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Miscellaneous - 59 PENNI LANE 4/30/2018 (2)
59PENNILANE 210/107.D-0072-0000.0 h i North Andover Board of Assessors Public Access Page 1 of 1 NORTh North Andover Board of Assessors OE 4t�ao•a,TO ra°.1•�� 'SSwCHUroperty Record Card Click Seal To Retum Parcel ID :210/107.D-0072-0000.0 FY:2012 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales } q Summary w r Residence Detached Structure Condo 59 PENNI LANE Commercial Location: 59 PENNI LANE Owner Name: LEAHY,CHRISTOPHER MICHELE M LEAHY Owner Address: 59 PENNI LANE City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 7-7 Land Area: 1.00 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 2552 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 565,800 565,800 Building Value: 340,200 340,200 Land Value: 225,600 225,600 Market Land Value: 225,600 Chapter Land Value: LATEST SALE Sale Price: 155,000 Sale 08/10/1995 Date: Arms Length Sale L-NO-REPOCESSN Grantor: BAYBANK/CHEEVERS Code: Cert Doc: Book: 04313 Page: 0144 http://csc-ma.us/PROPAPP/display.do?linkld=1896687&town=NandoverPubAcc 5/17/2012 Residential Property Record Card PARCEL ID:210/107.D-0072-0000.0 MAP:107.D BLOCK:0072 LOT:0000.0 PARCEL ADDRESS:59 PENNI LANE FY:2012 PARCEL INFORMATION Use-Code' 101 Sale Pnce: 155,000 ' Book: 04313 Road Type_ T Irspecf Date:i` 05/06/2008 Tax Class T Sale Date 08/10/95 Page 0144 Rd Condition: P Meas Date 05/06%2008 Owner: --�- ---2--5-- _ £, LEAHY, CHRISTOPHER Tot Fin Area: 52— Sale Type: P Cert/Doc: Traffic: M' Entrance: X MICHELE M LEAHY Tot Land Area 1.00 Sale Valid L "Water:-, C611660&- RRC Grantor BAYBANK/CHEEVERS Sewer: InspectyReas C Address: 59 PENNI 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 St le CL Tot Rooms .w v 9 Main Fn Area: 1232_ Attic: - NBHD CODE 7 NBHD CLASS: 7 ZONE R2 Y _ w _ _. .__.. . _ -12 5e =T e Code Method Sq Ft Acres Inf1l Y/N Value T Class - StoryHeight: 2.00 Bedrooms: 5 Up Fn Are 1320 Bsmt Area: 1232 m 9_ -a, YP _ w T4.- 1 P 101 S ' ' 43560 1.000 225,640 Roof: H—Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1109 �t W II - FB Half Baths: 1 Unfin Area. Bsmt Grade Ext a DETACHED STRUCTURE INFORMATION Masonry Trim: Ext Bath Fix: 0 Tot Fin Area: 2552 - -- --~ - Str llmt"Msr 1` Msr 2E YR=BIt Grade Conn %Good P/F%E/RCost Class Foundation: CN- Bath Qual '-. -.Tm RCNLD: 328427 W , ,. -,,._ � _ --_m� 7 .PV 5 51,2. 0.00 . _2000,_ . wA,. m A 750%/47 11,300 1 Heat Type: HW Kitch Qual� T Eff Yr Bwlt 1983 MktAdt - S1 S 140 0.00 2000 A A /50//47 500 yp Ext Kitch _ Year Built 1976 Sound Value Fuel Type: _ _ �} Grade: �'GV _Cost Bldg: 328,400 VALUATION INFORMATION Fireplace 1 Bsmt Gar Cap m v Condition G-1 Aft Str Va11: Current Total: 565,800 Bldg: 340,200 Land: 225,600 MktLnd: 225,600 Central AC: N __ Bsmt'Gar SF. "� Pct Complete: Att'Str Va12 Prior Total: 565,800 Bldg: 340,200 Land: 225,600 MktLnd: 225,600 Atf Gar SF:-- 576'%666d P/F/E/R: /10-6/160/88 '-' ' Porch Tyge Porch Area Porch Grade Factor W 240 SKETCH PHOTO � ,re 12 240 Sq.Ft 12 1232 Sq.Ft 576 Sq.Ft � •,. 24' 24 x--�• � ' lil i 28 2$ x •. a �� 24 v � 44 59 PENN1 LANE E ' Parcel ID:210/107.D-0072-0000.0 as of 5/17/12 Page 1 of 1 N° 2467 Date.................................. w� NORTH TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING Y , This certifies that ......' ............ ..............f,,. ............................ F v has permission to perform-� �`` `.........,!J.... ..................................... wiring in the building of.. r:........4*-'s.....-:;;......... .,..:.............................. at ............... .North Andover,Mass. ....... ....... i0� v , Feely&............. Lic.No.. ..r � -'.................... ELECTRICAL INSPECTOR Check # (/ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer T FC0MMONWFALTHOFM-tmaws= Olrct�U`se only DEpARTME?vT0FpLXKSAFUT Permit No. 09,111 r 1VBOARD OFFIREPR6YF]VIM01VR09"T10jV-VCMR/Z�- Dccupafleyxc Feet Checked APPLICATION FOR PERAeff TO PERFORM ELECTRICAL WORK ALE.WORK"O BE PERFORMED IN ACCORDANCE WITH TFIP MASSAClVJWT3 E";CMCAL CODE,527 testa 12 00 OS% / `/t — O(— (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 'town of North Andover P C n' / o the inspector of Wires: The undersigned applies fo-a permit to perform the electrical work described below. Location(Street&Number) ' Owner or Tenant_ w Owner's Address Is this permit in conjunction with a building permit: YesNo [D (Check Appropriate Box) Purpose of Building l`d 4t sUtility Authorization No. Existing Service Amp!.--/ Volts Overhead 1� Underground M No.of Meters �.� �.� Ncw Service � Amps / Volts Overhead Underground o No.of Meters _ Number of Feeders and Atapaeiry Location and Nature of Proposed ElectricalI Work �57 1,017Z TV I-Ir No,of Hot Tubs No.OfTonsformon TotalNo.of Lighting Outlets KVA NO.of Lighting Fixtures Swimming KYA Pool Above Below cnerators mrd round No.of Receptacle Outlets No.Of Oil Burners No.of Emergenry Lighting©artery Units No.of Swuch Outlet No.of Gas Burners Na.of Air Coed. Total FIRE ALARMS Na.ofZunes No.of Ranges TQfla Noof Hear Total Tatar No.of Detection and . No.of Dispofsl9 P a Tons KW Initialing Devices Space Area Heating Kw No.of Sounding Devices No.of Dishwashers No.of Sclf Contained t[ DetectioruSounding Deices �1 KW Local Municipal a Other No.of Dryers Heating Devices0 Connections No.of water Heaters KW No.of No.ofsigns, Bailasis No.Hydro Mssaage Tuba No.of Motors Total HP OTH R haraloeC.oeagr-Pasimcx thetEt}mQtltr� Ci�l®1 YES NO IllaveatamtRLizib�GtS►�c�Pbb�y*�� ���� �Y6,Pp� �t�peofm+eagebY��� Ihnesxdxnilmdw1idpKdd'9meb YES �p3 EIr EshrWdVairttlle RW Wa k WadctnSostt kW= Feat L lycC Lknee AkTdl�h c,�caws OWNER'SWSURANCEv1AIVM-jaMaMettratde[i3=dMnA a1d>tletitsys�aeanit>spt�mieGp�a+Wdi�sth'ssec�ttese. dd Agent (P (ease check one) C canerTelephone No. PERMIT FEE S Z00 z SgVgj STJu0 LL06LSS816 Xd3-60."90 LOBI 00/OT/LO Date. . . . . ... . . , RTM Of' 0 1ti TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SS4C HUSEj This certifies that . N. . ' .'. �`.' ` . . . . �'�. . . . . . . . . . . . . . has permission for gas installation . . t-.A. 7.. . . . . . . . . . . . . . . in the buildings of . te:A�`t, . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .`.?. ./� .t �:.% . . . ./ . . . . . . . . . . . .. North Andover, Mass. Fee. .2. . . . Lic. No. ::�... . . . . . . . . .l+ c. -. . . . . . GAS INSPECTOR Check# ) 16-C 35 , 5 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) yer Mass. Date Permit # Building Location J9 nfll* �Owner's Name��r^r" Type of Occupancy Residential N New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ FIXTURES o z a H > Ord � .. L W N J d V z 7 (� K l� nl a) �4 W x J u) Z G 2 N 0. -- -IV-.{ n z �, a W – o – w w a ¢ U w 0 x ¢ �^ a 3 V) — V) y T tU to ¢ m �, W > – o a (n x ¢ i1 ¢ r� x x x z O ¢ .l VI ¢ a w N a J - o ¢ O J CC z ~ r' 3 0 z x 3 x a p h- a x d W w Y }I r- U > F O = d N r z O p v1 Z X w F. p t1 rl a Q x W W 3 x _'j m m SUB—B M S T. c BASEMENT LL IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Heritage Htg. &Plg. CO. Inc. Check one: Certificate Address 35 Pleasant Street EX Corporation 714 Stoneham, Ma 02180 ❑ partnership Business Telephone Z 81 —4 3 8—7 7 7 6_ til Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes N No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy IN 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent O Signature of Owner or Owner's 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. SiAwe dr-n5se5lumbere — C Title _ Type of License: Mader 9 Journeyman❑ City/Town8 3 2 2 APPROVE6ZOFrEns—E_UFL-7) — License Number— __ BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED 1 DATE 19 i i PLUMBING INSPECTOR 3553 - GU Date . ... .... . .. . ( NORTM TOWN OF NORTH ANDOVER + PERMIT FOR GAS INSTALLATION O ,• P � s �,SSACHLA- USEt This certifies that .. . .. . . . . . . .. . . .C .! .(`. . U.. . . . . . . . . . . has permission for gas/ installation . . . j �. . .j�. f!?. . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at 1./.. . . . . . . . .,, North Andover, Mass. Fee. .-�.q '. Lic. No.. . . . . . . (GRAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date /2000 crmit # Building Location SC�+�� GrC. Owner' ame C ki j S' pe of Occupancy New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N C N W N Y Z G V) N N () CC V) c Vf a- O > N = F w J N W O U ❑ F' = J1 Z o r w ¢ p N r ¢ o - _ a r 1 CW < W W F-' n L a 1 0 C W Z V W V7 W ¢ 0 0 H <W Jc F¢w•' •C'. �—Z. fW¢" Wc N W f" W J HIn C=WO > U. ¢ ai Z O O < O O W C o til }- ¢ o v z cir c 3 o J u c > o a F- O SUB—BSMT, BASEMENT 1ST FLOOR 2ND FLOOR I 3RD FLOOR I 4TH FLOOR I 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name TOWNSEND OIL COMPANY Check one: Certificate Address 75 WEST MAIN STREET Corporation GEORGETOWN, MA 01833 ❑ Partnership Business Telephone 978-352-8711 ❑ Firm/Co. Name of licensed Plumber or Gas Fitter REN JACKSON INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes U No ❑ If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy ®X 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent i; I hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. eY T of License: 43'��'q&J2'� Plumber Signature of Licensed Plumber or GasF er Title GasfitterMaster �� 978 C ity/Town Hioumeyman License Number (O IC US ONL -- � P 10 E SEFIr i� �f I�AGA Lo ��� 9?5- �� � Cl-,( rL=-1,� � J _, /� 000$ J J r v4/�(?1, C hCG � � � i`;�n r�._./�V Cj-•�` �i . ;r'-� :� Er1L/N .55 I i fi i I 6AS t c; g• L - r S. �- • / j ty; , U 1 ----- �r � s i I I I I - /j 0' f I Az i r• i i i I -�� �•ur0/'/�jr} /Div CIV I TOO(A LL06LSS90 xyd OS:9T \Ox 00/TZ/90 Location A- _- f No. Date TOWN OF NORTH ANDOVER Gf ..•o ,•1ti ` Certificate of Occupancy $ �'�S''•• EcA Building/Frame Permit Fee $ s+cNus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ � r Check # i 14657 Building Inspectsf TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 0"'I .".iY m6:" .�xd,'+:Y #a�Y,s, BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: " l Building Commissionerfl for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 4 q Pcnn ' Cabe ✓ lob Gz ol Map Number Parcel Number rN W ' 1.3 Zoning Information: 1.4 Property Dimensions: I I Zoning District Proposed Use Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RqItired r54) ide Required= Provided Required Provided 1.7 Water Supply M.G.L.C.40. 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M J, 2.1 Owner of Record (SIO PV NaAddress for Service SignatureTelephone (� 2.2 Owner of Record: Name Print Address for Service: ® i Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address i Expiration Date Signature Telephone i 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0800 Company Name M Registration Number r— rMw Address Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) \ Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check au applicable) New Construction ) Existing Building ❑ Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. Demolition ❑ Other 0 Specify Brief Description of Proposed Work: 10�Iq SUED SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be � C} �US, {} Completed b ermita licants '« x �, A � �` W s 1. Building n�0d,0,9 (a) Building Permit Fee d Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing — Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 000•0o1 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1> wls ,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 OWNE/R//A-U�T�H�ORIZED AGENT DECLARATION 1, a�t S (.LD`/C7 y' ,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 Print Sign o Owner/Agent Date •�s� NO. OF STORIES SIZE D BASEMENT OR SLAB SIZE OF FLOOR TIMBERS is 2ND 3 SPAN DMIENSIONS OF SILLS DIMENSIONS 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 T7- PRO P C-- 5 GN E C E 1\1 I-LZ- A 5,5 27 000 C-a.L IL 70 Skp � low P,rs I , l IAI 6PI& 79- .O/,Oz IC--4 Z/V ecw I z N 33n-) Of SORTI, Town of North Andover 3�°,,�" L Building Department 10 , p 27 Charles Street North Andover, MA. 01845 D. Robert Nicetta Building Commissioner (978) 688-9545 .:(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE I 1 I AV 3 200 JOB LOCATION 51 Plf 4' Za rie Number Street Address Map/lot "HOMEOWNER Y) S /Ir !79 ST? cloeo Name Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1 f DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection pros requireme is and that he/she wi comply with said procedures and requiremen HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL FORM - U - LOT RELEASE FORM . L , INSTRUCTIONS: This form is used to verify that all-necessaryapproval/permits from Boards.and Departments having jurisdiction have been obtained. This.does not relieve the applicant and or lau Pdowner from compliance with any applicable requirements. ago■was■• 0,6,& 5 APPLICANT PHONE ASSESSORS MAP NUMBER /()7 LOT NUMBER 6.2 SUBDIVISION LOT NUMBER P C a(� STREET NUMBER / STREET �� ..■.........■.....■.■..■.•..........■.....r.r■......■■u ..■.r■■........r.■ ..............FFICIAL USE ONLY....... ...�'S.t............ . RECOMMENDATIONS OF TOWN AGENTS o■■....g.., ,...■.■..■..■...■■...■■.............■.■■■■.. ....■■..... DATE APPROVED CONS VATION ADMD\0TRATOR DATE REJECTED COMMENTS 9 y V (1 L (S DATE APPROVED TOWN PLANNER DATE REJECTED COMIv1E'NTS DATE APPROVED FOOD INSPE TOR- TH DATE REJECTED DATE APPROVED 7 _ STOR-HEALTH DATE REJECTED COMIvfENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CON* ENTS RECEIVED BY BUILDING INSPECTOR DATE I NORTH E Town of . ....:,.I'.- ,d p. ®ver O i fVIM No. Q3P COCLC dover, Mass., ADRATED S H � BOARD OF HEALTH I Food/Kitchen PER 1A IT T Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ..... ..�.IN..I...S......... .. .8.. ......._. .. ... ................................................................................... Foundation I1�/V I A$ has permission to erect.....�0..x��......kq�lj �� pbuildings on ....�....�.............................................. ............................. Rough S�r+ 140 �to, Chimney tobe occupied as........................3.�....S.................................................... �'(. � . . provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M n0f) P ♦ .i PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough YA A%ojt a %'%A> PERMIT EXPIRES IN 6 MONTHS Fina so 0 s ,ej yAe.K UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR Rough �1%ov4 kcA U; ......AA....................... ............... ............................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Fina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE - Smoke Det. -19 Location , No. I-Al--3 Date �"C;2KI" NORTIy TOWN OF NORTH ANDOVER Oft..o ,•,ti0 3� ° • OL b A Certificate of Occupancy $ �7S'•••°•'<�' Building/Frame/Frame Permit Fee $ sAcMust 9 Foundation Permit Fee $ c- / Other Permit Fee $ TOTAL $ Check # r � � 13 � n Q ti. ✓ 8 "Building Inspeddl v v TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING T This Secfibtk.for OtjE'dA Use Oil V BUILDING PERMIT NUMBER: 03 DATE ISSUED:o? S SIGNATURE: , • Building Commissioner/I for of Buildings Date z SECTION I-SITE INFORMATION O 1.l Property Address: 1.2 Assessors Map and Parcel Number: 55 pabl v; Lpli Map Number Parcel Number ot 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sf) Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Re red Provided Required Provided 1.7 Water Supply M.G.L.C.40.§54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private Zone Outside Flood Zone 0 Municipal 3 On Site Disposal System E SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT M r wner of Record LA"tats �', L 6 Peon' ane, Name(P t) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O rn Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable G Licensed Construction Supervisor: O License Number Address D Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable C vQ Company Name M Registration Number r r Address Z Expiration Date Signature Telephone Y 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.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: - SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be t, OFFICIAL,USE ONLY Completed by permit applicant I. 'Wh id — `� / 2 (a) Building Permit Fee I �c� 1 J � � 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 YI, as Owner/Authorized Agent of subject property Her u e �4 % to act on My b a lld all 111 er e tive or a orized by this building permit application. � li-al-t?O Si nature 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 Signature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB RD SIZE OF FLOOR TIMBERS 1 2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHTT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ` �r 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. APPLICANTLwbi, PHONE 97.5 ��d� ASSESSORS MAP NUMBER 107 b LOT NUMBER '72 SUBDIVISION LOT NUMBER � 1+1 '� '( STREET J� PEllai�� � -�. STREET NUMBER OFFICIAL USE ONLY I N 3 i ,1; ........................................................................... RECONVIlVIENDATIONS OF TOWN AGENTS ?c, �^' "�'� YCf_, ...... ............................................................... ... DATE APPROVED CONS ATION ADMINISTRATOR DATE REJECTED COWV(ENTS ANLO AA DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSP,, OHEALTH DATE REJECTED r- DATE APPROVED ` PDq0KCT6R-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE J : Sl GNE IZ sCcjrr- PROPe 7`rE5 -5C PI,F .� IJ /�(Z AGA ALO 3s C E!�! 1-t=lam � f_ ,I,�S�Wi4R.p CI RCL P REAplNG /4,F55 SCALE I n loon 0. N G tAMK. l� f� :J // ! JSP/ ` NA I ,,�•.'����, _ ;�� CID f� 3 Sti p l►aw PiT,s ► -- i I i ' I y} S /iv C-RouN� /�ZLI�N C-P131 79 1 NS7"A�: NORTFj Town of Andover No. Zai z== LA o dover, Mass., COCMCKEWICK %p ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........C...�..�......��..................4eaAy Foundation Ahas permission to erect...� buildings on ......i.�.....q.............�40AJ/......oZ.A�V.,� Rough to be occupied as....../.,�u. . .r..N o PoO 'IN /! I' yA R chimney ,�' provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M 1401 D P *7a PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. $ 84/0 avow Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T Rough .............. ..... ... .... ....................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke,Det! Location 5r f-e'��' / `t C No. , ,13 Date NORTH TOWN OF NORTH ANDOVER to s • Certificate of Occupancy $ Building/Frame Permit Fee $ -a 1�►C HU � 1 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 43 Building Inspector��� Ir TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER J DATE ISSUED: ®� 1 SIGNATURE: - b Buildin ommissioner/I for of B ' Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 59 PEJAPEQW 4 IV©n.�.11 '�yn��� /►i►� Map Number Parcel Number 1.3 Zoning Information: U 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided Re red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record LE.44 PENwf� � Name(Pnn Address for Service: -7'' ° >s Signature Telephone r 2.2 Ovtner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Lic .:Fed Construction Supervisor: O License Number l�f Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number r Address Expiration Date ^ Signature Telephone G) 3 SECTION 4-WORKERS COMPENSATION(hLG.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 rmit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) it Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: l7EPGFICE I�L� o # pe& IV/77t AAW 45V 42 Oax I SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be F UFFICIAL>fTSE ONLY _ Completed by permit applicant v 1. Building / E 'R Pa, (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing x Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection yC 6 Total 1+2+3+4+5) /06,0, 00 Check Number _T SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT I, fill rr 5 l e'a- S/ as Owner/Authorized Agent of subject property Hereby ofize �n ra S �&Iul to act on f My b a alls re e ork authorized by this building permit application. (;.Z z� Si nature of Owner 7 Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ( QCS LG,YId/ 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 'r Prim ' Si ature of Owner/A ent Date ; NO. OF STORIES `yam.$,� SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMERS -7-- 1 sT 2 3 SPAN 12 t= DM ENSIONS OF SILLS DMIENSIONS OF POSTS DMIENSIONS 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 LLU, lee NO y i Town of North Andover Building Department n 27 Charles Street " North Andover, MA. 01845 ��s•,�� ��g D. Robert Nicetta S"`""5e Building Commissioner (978) 688-9545 _(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE 0' ��-0n JOB LOCATION___1 ��NN I LA0 Number Street Address Map/lot "HOMEOWNER C'W5 �S a °, j7 q0 II GGnn,,'''' l/ 3() Name Home Phone Work Phone PRESENT MAILING ADDRESS 5,1 Pau! Lgwe A)P-}f A,UDOyZX_ City Town State Zip Code The current exemption for"homeowners"was extended to include owner-0ccupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 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 PHONE `'"08 ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET...... NMN(........ .....STREET NUMBER OFFICIAL USE ONLY q c.,e �co?�' o p c IC ,........................................................ .MEMO... .Owosso.. NDATIONS OF TOWN AGENTS w td p� loss ■■ on-common ...0............................0........../.............0.. DATE APPROVED l9 e 6 6 L) CON VATION ADMINISTRATOR DATE REJECTED CONDAENTS w Q �- c o ' Q s o DATE APPROVED TOWN PLANNER DATE REJECTED CONMIENTS DATE APPROVED FOOD INSPE R-HEALTH DATE REJECTED DATE APPROVED SEY C SP CTOR-HEALTH DATE REJECTED COMMENTS 1_11_-e__. PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTNIENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ESIGNE sCcjrr PRO, oScPl-t � (? /�Rl3F1GJ`# �.LO �,�,,t,�RL�/VGT'0^/ ,�.irt� • l�l�S�Wi4Rp CI RCL P U RE/4D/NG /1'1/}55 Lo f l` SCALE r ^c looms G0. � N n / tiAk;:A;;,'d L0 rtl ISkAlloLuII . iso PENw LAkitla GROUND 76," ---sem P �icb 61V AORTH ~ Town - of 4 Andover No. 3 - - o dover, Mass., �'- .� too I� COCMICMEWICK ' ADRATED O �C;� S BOARD OF HEALTH Ll il MIT Food/Kitchen Septic System cc BUILDING INSPECTOR THISCERTIFIES THAT............. ........J................i ..a........ ........................................................................... Foundation has permission to erect..1 ..X ..?�.......... buildings on ..... ...... .IV N C.A...kJ' !............... Rough 0 �N C 1 !A^ O A a n W a� � � Chimney to be occupied as..-- y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Co struction of Buildings in the Town of North Andover. M ' On b P r) OZ s � � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO T TSS Rough 414 6AOU� ..... .... ............................................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Location N i A,j No. Date °� D AORTN TOWN OF NORTH ANDOVER } o Certificate of Occupancy $ �as+cNusE Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ O� TOTAL $ / y Check # 0 � 16399 Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMy�OLISH A ONE OR TWO FAMILY DWELLING �q „'llsifart11111t=Use tfl><I BUILDING PERMIT NUMBER. �� / DATE ISSUED.• c a!` 6) lY 3 ic SIGNATURE: Building Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 6'� pc-r) n ,I 2-/J ) og D a NA_^O V' `e,5-fi /xw-4 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use I Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 _J SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record L IYA 57 Pe?n, ' 1-/J Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Alm Licensed Construction Supervisor: ©� [ i C' O 3 License Number O } mn Address /3/Z y' 2�- ( Expim loan Dat Sign r Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address v r Z Expiration Date G1 Signature Telephone �1� SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check au licable New Construction ❑ Existing Building ;K Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: TRCte 942;' 120-Dr- SECTION 2cam,-SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ''."Ma3FFICIAL USE;Oft , Completed by permit applicant _ 1. Building rn .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 1, 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 1> ,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 Print Name Signature of Owner/Aent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IST2ND 3 ' SPAIN MIENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS DIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CH VINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Trw Comnianweafth ofW=achusetts (Department of Ind=tria[Aaidents office of Investations sem'w. 600 Washington Street (Boston, WA 02111 Worker's'Compensation Insurance Affidavit APPLICANT I,47ORMATION — Please PRINT Legibly d Name:_ \L � \ Location: City' /�r► u L)L-)� IS—S Telephone#: ❑ I an a homeowner performing all work myself ❑ 1 am sole proprietor and have no one working in rn capacity 421 am an employer providing workerscompensation for my employees working on this job Company Name: e - u!z2 2 022 le 0 4/ Address: % -7h L)CIn . S Tel #- 9V -`2:7V- city: insurance Company: ❑I am(circle one) sole proprietor,general contractor or homeowner and have hired the contractors listed below who have the following. workers' compensation policies: Company Name: Address: City. Telephone#: Insurance Company: Polipy 0: Company Name: Address' Giry: Telephone#: lrisA nCe Company' Policy Tr Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of MGL 15B can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that.a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby cerri under fh sins and penalties of perjury that the information above is true and correct Sigaatuie: wi Date: y q 3 Print Nam e: ah i Phone Official Use ONLY-Do not write in this area o Building Department PermlVLicense M o Licensing Board City or Town: o Selectmen's Office ❑Health Department 0 Check if Immediate response is required ❑Other INFORMAMV &iNsT 2ucn0NS Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law" an employee is defined as every person in the service-of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other,legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees..However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the-dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also-states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall,enter into any contract for the.performance of-public work until acceptableevidence of compliance with the insurance requirements of..this chapter have beenpresented fo.the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking'the.box that applies to your situation and supplying company names,address and phone numbers as all affidavits may be submitted to the. Department of Industrial Accidents for.confirmation of insurance coverage. Also-be sure to sign and date the affidavit. The affidavit should.be.returned.to the citrortown thatthe application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the "law' if you are required.to.obtain a workers',compensation policy,please call'the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has.to contact you.regarding the applicant. .Please.be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements.have been made. The Office of Investigations would like.to thank you inadvance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department.of Industrial Accidents Office of Investigations 600 Washington.Street . Boston,MA 02111 Pax# (617) 727-7749 Telephone# (617) 7274900 ext. 406,409, or 375 .01 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that.the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A.. The debris will be disposed of in: 4 p 00i C,Q U t &��e 0 t (Location of Facility) gnat Pfpermit Applicant 22 0 3 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through.the Office of the Building Inspector V40KT H 0VM Of over 0 No. 4,6Z I? 0dover, Mass., to H'IC hp 0RATE P? BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THISCERTIFIES THAT...... ...................... .... ...... . ....................................................................................... Foundation has permission to erect...,S.4 R, t4........ buildings on .......5.91........P ........ Rough . ...................... ............ 1?.e V%QW* 0 U C.0 1 CA Chimney tobe occupied as............................................... .....�5.................................................................................. provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 14PI V A7.1 qF&V PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ELECTRICAL INSPECTOR S Rough . ............Z.........T...'tv 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 Street No. SEE REVERSE SIDE Smoke Det. s A L.L. 1111D Co E ONE ROOF Chimneys Residential & Commercial Roofing Siding CHIMNEYS POINTED-REBUILT-CAPPED All Types Of Mass Toll Free �-Roof Leaks Experts �- Expert Masonry Work 1-800-WAIT-4US ® Locally Owned 8e Operated Since.1976 Licensed & Insured (924-8487) IKO eaer Vlo� or�o = License#034200 a We Work Year Round Proposal Submitted To - Phone 17111? j Date .Street ` �� (�..� -. �(��" J f Z�„j i p �,-�„ p d j Job Name City,State&Zip Code n,0 d Job ocation CJ � i���� J Job Phone We Propose hereby to furnish and labor in accordance with specifications cati ifi P ons below, for the sum of: %%A 0 Dollars ($ /Sz,6_71— Q� All material is guaranteed to be as specified. All work to be completed in.a workmanlike manner according to standard practices.Any alteration or deviation from specifications be- Authorized low involving extra costs will be executed only upon written orders, and will become an Signature: extra charge over and above the estimate.All agreements contingent upon strikes,accidents t or delays beyond our control, Owner to carry fire, tornado and other necessary insurance. NOTE:This proposal may be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within" days. Y • We hereby submit specifications and estimates for: S-77,�,Pf G'Rcs- ❑ Install 3 feet of special "Eave Seal" ice and water barrier protection alongall bo o ges of roof and top to bottom in each valley. If roo^pped, we will apply convenonal icenddwater shield i ( ) ft. high in the same locations previoUsly remaining bare wood. Any rotted or damaged boards will described laceand r paper will cover the lk or (1E:>a«) per sheet of plywood.(+&7z p d at ( ) per linear ft.