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HomeMy WebLinkAboutMiscellaneous - 56 WOODSTOCK STREET 4/30/2018MetLife Auto & Home® Homeowner Operations Field Claim Office Mail Processing Center P.O. Box 2201 Charlotte, NC 28241 (800) 854-6011 September 17, 2014 North Andover Building Inspection 1600 Osgood St, Suite 2035 North Andover, MA 01845 Our Customer: Brenda P. Savary Claim Number: JDE64693 4X Date of Loss: September 13, 2014 Dear North Andover Building Inspection: Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 56 Woodstock Rd, North Andover, MA Sincerely, Larry Branco - FLD Metropolitan Property and Casualty Insurance Company Senior Claim Adjuster (800) 854-6011 Ext. 7177 Fax: (866) 958-0736 Email: lbranco@metlife.com MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI. MPL MA-REGDEPT Printed in U.S.A 0698 MetLife Auto & Home® Homeowner Operations Field Claim Office Mail Processing Center P.O. Box 2201 Charlotte, NC 28241 (800)854-6011 September 17, 2014 North Andover Health Department 1600 Osgood St, Suite 2064 North Andover, MA 01845 Our Customer: Brenda P. Savary Claim Number: JDE64693 4X Date of Loss: September 13, 2014 Dear North Andover Health Department: Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 313, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 56 Woodstock Rd, North Andover, MA Sincerely, Larry Branco - FLD =_ Metropolitan Property and Casualty Insurance Company Senior Claim Adjuster (800) 854-6011 Ext. 7177 Fax: (866) 958-0736 Email: lbranco@metlife.com MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI. MPL MA-REGDEPT Printed in U.S.A 0698 Location Sz, ���'�� �� /,) No. 41 Date 3 as -oa NOeTry TOWN OF NORTH ANDOVER o� • . ow � a + ; Certificate Occupancy $ ; of ��s'•'°''�� SAcmusE Building/Frame Permit Fee $ 3a Foundation Permit Fee $ r Other Permit Fee $ TOTAL $ Check # UN 15308 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 7W6 Se' c ice for Qf6cta113se Oel BUILDING PERMIT NUMBER: -- DATE ISSUED: SIGNATURE: A N(rac,4--- BuildingCommissionei/IEMtor of Buildings Date SECTION 1- SITE INFORMATION 1. l Property Address: 1.2 Assessors Map and Parcel Number: 04-5, egooli Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: .e5v, K `A%O CJL Zoning Di d Proposed Use I Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide4 Required Provided Required Provided 3a s'' 1.7 Water Supply M.G.L.C.40. 54) 1.3. Flood Tune Information: 1.8 Sewerage Disposal System: Public Private ❑ - Zone Outside Flood Zone ❑ Municipal �/ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record t2 jtp Name (Print) Address for Service Signature . Telephone ; 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction// Supervisor: Not Applicable ❑ y Licensed Construction Supervisor: ✓� O Z License Number Address / _� 3-zy-D2 d ' (� ZD Expiration Date ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable 0 9 E� lJ Company Name /02,32-3 Z / EGt1 r� Registration Number Address I �f (f Expiration Date Xit,re Telephone 00 M X Z M 90 O 3 r v M _r ^Z YI 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 buildin rmit. o: --- A _fr..A.,.,:r Art.chPA Ypg-----.. No ....... ❑ _. SECTION 5 Description of Proposed Work check all applicable ❑ Alterations(s) ❑ Addition New Construction 11 Existing Building 11Repair(s) Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: Ll I -C SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be 1. Building t 2 Electrical 2a_ X2i- OFFICIAL USE ONLY (a) Building Permit Fee Multiplier (b) Estimated Total Cost of Construction 3 Plumbing 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 CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject -property to act on Hereby authorize My behalf, in all matters relative to work authorized by this building permit application. Signature of Omer Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1 /J G le as 4&=w0Authorized 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 2619, of /. NO. OF STORIES BASEMENT OR SLAB SIZE OF FLOOR TIlvIBERS 1 SPAN DfNIENSIONS OF SILLS DIMENSIONS OF POSTS DM:_`NSIONS OF GIRDERS HEIGHT OF FOUNDATION SIZE: OF FOOTING MATERIAL OF CIIWINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' Date SIZE 2 THICKNESS X j BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 058245 Birthdate: 03/24/1943 Expires: 03/24/2002 Tr, no: 18312 Restricted To: 00 KENNETH B KEEN 21 HEWITT AVE 11�9r�Gly N ANDOVER, MA 01845 Administrator T,1. �'o„r�xoo+u Balli .f�� NONE IMPROVEMENT CONTRACTOR a Registration: 108383 a Expiration: 8/18/02 Type: DBA KEEN CONSTRUCTION CO. Kenneth Keen ADMINISTRATOR 21 Hellin Ave No. Andover MA 01845 MORTGAGE INSPECTION PLAN FILE NO.: 135248 MOR UNREGISTERED LAND ADDRESS: 56 ' WOODSTOCK STREET NORTH ANDOVER MA DEED BOOK: PAGE:PAGE. LOT(S): 24 ATTORNEY: MARIAN P. ABRAHAM P.C. PLAN BOOK: PLAN NUMBER: 3698 OF LENDER: OWNER: BRENDA do DAVID SAVARY APPLICANT: DATE: 02/12/2002 SCALE: 1`30' FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250098 ZONE: X PANEL: 0003C DATED: 06/02/1993 N/F NICUOLOSI ICS, 6 0 23 REGISTERED LAND REGISTRATION BOOK: PAGE: CERTIFICATE OF TITLE: - PLAN NUMBER: LOT(S): ASSESSORS MAP MAP: BLOCK: PARCEL N/F COLGATE CONSTRUCTION CO INC. 124.43' I LOT 24 12,472 S.F.t WOODSTOCK THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE. THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER WAS IN COMPLIANCE WITH THE LOCAL ZONING BY—LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. 0 0 0 0 r - STREET LOT 23 MORTGAGE LENDER USE ONLY ug)DES LAUIXL- - & ASSOCIATES, INC. 40 KENWOOD CIRCLE, SUITE 8, FRANKLIN, MA 02038 TEL: (800)287-8800 FAX.: (508)528-4011 OF r ROBERT v EDWARD -' BISSONNETT N 0. 31300 /STER�o �L L00 GENERAL NOTES: (1) The declarations made above are on the basis of my knowledge, inftrmaton, and belief as the result of a mortgage inspection tape survey made to the normal standard of care of registered land surveyors practicing In Massachp efts.par() Declarations are for made econstruction.to the above named client only as of this date. (3) This plan was not made for recording purposes, (4) Verifications of property line dimensions, building offsets, fences, or lot configuration may be accomplished by an accurate instrument survey. Z The Commonwealth of Massachusetts Department of Industrial Accidents Officeofilly,VS 9SAMs 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit city �0 2 ti, A N CIO J ihq- IM4 S- phone # g % ❑ I am'a homeowner performing all work mvself. J2,1 am a sole proprietor and have no one working in any capacity ❑ I am an employer providing workers' compensation for my employees working on this job. company name. address: civphone # insur•tnce co xm: y # .» a...3�;�: , ❑ l am a sole proprietor, general contractor, or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation polices: mD;•inv na I do hereby cernfyynderthe in a penalties o perjury that the information provided above is true and correct. Signature Date ,�- Z L( f� Print name._..._._..Phone # r . official use only do not write in this area to be completed by city or town official city or town: permittlicense # -Building Department check if immediate response is required pLicensingBoard'pSelectmen's Office pHealth Department contact person: phone #; -Other (revised 7/95 PIA) .Z e i FORM U .- LOT RELEASE FORM • INSTRUCTIONS: This form is used to verify that all necessa a Boards and Departments having jurisdiction have been obtained. Th s doss not ire iron the applicant and/or landowner from compliance with any applicable or requirements. E --HrrLacANT FILLS OUT THIS APPLICANT PHONE LOCATION: Assessor's Map Number � PARCEL� SUBDIVISION LOT (S) STREET ST. NUMBER_ ONLY** ******************OFFICIAL USE RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMIhi RATO DATEAP 'TE FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH DATE APPROV—eo---------- DATEi REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9197 jm ,TE KEEN CONSTRUCTION CO. 21 HEWITT AVE. N. ANDOVER, MA 01845 (978) 691-5201 Savary, Brenda & David 56 Woodstock Ln. N. Andover, MA 01845 (978) 691-5939 Contract #1565: Appendix A Date:3/13/02 Single Floor Addition: • Excavate & pour foundation for addition(approx. 416 sq. ft.) • Back fill and regrade to foundation • Create 4` crawlspace under addition with poured concrete floor • Frame & sheath addition as per prints dated April 20, 1997 • Remodel existing back bedroom to facilitate master bath and walk-in closet • Insulate floor, walls and ceiling to code • Sheetrock, tape and seam walls and ceiling • Supply & install four Andersen "tilt -wash" double hung windows • Supply & install five hollow core interior doors(to match existing) • Supply & install window, base & door trim to match existing • Supply & install hardwood floors (2 coat finish) in addition and hallway to kitchen • Supply & install ceramic tile on floor in new master bath($125.00 material allowance) • Supply & install roofing on addition to match existing(3 tab, 20 year) • Supply & .install 8" smooth vinyl siding (if available) to match existing • Paint wads & trim (2 coat fuxish,2 neutral colors) Electrical: = Supply & install upgrade of electrical service to 200 amp service • Supply & install fan safes in ceiling of new bedrooms • Supply & install outlets to code in new bath and bedrooms( arc -fault circuit breakers may be required at additional cost) • Supply & install switching to code • Supply & install one cable and one phone outlet in both new bedrooms • Supply & install hard wired smoke detectors in new bedrooms (not responsible for upgrade of Others or additional detectors in house because of non -compatibility or code requirements) Plumbing: • Supply & install all fixtures (standard) in new bathroom ($1400.00 fixture allowance including vanity, top, faucet, shower valve, fiberglass shower unit & toilet • Supply & install additional zone (off existing boiler) of heat in addition Price does not include cost of permits, finish landscaping or fencing. rl m CP 0 NLD u J .-a Z � Q H w X W J W Q = Q U Li o a ZI z C:) 3 � O z ® ® Z S (� S � I X W W J z i mu o o E- 6-4,- oQ a z > 3 LU W 0 J LU W O H LL w J m CT) o ^ N II J a ^ Q W W J Q U O vl Z O H Q ui J W F - Z O L]L LL j �i�.an m QI O II N J � CL Q W W J F- -< au o� L�j J 0 Q V L -- Tn � r o U1 Of cj �y U, d L J 1 QP O N II J H a w W J H- Q Q U ED v) w LL, I- Qu W❑ OD CO X Z W > N W W Z OL H F— Li W N I � N O Li J Q u F- au J O ❑ u:Lo (D x W H N 1- / W I z N !n � X U W F- \J L u 1 u a tO � z vi f/1 Q H� X W W ❑ 2 v, uW f- > ¢Q � Lu o u a LD z ❑ cD �- z z W -Q I ❑ uuu w O ov❑i ❑aa °7 u x (D (/1 X V7 _, J - O W Z J N �1W V= W J xN- -> I i �N - m Li ❑ ❑ J ❑ J J LL � 3 W O ml �z xOC x(n a � N m N i v 0 b 10 a ra I I� n o A u a cn cz ° a' COD z z O u° v U C w U U a� a�' w u W ,a� U V c� ii x °ow U z � a�' w z W d /w a w L CO z cn 0 v o cn c c •m � c w o ` C N O C cc O V .d • to :t O O � E a 1 0.0 5 • o a E _ 00e C :C ' a._ E by mm J: O ti = tcmD c c � ♦ cm, E o �M Z Q•v o i': H m 0 C: �= Ocm k "0 C dJ CL m wH 4 •— Z o o ' cm V �O aC C m H m C •C = m m r C:, fV t LAI co) O.t O C Z acall �Ev -o CM COD H o S �•� O �• � a m am ca y .E CD CL G O C� V cv r. -M CO2 O V C. CO) G O V i O V CD Q. CO) G O G O a G O �p c J O O Z c5 CD CL CA G LLJ 0 U) Ir W crW LLI U) w s Y Location 6-111,1 11,-861—k %y No.�5� �� Date MORT1y TOWN OF NORTH ANDOVER ? � 1 s o F F Certificate of Occupancy $ cNBuilding/Frame Permit Fee $ s�us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector v ' TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING i— IOII};1for WI4x&)4 j9e oris BUILDING PERMIT NUMBER DATE ISSUED: r / � 5 � SIGNATURE: — Building Commissioner/I for of Buildings Date CV9-1r7lIIV t CTIM rHTL'llna.a • �Tr Xl 1.1 Property .Address: 5C� t Lords �x ) 1.3 Zoning Information: 1.2 Assessors Map and Parcel Number: r,— A - Map Number 1.4 Property Parcel Number 1.6 tSU"LNG SE:rBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 5 54) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record AVid 00d ItVn —S'AVOej Name Print) ^ Address for Service FA.&- , q-)� (Oyi- 51?591 Signature f/ Telephone 2.2 Owner of Record: Name Print Signature T Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Construction Supervisor. Address 4 Signature 6 3.2 Registered Home Improvement Contractor Company Name Address Telephone 'ienature T. License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date I" SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check all applicable New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ 1 Other ❑ Specify Brief Description of Proposed Work: v I <k- Fes) I SECTION 6 - F.STIMATM CONSTRIICTTON COSTS I Item Estimated Cost (Dollar) to be Completed b rmit a licant 1T.ta Y'�x +« - .� n _. ,.. ......... . 1. Building 00(a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing 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 CONTRACTOR APPLIES FOR BUILDING PERMIT , J,/GV I f� &rajo' �6— VU�X , as Owner/Authorized Agent of subject property Hereby authorize to act on - behalf, inAl matters relative to work authorize by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Herebv declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name of Date NO. OF STORIES SIZE BASEMENT OR, SLAB SIZE OF FLOOR TINIBERS 1ST2 ND 3RD SPAN DIN ENSIONS OF SILLS DD,4ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE MORTGAGE INSPECTION PLAN ADDRESS: 56 WOODSTOCK STREET NORTH ANDOVER MA ATTORNEY: MARIAN P. ABRAHAM P.C. LENDER: OWNER: BRENDA & DAVID SAVARY APPLICANT: DATE: 02/12/2002 SCALE: 1"=30' FILE NO.: 1 50A40 UNREGISTERED LAND DEED BOOK: PAGE' PLAN BOOK: PAGE: LOT(S): 24 PLAN NUMBER: 3698 OF REGISTERED LAND REGISTRATION BOOK: PAGE: CERTIFICATE OF TITLE: PLAN NUMBER: LOT(S): FLOOD HAZARD INFORMATION FLOOD MAP COMMUNITY NO.: 250098 ZONE: X ASSESSORS LMAP PARCEL PANED 0003C DATED: 06/02/1993 MAP: N/F NICUOLOSI N/F COLGATE CONSTRUCTION CO INC. 124.43' LOT 24 12,472 S.F.t }9 PPV\O f lCDg o RA4 CD WOODSTOCK DECK THIS IS THE RESULT OF TAPE MEASUREMENT, NOT THE RESULT OF AN INSTRUMENT SURVEY AND IS CERTIFIED TO THE TITLE INSURANCE COMPANY AND ABOVE LISTED ATTORNEY AND LENDER. THERE ARE NO DEEDED EASEMENTS IN THE ABOVE REFERENCED DEED OR ENCROACHMENTS WITH RESPECT TO BUILDINGS SITUATED ON THIS LOT EXCEPT AS SHOWN. THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A SPECIAL FLOOD HAZARD ZONE. THE LOCATION OF THE DWELLING AS SHOWN HEREON EITHER WAS IN COMPLIANCE WITH THE LOCAL ZONING BY-LAWS IN EFFECT WHEN CONSTRUCTED (WITH RESPECT TO STRUCTURAL SETBACK REQUIREMENTS ONLY), OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. G.L. TITLE VII. CHAPTER 40A, SECTION 7. 0 0 0 STREET LOT 23 MORTGAGE LENDER USE ONLY InDEESLAUIURS &MSOMMONC 40 KENWOOD CIRCLE, SUITE 8, FRANKLIN, MA 02038 TEL.: (800)287-8800 FAX.: (508)528-4011 OF Or ROBERT/ EDWARD BISSONNETT N0. 31300 �CISTER�� AL LAND Of 0 ge GENERAL NOTES. (t)a declarations e larationrdmade abve are on the of careaof registered landbasis nfbelieformo6on. and result surveyors practicing InMassachusett . (2) Ded ationsare made too the bovelan tape survey made to he not made di or for c. named client only sfthis date. dimensionsis pplan aoffsetsfenc s, or lotconfiguration ay be accomplished by an accuratesInstrumentnsurveeyan (4) Verificatio of ro 'eY li �© tie ' . Poo FORM - U - LOT RELEASE FORM l -6) 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 7lL- Y PHONE t ASSESSORS MAP NUMBER qOTNUMBER SUBDIVISION LOT NUMBER STREET Q s -h �� S7- YSTREET NUMBER 3 .......................................................................... OFFICIAL USE ONLY NDATIONS OF TOWN AGENTS DATEAPPROVED CONSERVATION AD OR DATE REJECTED TOWN PLANNER COMMENTS FOOD INSPECTOR - HEALTH SEPTIC INSPECTOR - HEALTH COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE O z G J U 2 O U 2 E 4 U C LV 0 C L CD Z y CD C Q— I CC H Q CD y C '— m m oCD CL �"� ♦+ CD 0 � Q O L o a cmQ ca o Cc C. o .CD CO2 ZCL � V ND cc c c •_ ev � CO) Q W O LLI N W LLI 19 W U) m o c c a a o O C d: y w w C n� ev a m C t :CCO� 1A E a �?79w a 3 COLC w a tw AS fts c o E z cn �` cn U 2 O U 2 E 4 U C LV 0 C L CD Z y CD C Q— I CC H Q CD y C '— m m oCD CL �"� ♦+ CD 0 � Q O L o a cmQ ca o Cc C. o .CD CO2 ZCL � V ND cc c c •_ ev � CO) Q W O LLI N W LLI 19 W U) m c c o O C d: y •� is C n� ev m C t :CCO� 1A E a 2A is 3 COLC AS fts c m c E h •m3�r r.+ m C N C O y O n co.) � h O m cc :=w O n c 92 n Q t :000 CL e : 2 m c cc = m SL W C 0 � -0 C 'O :5 �+ •� c •H t � C O � W n �E c3a .vi o co n m� O� _OD 0 I- r CL *..cc zip U 2 O U 2 E 4 U C LV 0 C L CD Z y CD C Q— I CC H Q CD y C '— m m oCD CL �"� ♦+ CD 0 � Q O L o a cmQ ca o Cc C. o .CD CO2 ZCL � V ND cc c c •_ ev � CO) Q W O LLI N W LLI 19 W U) m n Date.... °off TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that....S...........i...... ...�.4 has permission to perform . ui/ // ............ .�. ..........,.. ............................ ........................... wiring in the building of ........................S7-0.'�..J..................................... at .........—T-6.......... l(%c?1 ..:5�'�© ........ North Andover, Mass. Fee .. ... Lic. Noe'� ,S9!� ......... f� . a ............ r` ......,,........ ELEcrRICAL INSPECM Check 5730 1iuuivLiviulvrvr&A"nVrirnrsa,araL,nuLusIL3 Ly& DF.PAR7MENT0FPUBUCSAFE7Y o. �73 BOARDOFFMPREVF11 ONREG Z WONS5ra&12.VO Fees Checked APPLICARONFORPERMITTOPERFORMELE 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) Datez�a O Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perfo electrical work described below. Location (Street & Number) ' lJ Owner or Tenant `•e'er CU Owner's Address' Is this permit in conjunction with a building , rmit: Yes No[or (Check Appropriate Box) Purpose of Building 1 Utility Authorization No. Existing Service Amps / Volts Overhead a Underground a No. of Meters New Service Amps I Volts Overhead ED Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Erground Below Generators KVA round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No, of Ranges No. of Air Cord. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP JTHER- i Iharesubrr> dva6dptuo` tothe0ffi� YES ' v C mu iIm Bow u GJ1( �. 1c�1 Sig w undaTr040fP duq. V // � A Y° FIRMNAME w ivala YES u NO t�1fj7I htA--% —J1) rJ�J Signaaae 4 �— L;ca�serlo y BusarssTel.Nd. F'3 k&31 Ji d d �� AIL Tel,Na OWNEECSINSURANCEWAIVfR;Iam thattheLioarsedtitsma>b6tirMecluivalentastegutedbyMmdxmmG=2alLaws kddatmyagla mcndzpemitappkabmwaiv,wd m mmnmt / (Please check one) Owner Agent Telephone No. PERMIT FEE signature of Owner or Agenr 11W Lul y ylul y VVrJu,1 n time Ints aarit,"U.w.1 i L3 ••r ��- •� DF.P1� R7N W 0FPUBIICSAFEIY permit No. BOARDOFFMEPREVEMONREGUI�ITIONSSl7a RaM Occupancy & Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO 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 Z. O S Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perfonpAy electrical work described below. . Location (Street & Number) s Owner or Tenant -QN6 Owner's Address Is this permit in conjunction with a building rmit: Yes ao"No (Check Appropriate Box) Purpose of Building l Utility Authorization No. Existing Service Amps I Volts Overhead M Underground 1:1 No. of Meters New Service Amps Volts Overhead EZ3 Underground =1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool AboveBelow Generators KVA round Orstround No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total J Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of igns Bailasis No. Hydro Massage Tubs No. of Motors Total HP THER• vwCovaagz, Pumsua lDdEm4mertelxs GmmlLaws ama1LtabtTiy 9 g orilsstlbsat>balegtrivalert YES NO airtiodvaIdpwof iotheOHim YES ffyouhavedaJ9!dYES pleaseirt3G*the of by �WRANCE BOND 1 (F��iY) 1 ✓ (� U E1im*dValteofE1maicdwoi" k $ )Stet DaleRough rel 4LI— undErTie ofp#W. JAMIE i I;oaneNa `Z Alt. TdNo. R'S INSURANCEWAIVER;Iatn dattheLioew t nothavetheirmranoeeona•*oritssubsUMecllrivalatasw#1edbyM=dw=CaaalLam mysignaha onmpeurli<aQpLca. waksth'stegt>iter ot. e check one) Owner Agent Telephone No. PERMTr FEE Date.J.1 o . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that-.,:.. '?!' ................. . has permission to perform ..:�`'.--r�r. a ................. . plumbing in the buildings of .............. ..................... L � � f ... ... , North Andover, Mass. Fee?e, 1 .'.... Lic. No.�?,.._L:......... . PLUMBING161 ECTOR Check # e� (f 5234 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location Date Z.. 05o Z Permit # -[W �A0�WA-�y Amount Owner New 01" Renovation E] Replacement Plans Submitted Yes No • �« 1�- (Print or type) Check one: Installing Company Name / j/�� Z2,!!� ❑ Corp. Address z m C % ol- /h-, Partner. Lr4-� --e & C:5%0 / A"�l • I/ ine�e ep one 0 7,8 - 2 Ge -6 - ?,06 7 � Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [I Other type of indemnity ❑ Bond ❑ Certificate 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 El I hereby certify that all of the details and information I have submitted (or en best of my knowledge and that all plumbing work and installations perform compliance with all pertinent provisions of the Massachusetts State liumvinp By 1gna re 01 License([um er Type of Plumbing License Title j 921S Agent din above application are true and accurate to the under Mhnitjssued for this application will be in odtt and Cha142 of the General Laws. City/Town I Eicense lNumDer Master El Journeyman ©- APPROVED (OFFICE USE ONLY ` 3 7 Of ? Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..,..t� u ;j.r.�..(...�?............ �. F..4:? ' ('. .............................. has permission to perform ................ �- �G `� wiring in the building of...........�a..c,J..U.............................................. at.i.,/ ........................ ......... ,North Andov . Feel ,o(i... Lic. No......................../....�.. ELECTRICAL INSPECTOR Check # - 2YW09W0NwFALrHoFm4M.a. ffsEm Office Use only DM,1R2I jW0FPl1B X,V 4,lM BOARDOFFHEPREZ'FW0N Permit No. RFaGIILATl(h'11SS27CMR1��ID ' Occupancy &•Fees Checked -zE'r-' APPUCATTONFOR PE &ff TO WORK PEUORMaECIRICAL ALL WORK TO BE PERFORMED IN ACCORDANCE wrni THE MASSAG'Husm ELECTRICAL (PLEASE PRINT IN IMC OR TYPE ALL INFORMATION CODE, 527CMR 12.00 Town of North Andover Date To the Inspector of Wires: The undersigned applies for a permit to perform the electrical w described below. Location (Street & Number) �� ��� ck S Owner or Tenant — `- Owner's Address "s this permit in conjunction withlding permit: yeS' B t � NO (CheckAppropriate Box) 'urpose ofBuilding 6 fj 4' . LerVl Cie_ Utility Authorirtti ;xisting Service Amps®Volts py U n&wmw C3 No. of Meters , `ew Service _C200 Amps /��yolts Overhead EolUnd.V.W Q No. ofMeters umber ofiFeeders and Ampacity kation and Nature of Proposed Electrical Work lo. ofLightfig Oudets No. of Hot Tubs o. Heaters 7 swimming Poo► FIRE ALARMS No. ofZooft No of Oii Burners TOW No. ofCrasBumers No. of Air CC nd. No. of Heat xw Space Mea Heating Heating.Devices Na of.SarCjamiue&: No. of Si No. orMotors 6alitlad�aGdPOC6 btbeo&-- YES �(e6rtc. BOW 01 int _.rr t in dart"�iePt c}pt�l y R D h Prrt. "'J' A Battery Ueits 'Uqu Om To FIRE ALARMS No. ofZooft 16161 TOW Na ofDetectift rtd KW xw �■ NeL ofSokud1Da:noices Na of.SarCjamiue&: ' bNScwodiag'Detices - KW Local Muoicipai ��.�„ Connections No. of Bailasis ToW HP - a vim° II�[JRANCE WAiVfR; ta�rtatvmethattheZ ioense Ak7e1Na des not�e�eit��oee°r�s#x���►�bY� (� taws sectfldispem� � ttnstacgmerl�it teck one) Owner Agent (�� �•.J Telephone No. PERMIT FEE LD ij cl, C/