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HomeMy WebLinkAboutMiscellaneous - 57 CANDLESTICK ROAD 4/30/2018 (3)/ 57 CANDLESTICK ROAD 210/106.A-01 11-000 0.0 I 521" F3-36 F336 WSC WOCI530M1 WSC } I =1 W3336 ® W3336 1 n 5 NOTE TO INSTALLER:IF YOU NEED B27BDDT 4R-BF 10 BSD30DDT A BASE END PANEL NEXT TO STOVE WFT PLEASE TAKE R FROM THE 9648 PLAIN PANE FM O QS F113 N 1204- � B m m 6. WOC1630M1 0 WDEP36LW' WGD3036MI 6 WGD2036MI InI WLB 362415 WDEP30L ®WOC2�5 fi ®OW © Wp BDEP m W2730 WFT 3 1 > BFH2712 �J N N In W2730 u EFl-96L EFl-96R BDEF a1 MERILLAT DELUXE I 'r° m M LABELLE OOORSTVLE _ ENGLISH SADDLE ON MAPLE CEILING HEIGHT 97" HANGING HEIGHT 90' SDEP34R_m = USE SWS FOR SOFFIT USE CM FOR CROWN ® O USE SS FOR SCRIBE USE UCM FOR UNDER BDEP CABINET LIGHT VALANCE DECORATIVE DOOR PANELS ON ALL EXPOSED CABINETS Q - PLAN#7 _ 1-WALL CABINET 70 BE4 USED AS A BASE CABINET _ BCR36L 12"DEEP WITH TWO FB3 ADJUSTABLE SHELVESINO - - gO TOEKICK/DECORATIVE BDEP34R 0-GAS-RANGEi u BUN FEET WHERE INDICATED BD330FE N 2-CLEAR GLASS DOORS WDEP36R W3036 W3018 W3636 FINISHED INTERIOR MW.HOOD 3-OPEN SHELF CABINET TO F336 BE PULLED 3"OFF WALL �—P3, 3030- —33h"- 13-APPLY PLAIN PANEL ON BACK AND BLOCKED/USE OF ISLAND/APPLY 3 DOORS ONLY TBV 1 6 FOR VALANCE/APPLY FROM A WALL 2130 TO PANEL RUN FEET WHERE INDICATED WITRA HEIGHT DOOR 30' 30' 36' USE DECORATIVE BASEBOARD W?RAY DIVIDER MOLDING ON BACK AND SIDES OF 4-DOUBLE WASTE BASKET UNIT B-PULL OUT SPICE CABINET ISLAND 5-TWO DEEP ROLLOUT TRAYS 9-BASE CORNER CABINET 11-2 SMALL WINDEMERE CORBELS 14-DECORATIVE DOOR LAZY SUSAN WITH BI-FOLD ON EACH SIDE OF ALCOVE PANELS TO BE APPLIED 6-CABINET OVER FRIDGE DOOR TO ENDS OF ISLAND WILL NOT BE ORDERED WITH KITCHEN/CONTRACTOR TO 10-INSTALLER TO APPLY V-GROOVE 12-SINK BASE OFFCENTERED TRV AND BURY SUPPORT BEAM 15-OPEN SHELF CABINET/SUPPLYING INTO WALL AS MUCH AS POSSIBLE PANELING AS FULL HEIGHT BACKSPLASH FROM WINDOW SWS FOR VALANCE AND CONTRACTOR WHICH WILL DETERMINE HEIGHT BETWEEN COUNTERTOP AND WALL TO CUT ARCH AND FINISH WITH OF CABINET CABINETS MULTI-STEP STAIN I _ All dimensions size designations JANET MAGLIA This is an original design and must Designed:4/1/2010 given are subject to verification on JACKSON not be released or copied unless Printed:6/1/2010 job site and adjustment to fit job KITCHEN applicable fee has been paid or job conditions. DESIGNS order placed. KATHY PETRALIA'S KITCHEN All Drawing#:t Scale:0 AML Pw-,wgmw—wo Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: MICHAEL J MEDEIROS Property Address: 57 CANDLESTICK RD,NORTH ANDOVER, MA Policy Number: HMA 0372445 Claim Number: BOS00042848 Date of Loss: 4/19/2014 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed.$1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Allan Leavitt Claim Examiner 4/22/2014 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 - Email: AllanLeavitt@SafetyInsurance.com " 9462 • Date.....«::Z .ZQ...... r ,aOR7M °`,"`°:•�"� TOWN OF NORTH ANDOVER � A ` t - PERMIT FOR WIRING &S CH S� . j . This certifies that ........:`..:......... /ham. .................................................. I"(. has permission to perform .......... .rzz I .......................................... wiring in the building of........1...: Tr¢l.�.G.......................................... at.... 7.!��t `� t�............................. North Andover,Mass. Fee.. . Lic.No. I .C�� . .. . ..:. . . ? ECTRICALINSPECC6R Check 4, 11376 Commonwealth of Massachusetts OfficialUse Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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: L 19- 1 y 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') �'aCr)� S Owner or Tenant S-0,\ ey +4. �c Telephone No. Owner's Address S v,,.,- 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: Res-,t.cl1 �c 1. < Com letion o the ollowin table maybe 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 K-VA No.of Luminaires / 0 Swimming Pool Above ❑ In- El o Emergency Lighting rnd. rad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches /a No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges / G S No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained Totals: .................................................. Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local❑ Municipal ❑ Omer Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KWNo.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: o v Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of flectrical Work: x500 (When required by municipal policy.) Work to Start: 1,- /7-Iy Inspections to be requested in accordance with MEC Rule 1.0,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 M BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete FIRM NAME: @ I} E I e ci 2 t t f LIC.NO.: R�O g(,'7, Licensee: Kg,n n et�x A r o S Signature K LIC.NO.: 9-g&14 +' (Ifapplicable,enter "exempt"in the license number line) Bus.Tel.NO.• 79/ 7h o /q'Jk Address: _.1J -riaclj S -g;7— 2,•t f1'I O I£rG/ Alt.Tel.No.: 11&1 931, f isq *Per M.G.L c. 147,s.57-61,se urity 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 7 - 1 The Commonweizith of Massachusetts Department o f rndnstial ,accidents Office ofrnvesfi ations d 600 fEashington Street .BostOn, AL4 62II1 dia Workers' Compensation Insurance Affidavit: BuDders/Co A Lcant Informab.on refractors "Iectricia>tts/Piumbers . PIease Print Legibly Name(Business/Organization/Individual): b ( < fi .. Address: City/State/Zip:_(j,j., vz_Vxp'I o i iso 1 Phone#:_ 2 g-1 r2 G a . g g S__ A re employer?Check the appropriate boa: employer with 3 4. ❑ I am a o Type of project(required):yees(full and/or part-time).* have hired ere contractor and I6 ❑New construction sole proprietor or partner- listed on e asub-contractorsthe attached sheet I �• ❑Remodelingd have no employees These sub-contractors haveg for me in any capacity. workers' com . ' 8 ❑Demolitionp insurance.rkers'comp: it,c,,,�„ce 5. ❑ We are acorporation and its 9• ❑Building additiond] officers hake exercised their 10 0 Electrical repairs or additions 3.❑ I am a homeowner doing all work n t of ex myself emPtton Per.MGL 11.❑Plumbing repairs or additions Y [No workers'comp. c. 152, I(4),and we have no insurance required] t employees. workers, 12.11 Roof repairs r --a3 =^ Iicaa:t5s comp.ms�an erequired] 13.[] Other i-checks bo•,.4t mass-eal o fill out the section bcbw ahox ,r llomeownera who submit this affidavit indicating _Then' ire ou si cos�s_�^oe +Contractors that chec.' this box must attached an adc do al sheet showing the r� w ram hire outside coatrEct,^rs nL�t s�:�•it a aEw affidavit indi;ating such. same of the sub cont,ctr and thea workers'comp•Pouo information. information. an employer that is providing workers'compensation insurance or m e information. f y mployee� Below is the policy and job site Insurance Company Name: i2 s 1 Policy#or Self-ins.Lic.#. 1( l+ v R - . ! Expiration Date: p Job Site Address: 5 7 City/State/Zip:__0!,,r4 A,,�o Attach a copy of the workers'compensation policy declaration. ane showing e fiFailure to secure coverage as required under Section 25A ofMG.I . 152 can lead to the imposit nbof nand �mason date). ne up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK O penalties of a Of up to$250.00 a day against the violator. Be advised that a co ORDER and a fine Investigations of the DIA for insurance coverage verification. of this statement may be forwarded to the Office of I do hereby cmWfjr under the pains and penalties o er u r thirt the information.fP .% rJ f oration.provided above rs true and correct Signature: � . l2_- 14i.. Phone#: Sr/ -1419 Official use only. Do not write in this area, to be completed 41 cit,),or toxin officiaL City or Town: Permit/License# Issuin-g Authority(circle one): 1. Board of Health 2.Building Department.3. Ci own 6. Other. p �'/TClerk 4.Electrical Inspector 5.Plumbing Inspector Contact Per-sotr: Phone ft: Informa.tion an- d-inStructionS Massachusetts General Laws chapter 152 requires all.employ<__rs 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 t1ae legal representrtives of a deceased employer, or the receiver or trustee of an individual,partnership,association o other legal entity,employing employees. However the owner of a dwelling house having not more than three apartmL ents and who resides therein,or the occupant of the dwelling house of another who employs persons to do mainte»rsance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not be:cause of suchemployment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or 10.,ca1 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 cWimpliance 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 utz-t:U acceptableevidence 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-contractors)name(s),address(es) and phone number(s)along with their certificates) of insurance. Limited Liability Companies(LLC) or.Limited Liability Partnerships(LLP)with no employees other than the rriembeis or partners,are not required to carry workers'comp enation 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 sore to sign and date the affidavit The affidavit should �J be..�t;;mned to the city or tcrTn that the applica on for the permit or license is being requested,not the.Department of Industrial Accidents. Should you have any questions regardin b the law or if ---wed to obtain workers' compensation policy,please cart 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 Ine 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 ar pe»t 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. t The Office ofInvestigations would h-ke to than you in advance for your cooperation and should you have any questions, please.do not hesitate to give us a call The Depariment'.s address,telephonc.and..fax-numbez__-- The Commonwealth of M ssachusztfs. DcPartment of Industrial Accident.- Off ccidentsOif ice.of hvesttatYons 600 W&shiagton Street Boston,M_A 02111 Tel. # 617-727-4900 eaft 4:06 or 1-9 77-MAS.SAFE Revised 5-26-05 Fay:#6.17-72.7-7749 vrvrw.mass.-aov/dia. Date. . .���`.�./..��.. .. . . OF HO oT/f o� �' TOWN OF NORTH ANDOVER/ ~ F 41 PERMIT FOR GAS INSTALLATION �9SSACMUSE�t� This certifies that ? ( o. . . . . . . . . . . . . . . . . has permission for,gas installation . . .i /.- tz .7.-<. . . . . . . . . . . . . . . in the buildings of . . . X-). It. . . . . . . . . . . . . . . . . . . . at . . r?:. .(. . . 1`<. . . „, North Andover, Mass. Fee. .,9.) . . . Lic. No..`.'!. ?.! '. . . r. . . . . . . 4S INSPECTOR Check# 9 � 7257 $'a5°(1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: P"60\4 Date: 6_q_`O Permit#t:F5. / Z Building Locatio Owners Name: Type of Occupancy: Commerr"al Educational Industrial Institutional R sidentia New: Alteration: Renovation: Replacement: Plans Submitted: Yes No FIXTURES rn W W z <it < m cY1 m = C9 w OU Cn ~ m w l'- Lu Cn O >z z z o W w O a O z D LU Z m O Q a mO a rn U 0 O Q W N O Q i U a LL Www > W W Z O J 1- F— O z —j C9 LL = W W W W w O Q W w m W O z O m H Z t- H _ U D o LL C9 C9 = = J O a tY F- > > O SUB BSMT. BASEMENT 15' F OOR 2 No FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 1 HFLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: Eric C. Foster Plumbing & Heating LLC Corporation 3092C Address: 145 Stedman Street City/Town: Chelmsford State: MA Partnership Business Tel: 978-256-5976 Fax: 978-452-4711 Firm/Company Name of Licensed Plumber/Gas Fitter: Eric C. Foster INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes No If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policyV Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner Agent By checking this box❑; I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By Plumber Title ✓ ,Gas Fitter Master Signature of Licensed Plumber as Fitter City/Town Journeyman 931 1 APPROVED OFFICE USE ONLY LP Installer License Number: HNAI. INSPIJ,HON 13I.I.MV FUR OITICII i ISI: M- 11.), IT G k I ')S I N-S I'l CI 10 N(S) P[Rivil-I 4- Al3P[.IC'.,\TIONI--ORPERI\Illl--IOISO GAS 1-1-F-1-INCJ NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER-GASFII-1 ER,L13 INSTALLER LICENSE NU.MBER. PERMIT GRAN-FED r-I DATE: GAS FITTING I NSPF.0 FIOR D Date. a d 0'� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that . . . . i . . . !. . . .�. . . . . . '. . . . .f. . . . . . . . has permission to perform . . .�. t . . . . .1k.�. . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . /" x.14 . . . . . . . . . . . . . . . . . at . .� . . .C�a�, �! s.✓�.�, /,. . . . . . . . . . . . .`, ,, North Andover, Mass. Fee. '7. . . .Lic. No.. .`-I. . . . . . . . . . . . r. . ... . . . Pp UMBING INSPECTOR Check # � C'IU �� 8655 $ S600 MASSACHUSETTS UNIFORM APPLICIAITION FOR PERMIT TO DO PLUMBING rt: 6_� - - City/Town:.' NQ��h � C�Ov�,� , MA. Date: 6_q- to Permit# �6 r, _1 Building Location: 5] (_a"(A�S \CA- �OO\& Owners Name: pe�ral,rp Type of Occupancy: Commercial Educational Industrial Institutional Residentia New: Alteration: Renovation: Replacement: Plans Submitted: Yes No FIXTURES z z un O w z r _j i F- w J V) a W cn Z to z W z to a fn z Q to = a w cn a rn W of a X 0 C13D N w m Q ►- z M m z W W (� U a w Q Y = NO = z Q 0 UJ a Y a = w w w Q Q 'n N _ Q p t > > 0 0 O z z 0 0 0 = Q m m o 0 w C9 z Y _j _ W, v=i u-i � S R S O SUB BSMT. I -- BASEMENT ' I - 1 FLOOR 1 2 NuFLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR -- 8 FLOOR Check One Only Certificate# i Installing Company Name: Eric C. Foster Plumbing & Heating LLC l Corporation 3092C Address: 145 Stedman Street City/Town Chelmsford State: MA Partnership Business Tel: 978-256-5976 Fax: 978-452-4711 Firm/Company Name of Licensed Plumber: Eric C. Foster INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which nieets the requirements of MGL. Ch. 142 Yes ✓ No If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy / Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not hat.n 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 Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the oeneral Laws. By Type of License: Title ✓ Plumber Signa ure of Licensed tuber Master I/ APPROVED(OFFICE USE ONLY) City/Town Journeyman License Number: 9311 FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER LICENSE NUMBER PERMIT GRANTED DATE: PLUMBING INSPEC-riOR ^�' Y Location i No. S'U Date „°RTM TOWN OF NORTH ANDOVER ?O: t ; Certificate of Occupancy $ ; Building/Frame Permit Fee $ � 'SsAcMusE` Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ (03"� �J/1$/j 15:01 163.00 ppiIpuilding Inspector I' �� Div. Public Works PERMIT NO. �7^�3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d-40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. -LOCATION L;�'I /�� �tG �+'T7G� 2� PURPOSE OF BUILDING AD �'1 OWNER'S NAME r . NO. OF STORIES VSIZE '� OWNER'S ADDRESS 6 /,� r ,�_ J BASEMENT OR SLAB 1510 6 ARCHITECT'S NAME /4�c•�Ga SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 7�y►I, r SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES 5-0 REAR "yi •� GIRDERS AREA OF LOT rt ,*i �sl T FRONTAGE HEIGHT OF FOUNDATION '� THICKNESS %� IS BUILDING NEW nC �j SIZE OF FOOTING X 2 IS BUILDING ADDITION MATERIAL OF CHIMNEY `V IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yP5 IS BUILDING CONNECTED TO TOWN WATER y�3' BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER O �/ IS BUILDING CONNECTED TO NATURAL GAS LINE YV v INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST .;a�:U00y� PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED tt AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INSPRCTOR SIGNATURE QfO OWNER O ,UTH_O�RIZED AGENT F E E L�3 =' OWNER TEL.# 10�°� ,L; T PERMIT GRANTED CONTR.TEL.# +SOS- 19 CONTR.LIC.# > ( �'�3 m H.I.C.# -3�,,5� 88�(o mak, 3 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA. APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d t 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW-D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M T' AREA _ - '/ 1/1 FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD1'✓'D _ ASBESTOS SIDING COMIAC:N _ VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3BATH (3 FIX) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHENSINK SLATE NO PLUMBING _ w TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING NORTH Town of 41 6 Andover NO. 5© �`' r F- 4. �•' r��err. �Y�,� >„ � iD * r3 dover1 1 Mass. (3ciPSE l Z 19 4r' O 2 ,' COC HiC HE wiCK � AERATED P'P�\ �� '9S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT. '�.c�VA . ........... AC.1 .................................................................................................................. Foundation has permission to erect..1 (a... 1 ..A08uildings on ....W1.....CAtM { _%-_ C1 .....'Rj......................... Rough to be occupied as... ?.......FAT�.1.1� ..... .Ai i t 4�►!,1............................................................. Chimney provided that the person accepting this permit 1hall 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 PERMIT EXPIRES IN 6 MONTHS UNLESS CONS T T ELECTRICAL INSPECTOR Rough ......I..... Service ILDIN SPECTOR 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 Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT �7� 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 local or state law, regulations or requirements. ****************Applicant/fills out this section***************** APPLICANT: �tt& To�� f !!a Phone S-i)E 5111 LOCATION: Assessor's Map Number Parcel Subdivision // Lot(s) Street r.CcvtdleobTick- /eo.) St. Number d. ************************Official Use Only************************ RECOMM§NDATIO O TO AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date ApprovedP"Te ptic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date alp I ��^ . .k- PIC .T•. # toe ••S t.. . w •L gyp• .1.�.�.� 3'�� A"IV-1111C4/G0 P,ec�Eery 93� "E�E7E.2M�N. mw, Y FD,e Z"W* AU,P1VSES, eP *ter CES/Py 7;VAr s ALL t' S� AAA DtJ/L1��Ng S .{r�E r rN� ,�,�,wys . •N cE'.e ri��Eo ©� or 5. ��MFD T 7WE' Zaw.v y RL,4 Al OF L A N.C"f �vo. .gva��•e wN�.v /N ` As r , . j' •SANG F�ETiP/9G/f� .� • y `tart / ' ii a rri mac k an ' nearing r;in9 sarvikc . 66 park %tr¢ell i- andowar, mossochusatts 01 r t¢i¢phon¢: (617) 475-3555 :t • i2 Va - - - 5 ,, i•Y� �ti�(�•ii �Y .Yp�6n.�i �ar.yat rtY..�G rry ,��.lr[�.iW .. - - . 6 #. O <t gS7 Qror t'A 4l A ♦ b� d'. fl4ft� ,E 5 AN a4 ' y 4 lq4 ~ � a•r �.: r rw 1�.+t wr +w ..r ..+ .rr r++v4' srr .ri .....,..sT. �' } .a IGS : . •. t4 r 4f 16,0 MS9okt7M, At x Cts C15. Cid all Olt 4.44 _ • " �'4,.,VA. •cam dA•v' xt �3p �— , At 14 r� I 4��41, r tRE O !�• •}J rrIF- .A• �{ Re " uta?X k:. a• �t°'jai ;VP, f (^ IN 1 Q� * n{ hyJ.'S t „'-��r�,. �'S` �{t•� ,E���r �,r��.�+v' f +V?� � Yr€"r �' nr x Fl��' �v�^ ! y ,:.� r.�,�!:o �a s r f�,y. �n,G'k''�*'.L.:'�Y+;�i az'9y' 2 ? .- �/`►��r s�'� • v } c ylrr t n Sh bt.� 3M � { ,�he rift i #,y :.'r Y 'i f� +` r �'• 'n'r'� � 'l���"3. n' kS � ;�.����,•'M}��,t.Y�ra�.3.��'t�V� iy ., � �•+1A, }qC dey{'�«,#'�,�i(•ao`}k.�'�'�5��.�k���W'S"'",#�,� �• 7T.' •h t' 'F a1 rr Y �' �� t • //. r ` r � :� «i •4 .f , _ t - S 47 . . -' f ¢ 't yt�g} Soh : Y s° a I CAS. fy s hA jr Yt - . f .., , •i4.�.r. fru. w�.�. -...r .�. - _ ��. !4w - a Location `� 7 �q Ail)�'4- -t C/k-- No, -q 7 Date 4-�d- TOWN OF NORTH ANDOVER F A Certificate of Occupancy $ 41 • ; Building/Frame Permit Fee $ L- r 4� i i * 01 �CNU ACmU Foundation Permit Fee $ s� st Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ �^TOTAL $ Building Inspector 04/24/9 11:47 25.00 PAID . .- 9737 Div. Public Works PER3klT NO., APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 MAP 4-40. lO/ I LOT NO. f ) ) 2 RECORD OF OWNERSHIP (DATE BOOK '.PAGE — ZONE �O SUB DIV. LOT NO.. r LOCATION 4--0QLIF s ! `jc.•c c /� PURPOSE OF BUILDING � � OWNER'S NAME !'� NO. OF STORIES SIZEj� (� OWNER'S ADDRES97 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS 1STR�k,n 2ND 3RD BUILDER'S NAMETle� �e,�/. ^fi1/7 SPAN DISTANCE TO NEAREST BUILDING y/ DIMENSIONS 6F SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR /�� GIRDERS AREA OF LOT `/_ FRONTAGE (n HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW r SIZE OF FOOTING % IS BUILDING ADDITION JJ/ J / MATERIAL OF CHIMNEY IS BUILDING ALTERATION �V f ,(Z-- IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 'Vjy� IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY JJCC�S'' IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST I EST. BLDG. COST PE 8Q. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED INd INiP[CTOR SIGNATURE A THO IZED AGENT F E E �i�'� OWNERTELJ &PERMIT GRANTED 7 CONTR.TEL.k 19 ` CONTR.LIC.# H.I.C.# �O 6S> a BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT-DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES_PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE PLA"TER — PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT I J AREA FULL FIN. B M'T AREA 1/ 1/1 3/ FIN. ATTIC AREA _ NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HAROW D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR I_ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I� PNOOOR A ADEQUATE ONE 5 ROOF 10 PLUMBING GABLE IHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL - STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO g FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. o TIMBER BMS. 6 COLS. STEAM STEEL BMS. & COLS.. _ HOT W'T'R OR VAPOR WOOD RAFTERS, AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL vT B' 2nd _ ELECTRIC 1st 13rd NO HEATING a "N Q W Town of `orti over ,ndover, Mass., 19,96 BOARD OF HEALTH PERMIT TO D Food/Kitchen Septic System S.q. BUILDING INSPECTOR THIS CERTIFIES THAT......................... 4 :. ..�...........Pa. > ..(. A............................................. Foundation has permission to erect........�..���........ buildings on ............ 2............... 5.'�`(..G/�....... Rough tobe occupied as........................................ ................ ?NG .......... IR t.I. ,Y.. ........................................ Chimney r>>rrs provided that the person accepting this permit shall in every respect conform to the ter 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 F Final , �.ONTr S ELECTRICAL INSPECTOR 5r r` :iTo Rough ........................................ ... .... Service B LDING INSPECTOR Final GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. ::�A._ � ��/fid•' I�' ; �: _ 1 ��(►Sioh �ti �*-girt• ALAN 5,VCVLD AwwwlfreTY 1' W T.aV/NG E.�/sr7Ng 9 Crws .s�casrseE�c�trrs L '; '° av comm R,+chovpu dd LOT' WeXaSy ceIP_71007' rWA7- s r. F.l'.4�1//NED T �6M=CS6�S .'f�,�.• :. A"ig-ASEMe'NT$, 07w = T. 71WC �541i[.Diwys v4~.v CER r/,"/E-0 OL O 7- A 7N6 ZGtivi of Ivo. ,q vat P w,y�,y RL.A Al OF L A".0 I I ' TiFr 7;V4T T,yAt "Ty -9�VOO4-E=Ar 1� ry r •SAG f'ET'Ri9 .: •_ • ao r #t=Y r► (Wrimack en inea `, sa ry K 66 park. street .. andowar, masscachusatts 01$10 o�� tal¢phon¢: (617) 475-3555 i t i Dog ,lid I E b,�� �lb^tbS :soy 91x�t pKOdc, r ✓/Q -6� AR1NfNT � CONSTROCTION Of PU8tIC SAFETY 68her: Of t CS ICENSE 139 Expire Restricted to: 08122119V Birthdate: 40 0812111961 SCOTT R OfUINf � �t�rss R 439 $OUT#NA ANOOVER, NA I01810EfT r '' HOME IMPROVEMENT CONTRACTOR ,. ,Registration 103657 TYPe"'AWN " PRIVATE CORPORATION t �TQ9I96 a x� WN a - r, er 0T@ oil ! 4 1 . ott,R Devine Sc � � / Box, 1761 Q gpMINIST��R Andover MA 01810 I i