATE REJECTED COMMENTS 7 PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED EY BUILDING iNSPECTOR DATE Revised 9197 jm NORTH Town 0 . : over O No. 0YJLA E ori dover, Mass., y d0000 COCMICMEWICK fF ADRATED S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... Q.. �.r......V....��r�...�.......68. mo. �.� . .. . ...................................... ..... Foundation has permission to meet..F��...�. ............... buildings on.....V....7.....I......4�.40VA0�i......� Rough to be occupied as.....P.jA.Yfto*...W....� ��.. .................................................. Chimney ... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final �0 S PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC ON T S C Rough 1 (MOW Service ...... ...... .. . . ......................... BUILDING INSPECTOR Final snow Occupancy Permit Required to Occupy Building GAS INSPECTOR • Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Vta1M�:� � � � 1 ► � �1 ! � ����n � t S ��,� ��1� t�2 �,o� � � � � �r� �� '� � � � ,� x � �� � �� OQr� - � � � � �� ��� �a� �� 1 � �. �. Q 1 Design:JSA 1*-6- 4*-2 112* 6'-0' 4, Dec 4'-6- Drawn By:JSA Wk i- 'Deck I Date:17 Oct 99 Deck -- -D- 3 il'2" 3 1/2- 3 112" 3 1/2" Scale:Varies - I Revisions: 6'-4' 14'-8" 6'-6' I 4'.6' 7-4' Note: Fir Decking on P.T.Joists O Set et Family Room Perimeter Walls Covered Area s s.t o that the Ceiling Is 18'Above the B.f Breakfast Room Ceiling Note: Family Room Covered Area Set Breakfast Room II OA IQ Z2 Perimeter Walls so 2-1 3/4'x11 114" Ceiling Matches Existing Microhm Beams Above T7 Seat Note: t t Umaktast Rogig All Exterior Walls are 2x6 9 9 B\ Studs at 16"o/c with R-19 0 C-101/2- Insulation w/Vapor Barrier 1 3/4'X 16' (D Q) Cubbles -1 Microhm Beams Above 0 III.in Window, Remove WaU . Wall 0 (D V )K (D 0 ce- Note: — AAUd Set Mud Room4) Perimeter Waits — ROOM Y.5 so Ceiling Cubbles0. L:, Matches Existing 0 a ro (D > 0 0 -U New Courttertop Kitchen Dining Room t 0 z Family Room CL Living Room N First 1 0 First Floor Plan E Entry 1 /8 YO" A- 1 Date..... #...1........................ QG T' NORTH ,.. TOWN OF NORTH ANDOVER 4 PERMIT FOR WIRING UL d1v This certifies that 1� .. .z.... r ..:.. ..... ..... has permission to perform 11.07- --V C'XA0e4--4.. wiring in the building of............... . ... .. ?. /t/............................ •a at 4 .. �,Z1Q0A ......... ,North Andover,Mass. Fee... .......... Lic.No .... .. . .......... .... �..... .. ..... ... . .. ...... ': �d ELECTRICAL INSPEC'POR r Check # �� 7051 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services " Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /f— ,9 +o City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) j y xj��p yi e✓',s (/� kC Owner or Tenant ISC-0 1:7-4'Q/' n Telephone No. Owner's Address C, ✓k i Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Z�!� Utility Authorization No. Existing Service 2,0 0 Amps / / Volts Overhead ®— Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. of No.of Recessed Luminaires No.of CeilTrans.-Susp.(Paddle) Fans Total Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. of Gas Burners No.of Detect►on and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g Heat Pum Number Tons KW No.of Self- ontained No. of Waste Disposers Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'c'pal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security Systems: No.of Devices or Equivalent No.of WaterK`,, No.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 if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: / J`�©® (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under tlt ams and penalies of perjury,that the information on this application is true and complete` FIRM NAMf: r .1t51-'� I-O!/7 LIC. NO.: Licensee: v 1 Signature LIC. NO.: (If applicable,enter "exempt"in the license number lined /- Bus. Tel. No.: Address: `) ;a, �� jdldeP6 S?': A ��f(�c1�j� I�6-1 Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. C9 C, f�G� N22135 Date../—,....--2? .. ...... . ... .... ..... NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSAC14 This certifies that .....,..1..k,...=..-.-.:.!..t.< ............................. has permission to perform ....51-1 ....................................... ............ wiring in the building of ......�,�4vi. ................................ ......... 4qorth Andover,Mass. ........................ Fe6...�................ Lic.Nol"�A .If........... ............... .. ......................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ThEC0MV0NWEAL2H0Fr4` (7I1S= Office Use only U4DEPARTALENTOFPUBIICS4= Permit No. BOARD OFFBZEPREYENHONREGULA77OMWCWR 120 Occupancy&Fees Checked APPLICATIONPERMIT TO PERFORM aE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat a� D 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) 15,11V r J - Owner or Tenant CC Owner's Address � [�17 4 e-- Vr do a ,U � , Is this permit in conjunction77,�5u building permit: Yes® No M (Check Appropriate Box) Purpose of Building S ,' Utility Authorization No. Existing Servicea0© Amps Z,4U' olts Overhead r2 Knderground 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 C-'i .e /7 - t o Xl;' No.of Lighting Outlets a No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA around M ground No.of Receptacle Outlets D No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones t Tons No.of Disposals No.of Heat Total - Total No.of Detection and Pum s Tons KW Initiating Devices No.of Dishes hers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• - hstrareCot Rasuantmthetagtmatusd�Cxrtetailaws Iha%eaomotLiabatyhst==Pdicymdu&gCmirift C maFcritssb;wrdialegivaiat YES NO Ihawsubrrl drelidprodcfsarebtbeOffim YES rTTNO If}cutmedwdccdYE.'S,plmm**thet,,Wcf=ea®ebychadastg&e MURANCE BOND F-1 OTI-Et--R ftmspe*) Fs=iedVahxdEkftxalWak$ WO&IDShart hupac" DmRecgmted Rail Final FIRM AME Plmames ,. o LioatseNa �y��6 lioa= r-CG1-7- / BusixssTdNa cSq c4 7' (5 nfl4 me ZZ'i Ak Td Na OWNER'SP4RRANCEWANER;IammmetbattheLdom not ethemmanemimage"sitatialegavalatasmgLmWbyMnadtsezGairILaws aodfiatmysigiM=ait�spardappficmartva'%esd isrx msnat (Please check one) Owner F-1 Agent Telephone No. PERMIT FEE Date 4 ,0 R7.4 TOWN OF NORZM DOVER ° PERMIT FORBING oe �SS�CHUS This certifies that . . . .- h has permission to perform -q . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of .; G�a. .1(� f . . . . . . . . . . . . . . . . . . . at .... . . . . z' Y. 7. , North Andover, Mass. Fee. �5..©4 Lic. No.. 's?,?(</. . . . . :orf*t � � `'�� . . . . >a PLUMBING INSPECTOR Check # f -� 7174 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS /���•-�� Date l Owners Name A�'✓ � P Permit Building Location ` # r� Amount Type of Occupancy L'o -2 New 0 Renovation 0 Replacement ©— Plans Submitted Yes No FIXTURES w w N ISS Flint 21V1 FIDQt ;d f 3l FIDM 4M FIDS 5M Fl" 6M HIM 7IH 11DM gm F1DQt II (Print or type) Check one: Certificate Installing Company Name (7, S` / � Corp. Address I5u X Fe)P A 1� Partner. Business Telephone '7 77 e'-G U (f L v 1 Firm/Co. Name of Licensed Plumber. .1� 0�/ S1j%tL'. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent � g nt I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus tate luummbing Cod,and Chajp&142 of he General Laws. By: Signature MUUMUU um er Type�of Plumbing License Title ( lam City/Town License umber Master Journeyman ❑ APPROVED(OFFICE USE ONLY 13 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 re!ieve the applicant and/or landowner from compliance with arra applicable or requirements. *-`�**APPLICANT FILLS OUT THIS APPLICANT �U17C'ii]�`� 'L°!q C�`%1� � PHONE LOCATION: Assessors Nino Number 106-122 PARCEL SUEDIVISION ��// LOT (S) STREET �r � 9ST. NUMBER ** ******t "OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECT -HEALTH DATE APPROVED DATE REJECTED S CTOR HEALTH DATE APPROVED �a OZ, DATE REJECTED COMMENTS 9 PUELIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTIMENT REC`iVED EY BUILDING ii ISPECTCR —DAT.-- JSA 6'-6' 4'-2 1/2' 6'-0' 4'-6" , Drawn By:JS; Deck Deck Date:17Oct 3 1{2- 3 1/2- 3 1/2` 3 112- Scale:Varies -.0.,., 4le Revisions: 6'-4 14'-8- 6.-6. 4'-6' i-- — -- -- 7.4. I I I I rs �il/to < I g Note: ® i Fir Decking on P.T.Joists b \ I Y Set Family Room Perimeter Walls II Covered Area I c so that the Ceiling Is 18'Above the Breakfast Room Ceiling ii Family Room I Note: \ �\{B) Covered Area I I.Set Breakfast Room < 2•1 3/4'x11 114' Perimeter Walls So O --D Ceiling Matdl n Exhting _ Microhm Beams Above I I ,^ II aS 00 I Note: Y Seat All Fxterbr walls are 2x6 :o b 0 I I `,o Studs at 16'o/C with R-19 / o 1 3/4'x 16' r C M :o :o � IrlsulaUon w/Vapor Barrier •C V rho Clbbies Microhm Beams Above Remove WaLL Ill to Window emove Wall —�_-_— �—�I-- -- c --- o aj a° tote: wd 1a d 4) et Mud Room Room 3'- 7 d erlmeter Walls - New Cabinets •+t = D Ceiling Clbbles �d Gotlrlters 0 Q= to latches Existing Q b X re„„�,�� Kitchen Dining Room c v v a Q L V1V E >_ Q � Family Room a Pill Living Room °N First Floor Plan ° C, Entry 1 /8 = 1 0 A— rpt x . y �^f 3 1�Y ✓✓ V ........... ............ rte'.- � � kT: r ,I rWy t� w„ s Yk H �a t B 02/03/1997 00:30 5083736611 STEWART/ANDOVER PAGE 04 JUL 7 -136 SEMC 7%M SMMCLP � ANo6L-tr 124a 4.' N.i44 A now,,, 47 PjatFj= gjT4M wWNW=, M 01835"44rc�-caoµ ins'�41 Lac � ,n,S7� 978-372-7471 mOt+m or csd RMXFM POR MM aF ADCFM 0100 �O 1500 acts *e? 6X � fay Imo" 0 /" `6- /3( a/ ry1 Moo Location No. o Date 9' 90 o �oRT„ TOWN OF NORTH ANDOVER '' O?O•' �to a 1.yOO� �-- �, Certificate of Occupancy $ Building/Frame Permit Fee $ 10 04 IL Foundation Permit Fee $ Other Permit Fee $ v Sewer Connection Fee $ Water Connection Fee $ TOTALAl s-0 $ — Building Inspector 3 7 2 10/15/99 13:55 104.00 PAID Div. Public Works PERMIT NO.� APPLICATION FOR PERMIT TO I3UILllx: xYYxxNOIZTH ANDOVER, IIA NIAPNO. i05 LOT NO. �'25 2. RECORD OF OWN Sf1IP DATE BOOK PAGE TONE SUB DIV. LOT NO. LOCATION C(I H Shy (l PURPOSE.OF BUILDING a'AAi �l OWNER'S NAMEa I o r NO.OF STORIES SIZE OWNER'S ADDRESS [� 0671,J wa A BASEDIENT OR SLAB ARCIiTTECT'S NANIE j A r fie SIZE OF FLOOR TINIBERS p L 1 Y1 / 2"I' 31p DUILDER'SNANIE `I res Qat SPAN 1 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FRONT STREET DINIENSIONS OF POSTS DISTANCE FRONT LOT LINES-SIDES REAR DINIENSIONS OF GIRDERS J AREA OF LOT FRONTAGE IIEIGIi i OF FOUNDAI ION THICKNESS IS BUILDING NEN SIZE OF FOOTING ^ 1 x I [[ x l - IS BUILDING ADDITION MATERIAL OF CIIININEECY 1..2, IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND �L WILL BUILDING CONFORM TO REQUTRENT ENTS OF CODE IS BUILDING CONNECTED TO TONVN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED 10 TOWN SEWER,,� Q IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST PAGE I FILL OUT SECTIONS I-3 133 1 ES r.BLDG.COST PER SQ.FT. EST.BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE CSF BUILDING V `/P SEPTIC PERMII NO. ATTACHED GARAGES MUST CONFORNI TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 13U1LDING INSPE TOIL DATE FILED OWNERS'IEL# X Q'78 (on-2o3o ggg � CONTR.LICN N SIGNATURE OF•OWNER OR AIITIIORIT.ED AGF. X kN FEE 6 PEHtNICT GRANTED 19 -- Revised 5/5/99 JNI j ---— - -- - --- NORTH Town of doverO 0 �,.{l. dover, Mass., q T OJQA /'4 ge If hL COC R' ORATED PPS\ Cl '9S BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..��... ..r...............�...�r�.....G...a.. .:��..��..�v.G .. . ..... . ./.* / " oun anon has permission to erect.� .'y, �. buildings on .. .. .. p, ��s . Ro h to be occupied as..../.. / ..l� i. .. .v......�../.r. ..? i .....Q. N....... k..... r.... provided that the person accepting this permit shall in every respect conform to the terms of the application on file i.n 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 /04'r PERMIT EXPIRES IN 6 MONTHS Final P, /01 je UNLESS CONSTRUCTI N �T ELECTRICAL INSPECTOR aA� ............ • � Rough � Rlc ....... BUILDING INSPECTOR ernce 3 r;a Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wail To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. 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 APPLICANTI�ObPY'}'��QYP�'1 Ca G lQ�'11�e. PHONE 0179 (Ogg'803 LOCATION: Assessors Map Number PARCEL IOJr.� SUBDIVISION LOT (S) 125 STREET ShcQrnr,v,^`S end Rc ST. NUMBER * *********** * ********* ***********OFFICIAL USE ONLY*********************************** RECOMMENDATIONS OF TOWN AGENTS: 4(' nn Lh^ s CON ERVATION ADMINISTRATOR DATE APPROVED DATEREJECTED COMMENTS I\J 0 TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPEC OR-HEALTH DATE APPROVED DATE REJECTED C I CTOR-HEA DATE APPROVED DATE REJECTED COMMENTSi✓s� � sw �7�-► lf�� �� 7 �vv� o �rsn �"' m �P�l� -z-,J_ PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 j u North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant _aq Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Name Please Print 1 Name: 0�2X �" &uT, 1 -161 ICchuQ— Location: rw C;tv N M)l Phone # 9-721 GS9 I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity aI am an employer providing workers' compensation for my employees working on this job. Comoanv name: Address City: Phone#: Insurance Co. Policy# Comoanv name: Address City: 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(5100.00) 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 the pains and penalties of perjury that the information provided above is true and correct. Signature Date Print name Phone# Official use only do not write in this area to be completed by city or town cfficial' City or Town Permit/Licensinc ❑ Building Dept ❑Check if immediate response is required ❑ Licensing Board ❑ Selectman's Office Contact persona Phone ❑ Health Department ❑ Other or -g, �t � t It ...NEW. CYt_ttSt?RlCA6.. SEEPP+GE PCt k, !? Rta PIN TE- 111 i 1 1 s 1 r { O v 1,30 1 r t W t ! t / t t ! t 1 r 5>=PTiGI� _ ♦ / `♦ 1 n ll�. }• 1-4 AM 40 X 00 ! !r \ ,♦\\\ \�.� i ' / jam / �✓ `_ � �� otj c °—\x 2Q ,0 4 P-W o L C)T I d L Lot*- W � �T Rp a a. i POz< 2 mrd•• ul 'Ji a h F C' i, yam.�r•i'�7.� .:- ,. . , . ,t _: . . . -.. �:1.I ' _ .. 1. .. - _ [, .. _ .. .. .. f ___ y _ .. _ ... .. .,. - . - � 11 .. - .. - P L.- A* W.I. 0. ,F.� .. i . - .. .. - .. . .. . .. I - .. 1. � N . NOR H • 7; . SH01NI . , . .. t . " AS ILT " FOU 6U NDATION LOCATION . - 1. - . . . • �'01 [� RC�A�3, : . �—y L 0 # �.� SHARPNERS . . .. ._ - .. I. _ . . 1. R , - PARE 0 F 0' : . _:. . ; . RE , 14:. - . . _._ _ . . . . - - . .. . 5 :{;`���N G, . , - - .. . . ._ .. f _ gt)a �_ � - . . `3� S C A L'E 1 D°A `T E fliK' Q . . . = - .._ ._ . . . . .. 60, . 4,) . - - I ..':. , t, .. : .{� .. .. a. . . : ,.,. J :. .. .. .. .. .. ... .. .. .. ,. ,:-,. ' .. .. - ..: . ... _.. . _. ... : - a. ` _ ti .. S G rbt V�w _. . �IN I ... . I . - .. .. - . . . - Ji[.. e n 4 ,, .. .. - .. - - - .. _ _, :. .. .. - .. : ..- _ - IN D TRfC:T . Z N G . . . o �-^� RAE S .1 Dom_ C E�._ I.2 w _ _ ._. _..._ _._ , - . 1. 1. 5 0 - • - . , . . - . ..- - 11 . . . . . . . . . . . . . , o. . , . _ : I :. y .. _ _ .__ .. _ . k' .. '•. . . -,,. ,. ::, S • 1. ': — - t i t- 1 .,. .._., .� .:.. ....n..s.- .�-.v a. ...-..-+t3w.r.. e:ei„y _ .., .' ys .-�;y _ - 1. L/� ,.: _ - ... .:.,. . :. ._. - i.1?!• —..._��- ...... ...:-3hw;FT ..e..`. .. " r.. v/ ._.....,.a[P._C3P.-a-u... _-,_ ._.a..e.�_, -•[.s.'tvc _. "r . . .__ ..�) - ,.:.. - - �.. _ :.- .. .. .. .. 1' } ..,. ` . " y. ... - 1�1 �. . . O 1 .. is 9. - . _ o �. a _ .� - . ►,. - . . - - . . . 9 = . . / NOTE - b1a-O _ . ,; =; I. .PROPERT.Y LINE- DATA. :TAKEN"FROM A.PIrAN,BY t1. 1 . . -- _ K G�"G ELINAS�A550tTATES .INC...DATED APRIL 2;_1981`. � , . , , . - . , . 1. . _ , . .. ,, .,, �: 1. r,:, . . , .. .. : . ON,THIS . . ' REPERTY SRtOCATED ASHSHOWN ONnPLANS AND :, . _ .,PROPERTY *�,�0 \ : COMPLIES.'WITH-THE ZONING REQUIREMENTS OF THE a)" o, _:. TOWN OF 'NORTH •ANDOVER .:.MASS. r -.:- - `,d: . . _ . . . . . , - -,, . _ :., ". �� - ,; _ I 51-t-e— . . � .: :.. _ ,� - r. . .. _., .- .nn � '� _ ..: :: % _11 N � N ,� C `T,,.. . ,Q, �u G, . . ��+ 7 /,. . - '<p�,Yyy 1 - • /� .. - M. N . , _ .. I. ,, -. ' , - , , .' : . :. .' . . M HI FOUNDATION IS NOT'. lil, ": 1. a. ._ % IN DIY 5Ix IL' , 1. .- _ I 11 WN'ON _. .� - IN FLOOD HAZARD ON ., ,�`WE \<.. % _ `. ::. :.. r. .. '::' > .11 ASS HO 5`,�'- : .., . -.._. ,. .. . 11 A E DZ f _ - _w.r -. ... _. ... - _ - HAZARD.BOtiNDAR - .: , . . 4, L000 i. •' .. - ... .,. 1. i. _ . .. ,..:. .,:� .. _ _ .r - . �. �> I . . : Design: j! Drawn By: Date: Revisions: 1 I i 1 -� 12'0'x14'0' - - I Playroom r - ------ �I 1 3'4'x16tY I Breakrast - r TI U 9 -1 Kitchen -J Dining Room n� .I <'7 ° � - I Family Room N N = — Living Room Qr ,o a Entry N O I M I E Proposed First Floor Plan -J 1 /811 = 1 ' 0 - I A-1 IOU -n J> (D 'r-I' (D 0 I 3 -n (D 0 0 0 0 0 0 00 � � 'jjlljj 'ill,��i�l Ij ill i I I •.{:. kill M (D ` H-HI Will Hl .............. . .... ..........•... ......... .. ................... ........ ... .............................. ............................... F—r ................................... Hi 1 11 1 ::t::...... .. ...*.., r+ ........... (D ........ II hill [ . .................................. ...........................I ...................................... ................... .................. ....... .............. .........................**�...-,-`..'-'-`.`.'�'� r+ TR ........I................. .................j .............1.1.*.,.*.'.,.*.,.*,*.*.*.,.*.,.,.*.*.*.,.*.,.*.,.,.i .......... I'D ....... ............... • ..................................... Hill i H illl�hli ...................................... 1;it J Ili II jl II ..................................... .......... ..................... .......... ......... ..."............... ..................................... Mil I w i ................... ........... ..................... ............ .......... ................................ .................. jjljj� .............................. HI ............................. lilt j ..................... ......................... 'T M I Ilii j (i� 1 II II III:I is II 7 1 Joseph S. Artley Additions and Alterations to the > Architect Gallahue Residence o 72 Inman Street 11 Rear Elevation Cambridge,Massachusetts 02139 544 Sharpness Pond Road 617 354.8711 __ North Andover,Massachusetts PH�N:E ,C:ALL oll FQrR z V DATE TINARS P.M. M 00 PHONED OF PHONE- AIR HONE ARE O E aNUMBER EXTENSION pLEASE CALL', MESSAGE C. N�fILL CALL r AC7AIN CAME 7{] SEE YOU SSE YOU SIGNED G92verSal" 48003 ��,,�f'"�S��n7F�,7 f� �7�'1s.�y y;� �T�s� Q t♦CO 6 s�". 3 •w d f O W9'1'91 O 1C'i�RTHI kNTD, 0 �'l:�.Ft.... Buildin- Department ,U I i �1 ,�r 1600 Osgood Street _ a `' cite''-36 MIdinDept Building 2- S v ti � p }' North Andover VIA 015'45 Tel: (978) 658-9545 Fax (975) 688-9542 CCOMPLAI T FOR INVE,S:b Q T Y F h v OF Ol L � ... 1\��� �' T�_F'Lr�T NIT TYRE..: u�i Gas: Property Ovvn�r: ^ '�r` �Si ,-f, ,X"��� '; J August 12, 2009 Investigation of complaint. Observed 1 unregister vehicle, one (1) backhoe/loader used for personal .land care. No violation observed. Brian Leathe, Building Inspector y .07 Y Chapter 175 VEHICLES, STORAGE OF [HISTORY: Adopted by the Town of North Andover as Chapter 6, Section 6.3 of the General Bylaws. Amendments noted where applicable.] § 175-1 Restricted Activity § 175-2 Exceptions § 175-3 Violations and Penalties § 175-1 Restricted Activity. No person shall,accumulate,-keep;_store, part; placed repair-, deposit, or permit.to remain upon premises owned by him or under his control, more than-one (1) unregistered vehicle or any dismantled, unserviceable, junked or abandonedmotor vehicle unless he is licensed to do so under the General Laws or unless he has received written permission to do so from the Board of Selectmen after a hearing. Written permission may only be granted by said Board on condition that the owner agrees to screen the permitted vehicle or vehicles from view from neighboring land, ways or public highways for breach of which agreement said permission shall be revoked. § 175-2 Exceptions. This chapter shall not apply to agricultural vehicles in use on an operating farm § 175-3 Violations and Penalties. Whoever violates or continues to violate this chapter after having been notified of such violation shall be punished by a fine of fifty dollars ($50.) Each week during which such violation is permitted to continue shall be deemed to be a separate offense. [140] landscape material as it addresses the aesthetic quality of the site. The final approval of all material used within the buffer zone shall be at the discretion of the Planning Board: c. Parking lots containing 10 or more spaces shall be required to provide one tree for every five spaces. All trees shall be a deciduous mix of at least 2.5 inch caliper when planted. Native trees and shrubs shall be planted wherever possible, in order to capture the "spirit of the t locale".through indigenous species (such as lilac, viburnum, day lilies, ferns, red twig dogwood, oak,maple, sycamore, linden, hawthorne,birch, shadbush, etc.). In instances where healthy plant material exists on the site prior to its development,in part or in whole, for purposes of off street parking or other vehicular use areas, the Planning Board rriay adjust the application of the above mentioned standards to allow credit for such plant material if, in its opinion, such anadjustment is in keeping with and will preserve the intent of these standards. d. To produce parking which is aesthetically pleasing, well screened, accessible and broken into smaller parcels that may directly and adequately service adjacent structures, a minimum of 5% landscaping and green space must be provided for all parking areas. This 5%.is not intended to include the buffer zones, but shall include all internal landscaped islands in the parking areas. In all instances where natural topography lends itself to the screening of these parking areas it shall be left in its natural state. The Planning Board may at their discretion require additional screening at the owner's.expense. Residential Districts Commercial vehicles in excess of one (1) ton capacity shall .be garaged or screened from view of residential uses within three hundred (3 00) feet by either: a. A strip at least four (4) feet wide, densely planted with trees or shrubs which are at least four (4) feet high at the time of planting and which are of a type that may be expected to form a year-round dense screen at least.six (5) feet high within three (3) years, or b. An opaque wall, barrier, or fence of uniform appearance at least five (5) feet high, but not more than seven (7) feet above finished grade. Such screening shall be maintained in good condition at all times, and-shall not be permitted to exceed seven feet in height within required side yards. Such screening or barriers may be interrupted by normal entrances or exits and shall not be required within ten (10) feet of a street lot line. c. Garaging or off-street parking of an additional two (2) commercial vehicles may be allowed by Special Permit. When it is deemed to be in the public good, parking for additional pleasure vehicles may be allowed by Special Permit. , 8.5 Planned Residential Development (PRD) 1. Purposes: The purpose and intent of the regulations contained in this section are to promote the public health, safety and general welfare of the citizens of the Town by providing for the following goals: a. To promote the more efficient use of land in harmony with its natural features; b. To encourage the preservation of open space; c. To protect water bodies and supplies, wetlands, floodplains,hillsides (1994/40), agricultural lands, wildlife, and other natural resources; d. To permit greater flexibility and more attractive, efficient and economical design of residential developments; e. To facilitate economical and efficient provision of utilities; f. To meet the town's housing needs by promoting a diversity of housing types. 2. Applicability An application for a Planned Residential Special Permit (PRD) shall be allowed for parcels of land in the R-1, R-2, and R-3 Districts in accordance with the standards set forth in this 98