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Miscellaneous - 55 Peachtree Lane Lot 7
i a �r { i i , I i 4 M 1 ,i i North Andover Board of Assessors Public Access i Page 1 of 1 NORTH North Andover Board of Assessors; of••..ao..'�40 siroperty Record Card Click Seal To Return Parcel ID :210/098.A-0118-0000.0 FY:2012 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales Summary Residence Detached Structure _' y •x(41 � Y+, d 3 Condo 55 PEACHTREE LANE Commercial Location: 55 PEACH TREE LANE Owner Name: CYNTHIA DEMONT REVOCABLE TRUST CYNTHIA DEMONT,TRUSTEE Owner Address: 55 PEACH TREE LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:9-9 Land Area: 0.29 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3102 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 639,700 639,700 Building Value: 437,200 437,200 Land Value: 202,500 202,500 Market Land Value: 202,500 Chapter Land Value: LATEST SALE Sale Price: I Sale 02/22/2006 Date: Arms Length Sale F-NO-CONVNIENT Grantor: DEMONT, Code: CYNTHIA Cert Doc: Book: 10045 Page: 240 http://csc-ma.us/PROPAPP/display.do?linkld=1893850&town=NandoverPubAcc 5/18/2012 Residential Property Record Card PARCEL ID:210/098.A-0118-0000.0 MAP:098.A BLOCK:0118 LOT:0000.0 PARCEL ADDRESS:55 PEACH TREE LANE FY:2012 SalePnce �1 Book - 10045 Road T e T -"InspectDate° 06/24/200 ' PARCEL INFORMATION Use Code 101 r y -1 yP y _ Tax Class T Sale 02/22/06 Page: 240 Rd PCondition: P Meas Date Q 06/24/2005 Owner: _,„ -� Tot FmArea 3102 Sale Type' P ��� .� Cert/Doc Traffic M Entrance X CYNTHIA DEMONT REVOCABLE TRUST --__ °° - - °- - - - - ` CYNTHIA DEMONT,TRUSTEE Valid F Tot Land Area 0 29 Sale Water RB Collect Id Sewer '� Inspect Reas S Address: Grantor DEMONT, CYNTHIA 55 PEACH TREE LANE Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% / NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION y, CL Tot Rooms: 7 Main Fn Area. 1820 - Attic NBHD CODE: 9 NBHD CLASS 9 ZONE: R2 Style ��� a�:�,. ��„.W �. �„„.�„�,�..,��-�,�,. __- ,a_ Story Height: 2.00 Bedrooms: 4Up Fa Area: 1282 Bsmt Area: 1820 Seg; j Type Code Method' Sq Ft Acres Influ Y%f� Value Class �� �' 1 P 101 S 12500-� 0.287 202,529 Roofffi G Full Baths 3; Add:Fn Area Fn Bsmt Areas , . � ... �,.,� ._ m .. d — - Ext Wall FB Half Baths 1 Unfin Area: Bsmt Grade: G VALUATION INFORMATION Masonry Trims Ext BathiFix: 3` Tot Fin Area X3102 _ Current Total: 639,700 Bldg: 437,200 Land: 202,500 MktLnd: 202,500 Foundation CN P BatliQual L ' -— MOt—A 437223 Prior Total: 639,700 Bldg: 437,200 Land: 202,500 MktLnd: 202,500 2004 AMkt Adj r` � J� Heat Type. FA Ext Kitch: VYear Built m-2004 'Sound Value:_ Fuel Type G � � _ Grade F V �Cost Bltlg� 437,200 , Fireplace: 1 Bsmt Gar Cap: Condition: EVER Ah Str Val 1: Central AC Y Bsrnt GarSF Pct'Complefe 10.0 Att StrVal2 Aft Gar SF- 528%Good P/F/E/R: -- N100 Porch Type Porch Area Porch Grade Factor P 134 W 168 SKETCH PHOTO W 12 168 qct g a 3 r --` FU*.5 jFh ► 52C 8S FU*0.75/FMj 330S 22 22 .1490:Sq.Ft 33 42 , ..24a 6 134.S , 55 PEACH TREE LANE Parcel ID:210/098.A-0118-0000.0 as of 5/18/12 Page 1 of 1 y a Date......... 40RTN r; TOWN OF NORTH ANDOVER p PERMIT FOR WIRING "ZAC U51 SAC r o�. - Thiscertifies that ............�............................r�...... ................................ moiTU has permission.to perform ...........................�,....................:........................ wiring in the building of � at J--4 c� f r' ..... .......... ,North Andover,Mass. Fee... Lic.No.�M..�-7R........... . ! -. An;�el. INS Check # /7 8859 F Commonwealth o/VIJ-4ac"tb Official Use Only 1JaPar nent 0 gire Jaroicaa Permit.No. 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] 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: 6 30- 4 R City or Town of: /t/o �d0 �, 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_�5_ ck ,ee- 1,!'U. Owner or Tenant \/A-)Q t . CoM©rl f— Telephone No. Owner's Address tis PMC-A &.e p Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building C Cu 2 2 t t/7i h. 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: rw2 y®t �6 Cft'Cv/f CiV//2/n�' Completion o the following blemay be waived by the Inspector of Wires. No.of Recessed Luminaires _ No,of No.of Cell. Sus .(Paddle) Total p (P e)Fans Transformers. KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No, of Luminaires Swimming Pool Above ❑ In ❑ o.o mergency ig mg 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 an Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pumpumber ons o.of Self-Contained Totals: ....._. Detection/AlertiM Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Other Connection j No.of Dryers Heating Appliances KW ecurity Systems:* o. of ater No,of Devices or Equivalent o.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirvnivag: OTHER: No.of Devices or E ulent � c� 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 q signed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE A BOND ❑ OTHER ❑ (Specify:) . 1 certify, under the pains andpenalties es ofperf ury,that the information.on this application is true and complete. FIRM NAME: C�A? <2 . LIC.NO.: Licensee: � ,�0/,t/� r7/4- Signature LIC.NO.: Pf& J/1. (If applicable, enter "exempt"in the license number line.) Bus.Tel.No. Address: ®D l/U/�'�iyY,c! Alt.Tel. .:!Y7 Z(oS9 31�. *Per M.G.L. c. 147,s.57-61i security work requires Department of Public Safety"S"License: . Lic.No. OWNER'S INSURANCE WAIVER: Lam 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 Signature Telephone No. PERMIT FEE: S . i G •�`_ �� .� � � `-a VIII �� �! � � � ®�� `t r I i Commonwealth of Massachusetts uflical t"`curly Permit No. � Department of Fire Services . OCCLlancy and Fee Checked • �� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9.05] Heave blank). APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .SII \�ork to he performed in accordance\%ith the ki issachu,etts Electrical Code MEC). 527 COIR 12.00 (PLEZE PRINT GV INK OR TYPE.ILL I.VFORI MTION) Date:! 2� �L, City or Town of: A�-Ov+J�_ To I/re l�r.j cyor of Y6'ire�. By this application the undersigned gives notice ot'his or her intention to perform the electrical work described below. Location (Street& Number) L�� Owner or Tenant q�����t.t bov�' Telephone No. _7 _ 3 .7 Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building l � [7iy� 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: 6�dj ,� (onr le lkm(?/the )lloll ing able inav be,ruirrd by the Inspector o/ if ires No.of Recessed Luminaires 20 No.of Ceil.-Susp.(Paddle) Fans N o.of Total Transformers KVA No.of Luminaire Outlets Z No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batter Units No.of Receptacle Outlets `j No. of Oil Burners. FIRE ALARMS No.of Zones No. of Switches Z ? No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons Heat Pump Number Tons KW No.of Self-Contained No. of Waste Disposers 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 No.of No.of Data Wiring:. Heaters KW —signs Ballasts No,of Devices or Equivalent No. Hydromassage Bathtubs". No.of Motors Total HP T'clecommunications Wiring: -� No.of Devices or Equivalent OTHER: t Illuch rddilirnrui drmil iJ derived, or os rryuured bY/he hill eelor•o;l Wi e.%. Estimated Value f Elect ical Work:s Q �� (When required by inunicipal policy.) !. �burk to Start: '� Inspections to be requested in accordance with ,bIEC Rule 10, and upon completion. { INSURANCE C VERS GE: Unless waived by the owner, no permit for the performance ofelectrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. "Ehe undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuin office. CI IECK ONE: INSURANCE Eq BOND ❑ i) -I II:.R ❑ (�pecily:) ' l eertift,.finderof perjury, that the inJ mmathln on tris application is hue and eo,nrplefe. FIRM LIC. NO.M41S7 o�-- Licensee: /�k444A G ,A•(A-.� 0.,/,¢-�,SJ ;�i„nature I.IC. :�I().:1� r11,.;;l;li rllc .Nlcr c:rcvrrpl.”1.11 lh liLcnsr rrrnrhrrr'irtr.i Bus. Tel. No.: Yt��l lddress: �'-(�' {� !1!1l �•, �� 1a- C ut> S'i� r✓® -�'C Alt.Tel. No.: ) -U N Security System Contractor Lice :e 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 covcra,<e normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent -✓ :3iknature Telephone No. P.FR:; IT FF.F. i O i O ', Date..j.lzl. ..f.. t NORTH ?�•';��`�-+°1�poc TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS E� !`�� a This#rtifies that ..r . � �. u DS �t C'.'r .�... .r has permission to perform ....... ....`e................� .��- fg ....... .......� ��� � wiring in the building of /c t � f'ccGt � at.................... ...................�,/�.................. ........... ,Nortdover,.Mas r Fee.... ../. ... Lic.No. f.. ��................ ......... .... .... . ... EL CTRICALINSPECPOR Check # � 5189 THE C0MM0ArWE4LTH0FM4SS4CHUSE7TS Office Use`onl DEPARTA1EW0FPLX1CS4FETY Permit No. / e BOAROOFFIREPREVEVHONREGUTA770NS527CAIR I2.,'00 Occupancy&Fees Checked APPLICATIONFOR PERMIT TO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 T IN INK OR TYPE ALL INFORMATION (PLEASE PRIM ) Date q. Town of North AndoverTo the Inspe or f Wires: The undersigned applies for a permit to perform the electrical work describedbelow. Location (Street&Number) pefq&`f rQ e�N b� 1 Owner or Tenant Owner's Address ask V N . N Is this permit in conjunction with a building permit: Yes PZj No M (Check Appropriate Box) Purpose of Building W'pw &Qc0 c f Am l\y Utility Authorization No. Existing Service an® Amps"/cQ(40volts Overhead Underground ® No. of Meters New Service Amps f'6Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work AJIPW fS_ r 00C No.of Lighting Oullets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground , No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners � No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones�� Tons No.of Dispo` Is No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwas -rs Space Area Heating KW Np.pf Sounding Devices No of Self Contained ��� Detoction/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Othe Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP, )THER- sutarim-Covcraga Prue)anttotbemgititmrntsofMassachusczGerrralLaws iaveacunefitLiabihtykmranwPokyiwkKhngCDnipleti,-OvamonsCDmngecrvsmbstonMeqnAut YES NO iaNta nvttedvahddptaofofsametotheOffim YES r7p If}ouhawdrekedYES,plemindic&theMMOfcovetageby box fSURANCEFQ BOND r7 MIERR r-1 (Please Specify) Sit a Estimated Value of Elcical Wodc$ hi onDateReguested Rough ` Final fed under7i_Peres of petjuy ZNINAME LicffwNo. A 102 nye AtC)6-Qil MA`Y1AA4061 Signahm Iic=No n Btrsu�sTelNo. dress, CA S� /�qAJejIj At Td No. 9V 91d_? i VNER'S INSURANCE WAIVED,lain aware that the Luse does not have the insurance coverage orits stibstmnal Nmaleru as resp-md byMassattisetls General Laws .that my signahue on this peimit application waives this requirement ease check one) Owner ® Agent ® `/ Telephone No. PERMIT FEE$ Ignature oT Mwner or Tgent z The Commonwealth of Massachusetts u H Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers Corripensation insurance Affidavit i Name Please Print Name: Location: Citic Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers'compensation for my employees working on this job. t' Company name: Address City Phone#: Insurance Co. __ Policv# j; Company name: t Address City: Phone#: Insurance Co._ Policv# 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 wellas_civil..penattiesjnthe.formof.a..STOP WORK_ORDER..and_a.fine.of_(.$1D0.00)_aiday.against..m.e. 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 Phon.e.# Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensing E Building Dept ❑Check if immediate response is required [] Licensing Board I] Selectman's Office Contact person: Phone#. Health Department Other ISI 17 i f v' Location MLS No. 37�� Date r NORT1y TOWN OF NORTH ANDOVER 10.3 _ Certificate of Occupancy $ �_ sACMUs c�' Building/Frame Permit Fee $ 3.31 Foundation Permit Fee $ 7Y-1 r Other Permit Fee TOTAL $ 3 Check # /0 t+ '�►�v��s svc� ��,� 't 17016 Building Inspector Location - i 1 1440. Date -is NQR,M TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ S� s° Nus<� Building/Frame Permit Fee $ �a Y�< Foundation Permit Fee $ r Other Permit Fee $ CTOTAL $ Check # _pw7eers Saixli� s 5ank- 16926 - 16926 Building Inspector t ._ �1 53-7116/2113 PAY DATEAf DATEe 0TO THE � ORDER OF l I� IIti,J f �" _DOLLARS 'e Danvers Savings Bank •'�'�One Conant5 ..... beet,Danvers,MA 01923 978-77M200 ou. FOR � too : 2L137 i' -� ii62 . 35 0+OL.I�p_�_ .-r TOWN OF NORT-11 ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. 37� DATE ISSUED: !/- 0 3.� ar� N X SIGNATURE: LG O Building CommissionerApgWor of Buildings Daik SECTION 1-SITE INFORMATION I O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: . Kofi eh �,c l ch�le;e �m Zy)-zAilununt 0 1450 ,- "0o_An,'lh' SubGil VI!iF;r\ + Spe.oc rm'fi 'Plan US 1v-0O3A 0� °A-,k �CluJr'cnc)?— W 4k- Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 'J — r '6(oo LQ.sou Ian i ZoningDistrict wo use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred ProvidedR 'red Provided 6 s0 p - , ao 1 sa I 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public X Private 0 Zone Outside Flood Zone X Municipal On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service Signature Te ephone 2.2 Owner of Record: I1� l Name Print Address for Service: ® ??j M V Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ /^�q� Licensed truc n Supervisor: �c �S lJ C1`)�Cr�� ri. InY q0? Iy l�ndoutr,1171� ��p�� License Number Address � r� _ Expiration Date�v�`� ic Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r Expiration Date /z Signature Telephone P1 I� SECTION 4-WORKERS COMPENSATION(XG.L. C 152 y'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.......A No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 1KExisting Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: j �X)k G'-' SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USJE QNLY ti Completed by permit applicant 1. Building - (� l (a) Building Permit Fee rlv Multiplier 2 Electrical OHO (b) Estimated Total Cost of Construction 3 Plumbing OOO Building Permit fee(a)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 CONTRACT((OR�R APPLIES FOR BUILDING PERMIT I, S2.L Q�(''� Qd�C�t�U 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 I as Owner/Authorized 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 Prfint `1„ 6 U� l l Si ature r f O er/A ent Date TNI NO. OF STORIES SIZE BASEMENT OR SLAB , SIZE OF FLOOR TIMBERS 1 QX1Q` ( (J&"C.C• 2aXldiS�/ `O.C3 �XIC5C' l6�U•C- SPAN /y' = a, (," O.C. iL 010-C DIMENSIONS OF SILLS DIMENSIONS OF POSTS bz o DIMENSIONS OF GIRDERS qX /y VL DIGHT OF FOUNDATION ' c. ohTHICKNESS 16 SIZE OF FOOTING J 10 X Q'' MATERIAL OF CHIMNEY 4 IS BUILDING ON SOLID OR FILLED LANDf-clid Land IS BUILDING CONNECTED TO NATURAL GAS LINE I FORM - U — LOT RELEASE FORM 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 applicant and or landowner from compliance with any applicable requirements. APPLICANT C�C h`��'I - Yi PHONE -C � plct(l� )q50�cis reed Cl� NO (=<a�y (�Ps. ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION Eea_c� P. ra c LOT NUMBER STRan noEETa's 00('f t' !-O i A�_ STREET NUONE sonsMBERman am S j am MEN a an a OF'FTcrAL USE ONLY RECO S F TOWN AGENTS ..w.... No. HERE ■ ..ti.m..m.nwammom.r.,a....�...'..-....a.somass ■om.■ ..mono... DATE APPROVED O AAON TRATO DATE REJECTED D✓rl DATE APPROVED DATE REJECTED CONDAENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED i CON[MENTS i /,P;UBLIC WORKS-SEWER!WATER CONNECTIONS //DRIVEWAY PERMIT �D U .�d�rGj &AIJVvLG-hre C/v2c j�IJF,t,! Qy DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS - — - - --RECEIVED BY BUILDING INSPECTOR - --- DATE AFFIDAVIT 1, SCOTT L. MASSE, attorney for KENNETH W. REA do hereby depose and state: 1. 1 represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly 6uthorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/plan. 3. Authorization is hereby given that Gerry-Lynn Darcy, and/or Peach Tree Development LLC be allowed to act as the agent for Kenneth W. Rea regarding any and all matters relative to a certain Building permit(s)issued by the Town of North Andover for any lots affiliated with the above stated plan. I Signed under the pains and penalties of perjury this 14 day of J e 20p3. S TT L. MA S� Cl DT�B-zES-BL6 sRau.ao��d dlo :eo co 91 unr 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER: PEACHTREE DEVELOPMENT LLC COMBO I.D. STATUS OF EMPLOYER 231 SUTTON ST SUITE 2E-F 000139954 Limited Liability Com NORTH ANDOVER, MA 01845 COVERAGE GROUP 0139954 The Waiver of Our Right to Coverage under this assignment Recover from Others Endorsement applies to Massachusetts is available on Pool policies. operations only. For coverage Contact your agent for details. outside of Massachusetts, contact the appropriate Pool or Plan for that state. INSURANCE COMPANY: AGENT WILLOWS INS AGCY INC OR 522 CHICKERING RD TRAVELERS INDEMNITY CO PRODUCER: N ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN.223 856664 CLASSIFICATION OF-OPERATIONCLASS ESTIMATED RATE --- ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 APENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM S50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS, 4.5% OF STANDARD PREM. $1'7 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 PATE OF NOTICE: 05/24/03 PREPARED BY: Joanne Shea EXT 530 SERVICING CARRIER ASSIGNMENT * * LETTER10- 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street. Boston, MA 02110 (617)439-9030 - FAX(617)439-6055 •www.wcribma.org t �. License: CONSTRUCTION SUPERVISOR Number: CS 083065 Birthdate: 01113/1973 S� ExpYes:01/1312007 Tr.no: 83065 Restricted 00 GERRY LYNN DARCY PO BOX 907 N ANDOVER, MA 01845 Administrator I _ i AFFIDAVIT I, SCOTT L. MASSE, attorney for KENNETH W. REA do hereby depose and state: 1. 1 represent Kenneth W. Rea, owner of a certain parcel of land located on Rea Street, North Andover, MA and more specifically described in a plan of land recorded with the Essex North Registry of Deeds as instrument/plan number 14502. 2. 1 am duly authorized by Kenneth W. Rea to act on his behalf regarding furtherance of the above stated instrument/p(an. 3. Authorization is hereby given that Gerry-Lynn Darcy, and/or Peach'Gree Development LLC be allowed to act as the agent for Kenneth W. flea regarding any and all matters relative to a certain Building permit(s)issued by the Town of North Andover for any lots affiliated with the above stated plan. I Signed under the pains and penalties of perjury this day of J e 2003. I S TT L. MA SE 06/16/2003 14:59 19783276517 WILLOWS PAGE 02 NOTICE OF ASSIGNMENT EMPLOYER! PEACHTREE DEVELOPMENT LLC COMBO I.D. STATUS OF EMPLOYER 231 SUTTON ST SUITE 2E-F 000139954 Limited Liability Coat NORTH ANDOVER, MA 01845 COVERAGE GROUP 0139954 The Waiver of Our Right to Coverage under this assignment Recover from Others Endorsement applies to Massachusetts is available on Pool policies. operations only. For coverage Contact your agent for details. outside of Massachusetts, contact the appropriate Pool or Plan for that state. AGENT WILLOWS INS AGCY INC INSURANCE COMPANY: OR 522 CHICKERING RD TRAVELERS INDEMNITY CO PRODUCER: N .ANDOVER, MA 01845 MS JACKIE DENNIS P 0 BOX 3556 ORLANDO, FL 32802 (800) 443-4404 AGENCY FEIN:223 856664 CLASSIFICATION OF OPERATION .�- CLASS ESTIMATED RATE ESTIMATED CODE TOTAL ANNUAL PREMIUM REMUNERATION ------------------------------- RPENTRY-DETACHED PRIVATE RESIDENCES 5645 $0 10.62 $0 2PENTRY-DWELLINGS-3 STORIES OR LESS 5651 $0 10.62 $0 EMPLOYERS LIABILITY 100/100/500 9845 LOSS CONSTANT 0032 $50 STANDARD PREMIUM $50 EXPENSE CONSTANT 0900 $122 TERRORISM CHARGE 9740 $0 RISK MINIMUM PREMIUM 0990 $500 ESTIMATED ANNUAL PREMIUM $500 DTA ASSESS. 4.5% OF STANDARD PREM. $17 EST. ANNUAL PREM. PLUS ASSESSMENT $517 INSTALLMENT BASIS: Annual REQUIRED DEPOSIT PREMIUM $517 COMMENTS Coverage effective 12:01 AM on 05/23/03 DATE OF NOTICE: 0 5/24/03 PREPARED BY: Joanne Shea EXT 530 * * SERVICING CARRIER ASSIGNMENT LETTER ID: 419982 COPY: AGENCY The Workers' Compensation Rating and Inspection Bureau of Massachusetts 101 Arch Street• Boston, MA 02110 (617)439-9030 • FAX(617)439-0055 •www.wcribma.org Recharger it , '/ , , • • • • � • �� s 6.33 Width awb Height 20.5" Weight 34 lb� �• ► 3! �� Recharger 161 - INSTALLATION DETAIL Ir CRUSHED STONE 000cc0000coo , � � ' �.1 .III�� 00000�ol00000 III. � r1 .x,1 ,�1*•• • •T Tf Tf TT TT' f l I 1 T Tf Tf Tf Tf TT-.� •• ��A//���� �, � , I�II���eII��II,I���I�IeIII���I� � •�`����11 ' i r,.T i-f TT Ti Ti Tf l .T 1Z TT Ti Tf Tf.",} • I IIIII��sI�I���IIIII�I��ell�l�) • •ill Lll^I Ll Lll CRUSHED Llll L111� • • D.E.P. - NUMBER - •- THE SITE UNIT TYPE. 0 © CAPACITY. ` :. ASED ON NOM- STORAGE CAPACITY DOES NOT 35X STONE . 122 CF. CALCULATIONS :• INCLUDE STONEBELOW CULTEC UNITS1� I , . • I '2. ROOF LEADERS TO BE EQUPPED WITH • OVERFLOWS AS SH• ON 11 OF 15 OF THE NOI PLAN SET. CULTEC 410 FILTER FABRIC ]/ f• 1RECOMMENDED. NOT REQUIRED X COMPACTED FILL CUL7EC RECHARGER 180 /�♦lll` I STANDARD / • CHAMBER I , e PVC INSPECTION PORT TO • GRADE j` ' CHAMBER wa • PROPOSED PLOT PLAN it i •- • .�• . 1 L n- 260.5 1"011 REIN F.IV wN 103 in CROSSNORTH ANDOVER, MASS. E.S.H.W.T. Prepared For TYPICAL • :0 El.- 258.51=--- PEACHTREE DEVELOPMENT, LLC STANDARD H-1 0 CULTEC CHAMBER SYSTEM • p� INFORMATION _ 1ANDOVER, TEST HOLE (/ „� • • TEST DATE: 7/22/03 All Marchi1 1 EXISTING GRADE: 264.5 &Associates,L.P. 1 OBS. WATER and 1 1 �'� 1AvenueSuite I FAX V81)438-9&-A - a .� � Stoneham,'� 1 rWebsite: 9.64 PEACHTREE MANE PROPOSED 40' WIDE �4"W S29'53'44"W 3100' J ,100.00 100.00 a 23,3 cn fV O IO O 0) ` D V) I G) to I rn y QATION �a. C I TOP FOUNDATION r, �1=272.65 ( ` ELEVATION=274,23 C f j 5.CO LOT 21 .2' 12500 S.F. 0,29 Ac. h'1 O cr, LOT 7 54.6' 53.8' 1-2500 S.F. N. .' S17P,HEN M. u` "n 0.29 Ac. �n�:Ii:;CIU N c: D0' 100.00' C >144"W S29'53'44"W 529'53'4 WE HEREBY CERTIFY THAT WE HAVE EXAMINED THE PREMISES AND THAT THE BUILDING IS LOCATED THIS FLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS RELATIVE TO REQUIRED SETBACKS OF FROM EXISTING PLANS AND RECORDS THE MUNICIPALITY WHEN CONSTRUCTED. ALSO, ACCORDING WITH THE STRUCTURES SHOWN LOCATED TO THE F.E.M.A./H.U.D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY. THIS PLAN COMMUNITY PANEL NO. 250098 0006 C SHOULD NOT BE USED FOR PROPERTY DATED 6/2/1993 , THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED FOUNDATION PLAN LOT 7 PEACHTREE FARMS MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MA ENGINEERING AND PLANNING CONSULTANTS PREPARED FOR 62 MONTVALE AVE. SUITE I PEACHVEE DEVELOPMENT, L.L.C. STONEHAM, MA. 02180 P.O. BOX 3039 (781) 438-5121 ANDOVER, MA 01810 SCALE: 1°=30' DATE: 1 /1,3/04 License: CONSTRUCTION SUPERVISOR N. t Number:CS 083065 w Birthdate :01/13/1973 Ecpiresa:01/13/20.07 Tr.no: 83065 Res#�►ct��i:00 GORY LYNN DARTY PO BOX 907 N ANDOVER, MA Administrator III _ I O Yi B H . . t Town o Andover� ® No. 3-73 - O dover, Mass., LAKE Nit• a � �. — COCMI CKEwICK v DRArED pP� °cC:) SAC H 19S�� FOR EXCAVATIONAND F THIS CERTIFIES THAT ...........�...4' :a-k� i? .... 1 -�Pl �` � 5+. ............................... has permission to excavate and pour foundation at ...Air ..... ..... .�................... for the purpose of............... .......... . .t.Ql.�.. .... �i!'2�=.IlN.. -. The person accepting this permit must return t the office of the BtAlding ect Ins or a cefied plot plan show p 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 hermit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. .................. ... ....... .............. BUILDING INSPECTOR. t4ORTH o" of ': 6 Andover O No.3 03 LAK . dover, Mass.,`by, V6 -7-003 COC HICHEWICK AW`�`.04 DRA TE D F'P� y {�Y S V BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. -.''�c.. . e .A.P..... [' L—� �'" . ........................................................................... :....... Foundation has permission to erect...1 6..:.: ::.:....I........ buildings on ...1-Or..�..1......p� !!`��,..�N.�..�....�`. Rough tube occupied as......... N ......1��Pv.S .....$*A................................................. Chimney provided that the person acclpting this,permit shall in ever aspect 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION START 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner L i c A o83ots— _ / 74P t — Street No. SEE REVERSE SIDE Smoke Det. FORM J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Essex County, Massachusetts, hereby certify that: a. the requirements for the construction of ways and municipal services called for by the Performance Bond or Surety and dated and/or by the Covenant dated May � _0 200 3 and recorded orded >n the Districts Deeds, Book 7827, Page 143; or registered inLand Registry District as Document No, and noted on Certificate of Title No. Registration Book pa 1n Page ; has been corpleted/partially completed, to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled "Definitive Subdivision and S ecial Permit Plan Peachtree Farm in North Andover Massachusetts" Plan dated October 24, 2002 last revised May16 2003 recorded by the Essex North District Registry of Deeds, Plan No. 14502 or registered in said Land Registry District, Plan Book , and said lots are hereby released from the,restrictions as to sale and building specified thereon. Lots designated on said Plan as follows: (Lot Number (s) and street (s)) Lots 1 — 9 and 20.—28 inclusive Peachtree Lane and Lavender Circle b. (To be attested by a Registered Land Surveyor) I hereby certify that lot number (s) Lots 1 — 9 and 20— 28 inclusive, on Peachtree Lane and Lavender Circle do conform to layout as shown on Definitive Plan entitled "Definitive Subdivision and Special Permit Plan Peachtree Fann in North Andover. Massachusetts". r Registered Land Surveyor O ' 1 of 2 3f.. {K0259882.1} C. The Town of North Andover, a municipal corporation situated in 'the County of Essex, Commonwealth of Massachusetts, acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated 20 , and/or Covenant dated May 20, 2003 from Bi- Kahuna Properties LLC of the City/Town of North Andover, Essex County, Massachusetts recorded with the Essex North District Registry of Deeds, Book 7827, Page 143, or registered in Land Registry District as Document No. and noted Certificate of Title No. in Registration Book Page acknowledges satisfaction of the terms thereof and hereby releases its right, title and interest in the lots designated on said plan as follows: Lots 1 —9 and 20—28 inclusive EXECUTED as a sealed instrument this day of Nov r. 200 . Majority of the ,, Planning Board y of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS ESSEX, ss. November 4, 2003 Then personally appeared s)c'.tGY^� rY -onc-t+-the above-named members of the Planning Board of the Town of North Andover, Massachusetts, and acknowledged the foregoing instrument to be the free act and deed of said Planning board,before me, A; 01 Notary Public l My dorhmission Expires 2 of 2 ;K0259882.1} Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code RES check Software Version 3.5 Release ld Data filename: K:\Laudani\Peachtree\HouseA\4996.rck PROJECT TITLE: Peachtree Development CITY: Reading STATE: Massachusetts HDD: 6573 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 11/21/03 DATE OF PLANS: 11-21-03 PROJECT DESCRIPTION: Loi# House A i COMPLIANCE:Passes Maximum UA=500 Your Home UA=486 2.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA i Ceiling 1: Flat Ceiling or Scissor Truss 1350 30.0 0.0 47 Ceiling 2: Cathedral Ceiling(no attic) 502 19.0 0.0 26 Wall 1: Wood Frame, 16" o.c. 3038 13.0 0.0 225 Window 1: Wood Frame:Double Pane with Low-E 222 0.340 75 Door l: Solid 14 0.180 2 Door 2: Glass 61 0.340 21 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1917 19.0 0.0 90 Boiler 1: Other(Except Gas-Fired Steam), 80 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheckVersion 3.5 Release I (formerly MECchecl and to comply with the mandatory requirements listed in the RES checkInspection Checklist. 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 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date 11 2)— Date. .`1 '�1.�!Z. "pR7: p TOWN OF NORTH ANDOVER p� t�ao 1h PERMIT FOR PLUMBING +. '�•,..,�nth }/ � , ,SSACMus This certifies that . . . . . . . . . j . . has permission to perform . .`.... . . . . . . .:. . . . . . . . . plumbing in the buildings of .12j,(M .e --- . . . . . . . . North Andover, Mass. Fee.6J . ..Lic. No. G 7. D. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r PLUMBING INSPECTOR Check # x r 59, 57 MASSACHUSETTS UNf-'FORM APPLI TION FOR PERMIT TO DO PLUMBING fte or print) V 4 o Lr--� MASSAC Date Building Locations Permit # nn Amount y S d �i'E fi reQ f% CMZ Owner's Name –.— •••—�••�� New Renovation Replacement Plans Submitted FIXTURES r A � � O A S[.lNDE H4qe4m F L%BLOM I 2N'a EIIT m I 3t RLM 4M FUM 7ER ROR sl�».oaR (Print or type) Check one: Certificate Installing Company Name �a 1 ri s k y PP leu:_ i n e & Heating XM Corp. 1 Q n Address �_.�.P Box 01 Partner. c Havarhi I 1 w, mwj Business Telephone 1978–a74-174-31 Firm/Co. Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Coyerage: Indicate the type of insurance,;overage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance ign re Owner 0 Agent 0 I hereby certify that all of the details and information F have submi ed r Rng above appl' 'on are true and accurate to the best of my knowledge and that all plumbing work anc�installatio Permit ed for this application will be in compliance with all pertinent provisions of the Massachusetts lu C e and apter 142 of the General Laws. By: i ,- Tope of Piumbing License Title City/Town UM er Master13 Journeyman APPROVED(OFFICE USE ONLY 1 • Date... .,.... .................... a` t N°RTH 1 ,; TOWN OF NORTH ANDOVER 3? +�eP ',•' a p0L . p PERMIT FOR WIRINGVol + ,SSACMUS� This certifies that .. ... . ...................... ..........,.................................... b p pro ... . .... ..... .....- . ,7..��.`.�.......... has permission to erform wiring in the building ........R1... ��!.... ................ at. - L.. ...... ` . ..., .. ,North Andover,Mass. I,Fee..j�!..-,�s:........ Lic.Nol.. .............................................................. j ELECTRICAL INSPECTOR Check # �/' I 5 '174 Commonwealth of Massachusetts ' Official Use Only L IVDepartment of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leave blank APPLICATION FOR PERMIT�TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12 (PLEASE PRINT IN INK OR,-TWE A INF RMATION) Date: F �v City or Town of: To the Inspecto of Wires: By this application the undersigned t e notice of hilor her i ent on perform electrical work described below. Location(Street&N ber) Owner or Tenant r Telephone No. Owner's Address 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 Overhead❑ Undgrd❑ No.of Meters Number.of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the follow4n table may be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators- KVA No.of Lighting Fixtures Swimming Pool rnd.Above ❑ In- o.o Emergency Lighting rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an ir- Initiatin Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting in Devices No.of Waste Disposers . . Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kit Security Systems: No.of Devices or Equivalent No.o Water Kms, No.o No.o Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent ` Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent `e OTHER: Attach additional detail if desired,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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration 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 certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Security LIC.NO.: 1533(; Licensee: John S. Bassett Signature LIC.NO.: 1533C (If applicable,enter"exempt"in the license number line) Bus.Tel.No.• 603-594 5928 Address Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li*see see 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. f Owner/Agent Signature Telephone No. PERMIT FEE: $ , i I f.✓.f. . y ,t Date. . ... .. HORTH OF ,��o ,°'�•y° 3= TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION SACHUS x � This certifies that .-II . . . . . . . . . . . . . . . has permission for gas installation .... . . . ... . . . . . . . . . . . in the-buildings of . . . . . ... . . . . . . . . . . . . . at�. ?�? �/ r�' l! . ... .. ./fit , North Andover, Mass. Fee./lrr1.�'�! Lic. Noll)37le . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# (1 � ;r 4594 , MASSACHMM UNIFORM.APPLICA'PON FO �rERNllT To DO GAS FTIIRNG (Type or print) "0�� e-A4 ovzz- � Dab ,� —6 TTS Building Locations �� x- Permit# Own ISM � Amount$ New Rova attion Replacement Plans Submitted FAo ,u g SUB-BASEMENT BASEMENT 1ST. FLOOR. 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) NameS 1' k one: Cerci hygCnmpany Address Partner. .� — ' Business Telephone � �,� mum -- 0 Firm/Co. Name of Licensed Plumber or(Sas Fitter [INSURANCE COVERAGE Check one. - I ave a current liability Insurance policy or it's substan�sal equivalent. Yes ou have checked yam,please indicate the type Na�bility insurance li ` `" dlearopriatebox Po cyM,. Other ty Ye of indemnity Band 13 ner's Insurance Waiver: I am aware that the licenseeshavetheInsurancess.General Laws,and that my signature on this perm Se��by Chapter 142 ofthe p application waives this requir�emertt; Signature of Owner or Owner's Agent OwnerCheck one: Agent t hereby certify that all of the details and irrfonnation I have;submitted(or entered)in Q application a and accurate to best of my knowledge and that all plumbing work and ave, p nned under Panni Is Ser this application will be in the compliance with all pertinent provisions of the Massachuar,�ts State By: nature ofLicensed plumber fitter Title Plumber L Mbe City/Town �rFitter iceme Muster APPROVED rorRcE ME ONLY) Journeyman r ��q Dat . 9 . . . . . ... . 't WOFTM pF „ao ,c,ti° 0 �' °p TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION . �9SSAC'MUSE�S � l This certifies that, . . . ;' . . . . . . . . . : . . . . . . . . . . has permission for gas installation . � . . . . . . . . . . . . in the buildings of . cel -t '-E-% . , at !/�. . � , North Andover, Mass. ;' !!/..X9 i' Fee.t��/G�... Lic. No. GAS INSPECTOR ` r. Check# X46931 . -A MASSACHUSETTS UNDURM .-BUCATON PERMIT TO DO GAS FITTING (Type or print) NoVt ,4 A-o-14 ovz Date MASSACHUSETTS Building Locations ..2Permit# Own /sName n "j Amount$ /Q p New❑/ Renovation ❑ Replacement ❑ Plans Submitted ❑ CA as 1 � H o a O N2 T-1UB-BASEM ENT B A S E M ENT ? l 0 1ST. FLOOR 4 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) /" I/ ® ° one: Cerki a In_s lung Company Name C`J�i l/y� S f'`�-i U 6 �� 1 Corp. Address �, / ❑ Partner. Business Telephone _ 7 Firm/Co. Name of Licensed Plumber or Gas Fitter � � //��1A.1 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substaraial equivalent. Yes No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy EL L Other ty;pe of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass.General Laws,and that my signatureon this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent. ❑ I hereby certify that all ofthe 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 p ormed under PenniMssued for this application will be in compliance with all pertinent provisions of the Massachusetts State s od Ch of General Laws. By: 1.31- nature of Licensed Plumberjr Title Plumber Gas Fitter /` c` � City/Town ❑ Fitter riceite Number ;vlaster APPROVED(OFFICE USE ONLY) ❑ .Journeyman � 4. Date. . . . .... . . a °'•M�°T�'"o TOWN OF NORTH ANDOVER �? °L p PERMIT FOR PLUMBING SACMUS� This certifies that �.�. has permission to perform . . . . i �. .`. plumbing in the buildings of ... . .`. . C. . ... . . . . . . . . . at .1 .1. % ! � ./. �`./; . . . .. North Andover, Mass. Fee. �/. . . .Lic. No.. . . .G. . .7 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . / PLUMBING INSPECTOR Check N 55; 56 - � qa MASSACHUSETTS UNIFORM API* ICATION FOR PERMIT TO DO PLUMBING ('t*or print) M - ly MASS CHIJE'1 Date Lip , Location Permit # Amount 0 ees Name New[Er Renovation Replacement ❑ Plans Submitted FIXTURES Cal ' v SU38 lC WOW L%ADM Z 1 -2 21�iEiA(R 2 3 f 4M ROM 8iH FIODt 7Q•L>HIOf.R _f_ S>si hhlltlt (Print or type) Check one: Certificate Installing Company Name k a 1 i n s k n P 1 u nj; i n g L Hje aoawEl Corp. --Lgnfi ��,� Address P.0. B o x 1701 n pie,. Business Telephone 1-97§-374-1743 Firm/Co, .. - Name of Licensed Plumber: Stephen C G a l inn s k 1 lasygance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond Insumm-Waiver, [,.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 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 Pei,FrinVun t Issued for this application wily be in compliance with all pertinent provisions of the Massachusetts State h 142 of the C Wneral Laws. [city/Town y: c a Ty a of., umbing License itle �gg, License"141Tip oor Masher �x Jotuneym8st APPROVEDt OFFICE USE ONLY i fi Date....... ... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4 o =1 � L SACMU S � 7���p����/� This certifies that . . . :!,!.��4�, . . ...... ........... ........ .................. has permission to p /fornlr.......... .... .......... ....�.. .,��,�: ✓...... 3 wiling'nth building of t � :f ^: t �:....1..�.(.!1,:7! !f ...... ... �. ,North Andover,Mass. gr at. Fee..1'ar...�.1... Lic.No.... ... . ............................................................... .4 ELECTRICAL INSPECTOR 7 .4c:G Check # 5 1.7 3.-. Commonwealth of Massachusetts official Use only [[Rev. rmit No. Department of Fire Services cupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the MaA achusetts Electrical Code(MEC),527 9MR 12.00 (PLEASE PRINT IN INK O PE AL INF RMATI�ON, Date: - City or Town of: To the Inspector of Mks: By this application the undersigns es notice of h' or her int tion tyerfo the ectrical work described below. Location(Street&N ber) Owner or Tenant Telephone Noy -- Owner's Address 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 Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical_Work: Installation of Security system Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o mergency Lighting No.of Lighting Fixtures Swimming Pool 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 an Initiating Devices No.of Ranges No.of Air Cond. Total No. of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security Systems: No.of Devices or E uivalent No.o Water Kms, No.o No.o 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 z OTHER: Attach additional detail if desired,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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of E ectrical Work: — (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under th p-ainh and penalties of perjury, that the information on this application is true and complete. FIRM NAME: 1 . ° Ser�oicasLIC.NO.: 1 Licensee: Johh S. Bassett Signature LIC.NO.: 1533C (If applicable, enter"exempt"in the license number line) Bus.Tel.No.• E-3-594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li4lsee 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. , ORTH Town of Andover 10 No. 37z dover, Mass., W6,1. A 2=1*3 LAK COC HICHEWICK 0, 79 oR TED BOARD OF HEALTH Food/Kitchen PERM. IT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................ ....................................... Foundation has permission to erect.........w4vmw Pi, .... buildings on ...Jat-*.6... 040*0C ................. Rough to be Occupied as..... "-s*ce...F J ................... Chimney provided that the person accepting this permit shall in eviij 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 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI ST S TAKS A Rough .VA......................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous. Place on the Premis Rough es, — Do Not Remove Final No Lathing or Dry Will To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner % 16 0 9?'!z 0 70fS Street No. SEE REVERSE SIDE' -- Smoke Det. L ®RTH Towno � y 6� . � Andover 372 ® No. - CON -- �AKE - o? dover, Mass., floe. U 02003 �A COC MSC HCw,CK ORATED P'P' C) SSMC I-IIDS�C FOR EX AVAT I N AND FOUNDATION THIS CERTIFIES THAT ./ ..... ........ rA6z:..... Lel.`!+ /Ir ;'��11� .!!q ........................................................... ... .n ..,.... / has permission to excavate and pour foundation at Ina-r.. ���d����:..�lg�:.�.......................... for the purpose of...... 5'a°k�l �(4�R. ........ ..�/. r..�!!?.Qr... ..... ..................!��!!I�. .. !"! f��til The person accepting this permit must return to the office of the tBuildin Ins ector a certiffed lot Ian s 9 P p p how 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. C •S � - - 08,1o65 .................... .......M- BUILDING INSPECTOR