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HomeMy WebLinkAboutMiscellaneous - 59 SUNSET ROCK ROAD 4/30/2018 59 SUNSET ROCK ROAD 210/106.A-0221-0000.0 j Cunningham Lindsey U.S.,Inc. P.O.Box 703689 �U�1r1111 �.a.I11 Ctv Dallas,TX 75370-3689 Lindsey Telephone(888)738-8714 Facsimile(214)488-6766 CLCAT@CL-NA.COM ***********************AUTO**3-DIGIT 018 786 T3 P1 95000058976 Building Commissioner or Inspector of Buildings �c 120 MAIN STREET N ANDOVER,MA 01845 Form of Notice of Casualty Loss to.Building Under MASS. GEN. LAWS Ch. 139, Sec 3B Claim Number: 2119248 Policy Number: 2119248 13 co Company Name: MERRIMACK MUTUAL FIRE INS Cause of Loss: ICE STORM co U) Date of Loss: 2/10/2015 Insured: HOWARD ZZOLOT Property Location: 59 SUNSET ROCK RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 313.,No insurer shall pay any claims (1) covering the loss, damage, or destructions�to"a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code,to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. An lien perfected pursuant to section three A or to section nine of chapter one hundred and ` Y p p p forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. i On this date, I caused copies of this Notice to be sent to the persons named above at the addresses indicated above by First Class Mail. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 i i I I z -tocation !(l v No. .�✓- Date _ �oRTN TOWN OF NORTH ANDOVi t , r` 3 ... o�. zr y L � - p Certificate of Occupancy $ - a f • s ,; ; j �Mme Permit Fee $ Fwd l n Permit Fee $ s�c►�U Other Permit Fee $ Sewer Connection Fee $ r Water Connection Fee $ - TOTAL $ :s Building Inspector 1235 Div.Public works •f 77 ` 4 '�ocation No. Date 4r NoRT01 TOWN OF NORTH ANDOVE_h 3?0,,AD t p Certificate of Occupancy $ Bwildth"a/ ame Permit Fee $ Fou ion Permit Fee $ N s�cMust Other Permit Fee $ � ° Sewer Connection Fee $ _ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works AT 0 5 `-"' -� Plan Of L and ` �n �` Lot 1. 7 ��- North, Andover, Moss.. c- ' sho wing -� 24047' ° "As—Built" Foundation Locution Lot 16 Sunset Rock Road Lot 16 ° Prepared For 4-0,002 S. N A Dr: Ho Wal-d" Zol o t 0.92 Acres -4 Scale: 1" _ 40' Date: May 12, 1997 Upland = 40,002 S.F. JVI Zoning District: R 1 Top of Foundation ', , o N (Residence 1 District) Elevation = 16270'. Lot 17 (Planned Residential Development) Lot 15' r 31. 1' ` Note: Property line data taken from a Planned Residential ate. ----- Development by Thomas E. Neve Associates, lnc.,dated Existing Concrete April 22, 1994, revised to Sept. 21, 1994. Foundation = In my opinion, the existing foundation is not in a Flood Hazard Zone as shown on the U.S.D.H.U.D. T Flood Hazard Boundary Maps, Community Panel No. 250098 0009 C, Revised to June 2, 1993. hereby certify that the foundation on this property ^; \ is located as shown and complies with the zoning requirements of the Town of North Andover, Mossachuse s. « 100. 16" > A=48 30'37.0".. 74.76' . L=25.40' Profess' nE. K.j yor NEVE Sunse t Rock Road "°.31724 (Private — 50' Wide) ��'%µ too Thomas E. Neve Associates, Inc. Engineers — Surveyors Land Use Planners 447 Old Boston Road — U.S. Route 1 Topsfield, Massachusetts 01983 887-8586 1603 . Office use Only li .�.\ The Commonwealth of Massachusetts Permit No. �roccvveMv lee Checked r Department of Public Safety 3/90 (leave blank) !' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12-00 V TION FOR PERMIT TO PERFORM ELECTRICAL WORK .APPLICA All work to be performed in accordance with the Massachusetu Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INTORHATION) Date 7/2/97 City or Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number) 59 Sunset Roe' ' Ro^d O ner or Tenant Dr. Howard Zolot Owner's Address 721 Middleton Road Is this permit in conjunction with a building permit: Yes)E No ❑ (Check Appropriate Box) Purpose of Building residence Utility Authorization NO. ! Existing Service Amps.. / Volts Overhead ❑ Undgrd ❑ No. of Meters . e2w Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Nuaber of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Lighting Outlets No. of Hot Tubs boveNo. of Transformers INA No. of Lighting Fixtures Swimming Pool grrnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Heat Total Total No. of Sounding Devices No. of Disposals Pumps Tons KW No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices KW Local❑ Municipal ❑Other No. of Dryers Heating Devices Connection No, of No. of Low Voltage No. of Water Heaters KW Si ns Ballasts Wiring— No. Hydro Massage Tubs No. of Motors Total HP OTHER' .Burglar Alarm System i - i � - I INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws Insurance Policy including Completed Operations Coverage or its substantial I have a current Liabilit ' equivalent. YES( NO I have submitted valid proof of same to this office. YES® NO C]If you have checked YES, please indicate the type of coverage by checking the appropridiE bo . INSURANCE © BOND-[] OTHER ❑ (Please Specify) Expiration Date Estimated Value of Elec Uical Work S 900 Final Work 1' Work to Start 7/3/97 Inspection Date Requested: Rough Signed under the penalties of perjury: LIC. N'). 1199C FIRM NAME SOS Security Consultants, Inc I Licensee H. Prescott Smith Signat N0. 390D Bus. Tel. No. 08-887-8341 Address 10 South Main St-feet, Topsfield, MA 01983 Alt. Tel. No. !' OWNER'S INSt9WCE WAIVER: I am aware that the Licensee does not have the insurance.toverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE Signature of Owner or Agent Date....7/,Mz..7. 036 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAcwU This certifies that ......... ......... ...... -�4 .............. has permission to perfbrm .......S.t.c........ ............................ wiring in the building of.....Qk...... ................ at......17.7....... . (. .......... .North Andover,Mass. Fee....d..") ... Lic.No./.(........ ........................................... ELECTRICAL INSPECTOR 07/11/97 14:44 a WHITE:Applicant CANARY:Building Dept. PIRN K:W ',,Iu'le, l Office Use Only ( /� The Commonwealth of Massachusetts Permit No. v Pet Checked Department of Public Safety 3/90 cuw�cr & (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 —p APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All mork to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 1,9— ? 7 City or Town of V, A i\i DG�-/ t—:-- rL To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street is Number) 5_7 TSS U&I5 1 90L- FC &P L-07 '� ,6 C7l Owner or Tenant ' U W A ft D Q L-0 A Owner's Address 72- 1 I/1 X4 t P L E�Q N S Ti Al,- 4AID0 1_/2f Is this permit in conjunction with a building permit: Yes K No ❑ (Check Appropriate Box) Purpose of Buildings//*-( ,—L E FA/K1 L, 140 Mr Utility Authorization N0. 7 V 3 Existing Service Asps / 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 —FE M P U N F 11L C--A-0 [ GF No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total g g KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency LightingBattery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices No. of Disposals No. of Heat Total Total No. of Sounding Devices P Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal []Other Connection No. of Water Heaters KW No, of No. o Low Voltage Sixns Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES(@ NO[] I have submitted valid proof of same to this office. YES P, NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER❑ (Please Specify) 9/16/9.1p Expiration Date Estimated Value of Elecrrical Work S REAZ:>Y Work to Start Inspection Date Requested: Rough Final /✓p•W Signed under the penalties of perjury: FIRM NAME CONTINO ELECTRIC & CABLE INC. LIC. NO.A11983 Licensee LOUIS. CONTINO Signatur LIC. NO.E26788 Address 1 DONOVAN DR. WEST NEWBURY, 01985 Bus. Tel. No. 08 ) 36�=542u Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this pe application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE Signature of Owner or Agent f+�.-_��•-�-_r�+,...r-.�,�..�.s-. _-..��.:..�..,,er"""":.._.t-.,.t`^:-�..�r'�:!-.;zzv-...r.,._g;..a.._.q.4'� -..-__ .- -'r,�v: i t t Date.....`'�.. ... ... ..:f. . 910 NORTH { `.'-+�*.��°L TOWN OF NORTH ANDOVER a ° _ PERMIT FOR WIRING �,SSACHUS� 'r This certifies,that.;......,.`:..t}... ...�a.....A..... (. has permission to perform ........ wiring in the building of....... ....... ........................... '. `a at.... .. .....S q,Sr. .... cK ,North Andover,Mass. .....'!.. Fee...kUP.. Lic.NoA1 3............................................................... ELECTRICAL INSPECTOR C `�1 91 05/05/97 12:10 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ,� � Office Use Only 01 4c Lfummuntut# of :,'1nttB8�t U Pn Permit No. i9evartmint Of Public Aafttg Occupancy& Fee Checked 3190 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS ONS 527 CMR 12:00 .00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electricai Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Q Yj or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 50`&S�?" POC A7 Owner or Tenant 0W,4RP -7-7-0AQ�.ZT / Owner's Address . j /61/� 'S T,pLE 7V^11 I ,41�CVe2 Is this permit in conjunction with a building permit: Yes U No ❑ (Check Appropriate Box C L E Utility Authorization thorization Purpose of Building u Existing Service A0 C)� Amps I 2W ZYC/ volts Overhead ❑ Undgrnd ® No. of Meters New Service Amps Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above r—I In- No. of Lighting Fixtures I Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges I No. of Air Cond. tons Initiating Devices No.of Heat Total Total No. of Disposals Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices I Municipal Other No. of Dryers I Heating Devices KW Local 11 Connection I No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ^_ NO = I have submitted valid proof of same to the Office. YES X NO : If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ,y_ BOND C OTHER :: (Please Specify) (Expiration Date) Estimated Value of Electrical Work 5 Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: _ FIRM NAME c-v /Y%/BYO 1_,c -7 t� �� LIC. NO. Licensee 4d(/LS GD/Y7-/"9 SignatY....�Bus. LIC. NO.Tel. NoAddress C 4 ' ry Alt. Tel. No. � OWNER'S INS tICE WAIV I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- qu N by ssach,sP r s. and that my signature on this permit application waives this requirement.�yOOwner Agent (Pleas chec rhe) 7� Oo Telephone No. PERMIT FEE S of Owner or Agent) x•5565 1-0-. 7 043 Date..... .. . - t NOR7M� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......ka.4....... .......... <.. .1`.........:.... has permission to perform .......14/If-..4 A U : t f wiring in the building of..... .f t.t?i.$.........t f...1 A l . . .........................:.... _ atR � S e/ . , C. t �`" ,North Andover,Mass. ................ ............... ..... .. FeA.t O.;6v„ Lic.No.X f f 9�.1 .............................................................. ELECTRICALINSPECTOR e 07/11/97 14:34600.00 P�I) WHITE:Applicant CANARY:Building Dept. PIN : reasurer opke Use 0"k- The "nThe Commonwealth of Massachusetts I-. Occu —V ak It" Checked Department of Public Safety 3/90 (►e.re blank► BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed In accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFOPI=ION) Date Lg '1;116 City or Town of&y 2 r-1-1 yTo the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 1.5-7 S U!7 J a 1 A c c• K 0-p Owner or Tenant /1421LIAa 72 :F67,1— Owner's Address Is this permit in conjunction with a building permit: Yes 1,9No ❑ (Check Appropriate Box) Purpose of Building LE F&Lf1 Ly Utility Authorization NO. Existing Service,�UV bps [��/ Z V0Volts 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 (/4l r zz- d!J ©0 No. of Transformers Total No. of Lighting Outlets No, of Not Tubs KVA No. of Lighting Fixtures Swimming Pool Above In- No. g grnd. ❑ grnd. ❑ Generators KVA Receptacle Outlets No. of Oil Burners Ba er Emergency Lighting No. of Rece p Battery No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices Heat Total Total No. of Sounding Devices No. of Disposals No. of Pumps Tons KW 8 No. of Self Contained Detection/Sounding Devices No. of Dishwashers Space/Area Heating Kw Municipal Other No. of Dryers Heating Devices KW Local❑ ❑ Connection No, 0 No. of Low Voltage No. of Water Heaters KW Si"s Ballasts lWirinx No: Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or is substantial equivalent. YES® NO I have submitted valid proof of same to this office. YES Ja NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND 9/16/9 ❑ OTHER❑ (Please Specify) ` (Exp-frat:ion Date) Estimated Value of Elecrrical Work S work to Start _____ Inspection Date Requested: Rough Final Signed under the penalties of perjury:. FIRM NAM CONTINO ELECTRIC & CABLE INC. LIC. NA.,J1983 Licensee LOUIS. CONT I NO Signatur LIC. NO E2 6 7 8 8 1 DONOVAN DR. WEST NEWBURY, 01985 BI-s- Tel. No. OS) 353=5ZU— Address Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General ws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) F Telephone No. PERMIT FEE Agent) Sisttature of Owner or N° 1 V 5 5 Date :.r, /�:. ..��....... NORT1� °f4 •<'"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that . . ....�. .... ....�. L'� _... .. ... has permission to perform .... .. -............. wiring in the building of..... ............................................................ t 1 ............. .North Andover,Mass. Fee&........... Lic.No411W............................................................. ELECTRICAL INSPECTOR 05/29/98 09:23 35.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer L/ PE�MIT NO. OAPPLICATION FOR PERMIT TO BUILD******"NORTH ANDOVER, MA MAP NO. LOT.NO. 2. RECORD OF OWN ERSIIIPA. UIt�TF.,,! BOOK PAGE ZONE SB DIV. LOT NO. III LOCATION �S�� oaf PURPOSE OF BUILDING SW i J�'�'�1N �K 3 OWNER'S NAME ✓- „Q r �yj�p NO.OF STORIES SIZE OWNER'S ADDRESS SC t✓ls ci I -d, BASEMENT OR SLAB ARCIIITECT'S NAME SIZE OF FLOOR TIMBERS I 2 3RD BUILDER'S NAME rlqlm ) �� SPAN DISTANCE TO NEAREST BUILDING SL/ DIMENSIONS OF SILLS �^ DISTANCE FROM STREETflqo DIMENSIONS OF POSTS ✓lil DISTANCE FROM LOT LINES-SIDES gg 1 REAR DIMENSIONS OF GIRDERS AREA OF LOT FRONTAGE HEIGITI'OF FOUNDATION I I IICKNESS IS BUILDING NEW gs SIZE OF FOOHNG X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER POARD OF APPEALS ACTION, IF ANY ISBUILDING CONNECTED TOTOWNSEWER IS BUILDING CONNECTED TO NATURAL.GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST. BLDG.COST 1127 PAGE I FILL OUT SECTIONS 1-3 EST.BLDG.COST PER SQ. FT. EST. BLDG.COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPI'IC PERMIT NO. oef ATTACHED GARAGES MUST CONFORMTO STATE FIRE REGULATIONS 4. APPROVED Bl': PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Bl C INSPECTOR CZ IDATE FILED �+1 l g OWNERS TEL# (,1�- =/ CON-rR.T'EL# CoNTR.LIC# C D31k SIGNATURE OF OWNER OR AUTIIORIZHD G �� H.I.c.# i I `q FEE PERMIT GRANTED:) 19 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/ ., : pemvts from Boards and^Ahartments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements, 4' 1 APPLIRNT FILLS OUT THIS SECTION APPLICANT IyOW,)J ?—v 1,,4 �._ PHONE b t ii- 001 N� Z2A f h LOCATION: Assessors Map Number PAR ' t. CEL______ 14 SUBDIVISION LOT(S) � r' STREET . ST. NUMBER S """'OFFICIAL USE ONLY i REC MENDATIONS OF TOWN AGENTS: •1 • iF 'AAAAAA{ CONSERVATION ADMINISTRATOR ?' DATE APPROVED DATE REJECTED COMMENTS (A Rot file Y _VI (JI° D i FsI Ik: TOWN PLANNER Vr DATB APPROVED DATE REJECTED COMMENTS I = t FOOD INSP CTOR-HEALTH DATE APPROVED t is DATE REJECTED SE>S INSPECTOR- TH DATE APPROVED o- DATE REJECTED COMMENTS . .. PUBLIC WORKS-SEWER/WATER CONNECTIONS yY DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 'd4/21/1998 15:46 16178465108 ELLIOT WHITTIER PAGE 02 x n2 � e i2lrfR� FF- 4< XRX�f)k�9 GATE t..�:N•1':a:'a a:'::....;,��,..::i >.....•:� '3 ,w:.n.�::£:;: 07�1✓ � THIS CERTW=TE 15 ISSUED AS A HATTER OF O11FORMATi0N ' ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE EWOT,NNITTIER,NARDY & ROY HOLDER. THIS CERTIRCATE DOES NOT AMEND, EXTEND OR 6Tswana* Agmw Inc. ALTER -Up POLICIES 4Y 57 /am" S&eo COMPANIES AFFORDING COVERAGE Winthrop NA 02152 ODFNPANY A CNA INSURANCE COMPANIES alsuaEo COMPANY Family Pool A pall* Co., are. a Tranwortads" Ins. Co. 92 South W"dway COMPANY LaNIFr*ne* MA 01743 C Traasson6senral his. Co. COMPANY 0 e`.���'�7"a}f i�liY.Neiy!!':;}4 i•%i iY><t>•eZ i4 for:t'R S.-!Rr tf!:�0:4SAi IRS -.f i f :A'j: S-..Ac�:e�• SFS% RS,*t-,;,b.c.a'R'f•.RtC::ki:. < ;�!A:ta.e2.r>r.e .!'R 3.f R.fw.tS xtyS"2'£12:tAM 2.Ra :} '£2xe'f ann.x, 2 n.l.f-.e.,, RS ZRa 1S`J^t,te<k kt0tt . .. ,. ... . ...�::..>:,9,.t:R'f <.,f:e•<n:..cola'.,:...._....,..•.. ,Rte:..R'f.-2:RY'0R?:6 bd%fin-r.n..%f..>:2:w••>v.>.�::'•v .EK•Y:/.`vi.T.iltR.AefliAfR6A}do eiR ae2fN98. THIS IS TO CERM THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION'OF ANY,'CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH IVIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, LUSIONS AND CONDITIONS OF S H POLICIES. LIMITS SHOWN MAY H E 3EEN REDUCED PAID CLAIMS. A TYPE OF INSURANCE POLICY HUMERI POLICY ECTIVE POLICY EXPIRATION LIMITS GATE WfDQn OAT! WIDOMI C GOOK LIABILITY 064095968 12/3.1/97 12/31/98 O memEeATE 1,000,000 X CSMMERC&GENERAL LIABILITY PRODUCTS•COMPA7P AGG 1 1,000,000 GIANTS MAGE 7xOCCUR PElf30NAL d ADV*WRY i 500,000 OWNER'S d CONTRACTOR'S PROT EACH OCCURRENCE i 500.000 FIRE DAMAGE(Any em§* i 50,000 ME)EXP Lomy ON i 5,000 S ANJTOMOBLE LIM&ITY 3038607 12/31/97 12/31/98 coMe,Nm seNetE LIMIT i 1,000,000 ANY AUTO ALL OWNED AUTOS BODILY MAW i X SCHEOW:O AUTOS RPM g*(-) X MIRED ALTOS SLY NAM X NON-OWNED AM (Per scodad} i PROPERTY DAMAGE i GARAGE LABILITY AUTO ONLY.EA ACCIDENT i ANY AVT* OTHER THAN MM ONLY i EXCESS LIABILfTY EACH OCCURRENCE i UMBRELLA FORM AOOREQATE i OTHER THIN UMBRELLA FORM WORKERS CON aMTION AND X l J� OTM gpLgfm-LIABLm A 6942897 12/31/97 12/31/98 EL EACH ACCIDENT i' 100,000 THE PROPRIETOR/ x INCL EL DISEASE-POLICY LOSTi 500,000 PARrNER9 ECUnVE OFFICERS ARE EXCL EL OW"-EA EMPLOYEE i 100,000 OTHER OESCRIPtION OF OPWTIO NS+LOCATgNSNEHICLEsfsPECIAL ITE4 3:N.:1k:k0:4....�.�..•..a->.w....a.<•_..:a.xa:K'..:t:;C:af9o:4:,;:? 2w Ax 1s 'a,3e:.�"t3: W } FIRRxxx t SHOULD ANY OF THE ASOYE DEXAGED POWE8 BE CANCELLED BEFORE THE vvnAVON DATE THEREOF,THE ISSUIN0 COMPANY WILL ENDEAVOR TO MAL 30 GAY$WRITTEN NOTICE TO TNF CERTFiUUE HOLIER NAMED TO THE LEFT, BUT MURE TO MAL SUCH HarICE SHALL IMPOSE NO OBLIGATION OR LOAV"- OF ANY KIND UPON 1HE COMMY21TS AGENTS T AUTHOR®NEPRE✓¢MT Gall P. Offoo A6S:S;165£$:2'?i:Sf"2 S`i`q tRi;'tF![:ia:`2::2:4i z%a:i.Rl[9:2`Ri1[:2[e�i�?e[ie>,,_�• M.. HOME IMPROVEMENT CONTRACTOR Registration 118104 'type'-- PRIVATE CORPORATION Expiration . 02/12/99 ! FAMILY POOLS 6 PATIOS INC N WI66IN �N! BROADWAY LAWRENCE MA 01843 / {� ✓die -�anrmsoaaureall� n/'� t: DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Number: <,, Expires: Birthdate: tS` 111331 011191999 6711911960 i , Cjjs&W Restricted�To: 10 y WILLIAN t POULOS 92 S BROADWAY 1 LAWRENCE, NA 11843 lugHOME IMPROVEMENT CONTRACTOR Registration 118204 Type - PRIVATE CORPORATION Expiration 02/12/99 `^ f' FAMILY POOLS 6 PATIOS INC �MIS IBROADWAII'ANOPOULOS j, +_ ,w► smaTOR LAWRENCE MA 01843 D C 8-8'Plain Panels(08-009-5) L 2-4'Plain Panels(08-01-5) F-�-- 1-2'Plain Panel(08-018-5) LE__ F G H J K J 2-1'Plain Panels(08-019-5) 4-4'Radius Corners(08-031) SIZE A B C D E F G H J K L 17-Turnbuckle Braces(08-214) 18'x 36' 18' 36' 8' 3'4" 12' 14' 5'6" 4'6" 4'6" 9' 4'8" $. 4� 1-Steel Hardware Kit(08-204) NSPI TYPE 0-NON DIVING 1-18x36 Straight Coping Set 4'Radius(10-602) PO OL STOCK OPTION 18' 36' 4-R 1-4'Radius Coping Corner Set(10-061) ADJUSTABLE TURNBUCKLE BRACE 1-vinyl Liner(see options below) f---i-o'--I I rt Z OPTIONS TURNBUCKLE 6'Step-Remove 1-(08-009-5)8'panel. Insert 1-(01-006)6'step,1-(08-018.5)2'panel 8 and 1408-214)turnbuckle brace. PANEL- 8' ANEL 8'Step-Remove 1408-009-5)8'panel and pPELAADT"E"A" 1-(08-018-5)2'panel. Insert 1401-002)8'step, 4�R 2-(08-019-5)1'panels and 1408-214) turnbuckle brace. =<:� 8' 4� 2'VERMICULITE , OR SAND STEEL PANEL OPTIONS STAKE Replace 4-8'plain panels(08-009-5)with: fFq �TE 1-8'skimmer panel(08-011-5) 69°DEPTH MIN. 2-8'inlet panels(08-010-5) COPING LAYOUT 1-8'light panel(08-012-5) 8' n 4' 4�R L—E 2' NSPI TYPE II, VINYL LINER OPTIONS 8 ,2'4R 8- 4' TOPAZ STERLING STONETITE (03-R04) (03-PO4) (03-N04) NON DIVING LINERS Attention Dealer, It is your responsibility to see that the safety package provided by FWP is delivered to pool owner and that the H-6(03-R42) 1-8(03-P42) S-14(03-N42) NO DIVING warning labels are properly installed. ADDITIONAL THIS DOCUMENT 15 FOR ILUSTRATIVE PURPOSES ONLY. STERLING® FORT WAYNE POOLS®,INC.,510 SUMPTER DRIVE, FWP makes only those representations which are stated in its written FT WAYNE,IN 46804 USA (219)432-8731 o These di dimensions comply with the National 5 and Pool arran7y. Anyj'o her represen a ons,statemen s,or contracts made PCJL S en to 90 point of corners. g m standards by he dealer/contractor o the customer regarding any materials DRAWING NUMBER P Institute suggested minimum standards for residential pools. produced by FWP are attributable to the dealer/contractor only. The IF diving boards or slides are to be used with these pools please dealer or contractor who sells or installs your pool is an independent OF r e E 1 c I E s r o u A r r, STR-01 2 NOTES - consult the manufacturer's instructions and the National Spa&Pool contractor and is not an agent or employee of FWP. The construction -num bearing capacity of 2000 P.S.F. 3.Excavation shall be 2'larger than pool all around. Institute's minimum standards prior to installing diving boards or methods illustrated here ore suggestions and apply only to normal DATE TttEe t s at least 6'above surrounding Fill voids under base of panels and tamp well. slides on these pools. For information concerning NSPI minimum ground conditions. There may be additional precautions and/or MAY 18' A 36 A.Backfill with non-expansive material, standards,write: National 5 &Pool Institute,2111 Eisenhower methods of construction. The responsibility is the contractor's. RECTANGLE 4' RADIUS Avenue,Alexandria,VA 22314•703/838-0083 1995_ COVTlIONT 1993,IORT-NE lOOW,INC. •7 Z ATA >smom �-` IGN 3 w mp-wo•q� pERFORMEt) ON '"`�" :EAND C bgFOR ET'HE Y tZ 1� Rr� OF NEAT.Tu. ° S. {cLAss 1t0 � W� 1" 1N + iAINUT E g. Pf:R SEOROOM �_ ZOOMS X j b GAL. ) J � In � • � At..S. PER pAY. W Q Q ;a. t900 GALS. SEE LEA04 Pv.0Cr. C� 1'^1%4K. w oC N a g CpT 1 G g�E SYSTEM O Q =ROM TANK TO RtELO, 51: EtJ. AND OUTLETS $HALL. 'A'� T101�1S TO /pOVNQ Comme TRit►t1Y14� SEpf1G TANK AND D1 5 , ` pE31C614ED FOR A GARIbAc COROAt�tGE .TALLATION 5"ALL. BE IN A AND TME '• "'�- 4VtRONMENYA4 C00C LTI L '�) ,F IN 80AR-SENCE©P -1t1E -roWN .SR IN THE PR ANLL. PERFORM pep t OBJ/G tNSPECT10N S �L BE CONSTRUCTED Wt'cN-N 10 T MT OF Q 41S SAN 1TAf" 01SPOS a. 'S .S SAWTARY tXSMSAL 5 .TEM SHALL � Of ANY G�gTRUCTED YVAo?R SERVICE- 0 ;1 s�tv'j w��v►�� goo ® F r R lL d - ,aP : 1Ofo A PAXc.Etr o�� • ZZI 2ZZ, 2�3 a w Q � pERFORtsr-o : 9 0 d ��r L.oc AT I ON x Q pg3�.RV�►'rE oN TEST al CC L^T1 ON TCS'r L•QI-A T 1014 Wx fv,Ttk 9 3 - I a 0 q) d Cll CIrr 1777 11:1L 5t7tidtSI1�1y HUWARD M ZOLOT DMD l PAGE 02 Lor 17 qj .46+� 0 �l P ��,,y i2 ods tie �,� iia X40, 7/ 10,00 vj� Op �• � ® �ISE! 10 sAw • .00 t � 3 /+ ! # T 15 r•, r � t msc s'J o , POOPOSIEEO ¢ ult We Sly ' � � Sept pW l.. �DP c Fr4D.w Cos# 4 9Z AC- �` Z his, AM ai S. + f � I4n �- vou'r w A•1„1. T4 g E �5161..► !� � Q � � i shit « w � Racic R oAo ,% 36 ' Constructim .10* left % 1. Retaining w be waterprc 2. Constructro K P L A N engineer wh a �� 1 and certify 5 G -ed prOiJeG _ - - —_ f V'l1Hf-.L f•1 LiL111 L'I*IU Or Ski 000-sp • I p• ! �� 14400 K1.3 1 A 141 � T 15 � �3 / 4 O�' r i •• ?`D 00a sf PiaDMSEO UR SW OWL. Of -9C Aa �t°Pow FNO,R 21D 1 ` Art 5t J 2l ; + Noy Dcok �o ZCCP G�NG�E�'E *� IS�4.0 1 ` � � tIVV Pur w A-LL t �, i f4 P..fE DES�N g� Q . 7� 1 / i t Oda• SCJ�t S a T Race, R Ort 4 Constructim �Of Wft 1. Retaining w ` be waterprc 2. Constructic P LA N engineer wh CJ C " ' and certify -ed per_ AS BUILT SEPTIC SYSTEM PLAN SUNSET ROCK ROAD, NORTH ANDOVER, MA DRAWN BY NEW ENGLAND ENGINEERING SERVICES INC, 33 WALKER ROAD, SUITE 23 NORTH ANDOVER, MA 01845 JULY 15, 1997 SCALE 1" = 40' DISTANCES INVER-1 ELEVATIONS .� 1 TO TANK 46,0' D-BOX IN 159,72 2 TO TANK 31,7' D-BOX OUT 159,55 1 TO D-BOX 53.5' TANK OUT 159.73 2 TO D-BOX 39.0' TANK IN NOT INSTALLED 1 TO A 46,7 A 159,01 2 TO A 97.6' B 159.35 1 TO B 61.2' C 159,01 2 TO B 60,8' D 159,37 1 TO C 35.0' t. 2 TO C 89,4' 1 TO D 52,0' 2 TO D 45.6' k O F ASS i RICNAF.D C. v TANG"DD t z/ Lot 16 40,002 SE DISTRIBUTION BOX Ln VENT 1500 GALLON �\ L- SEPTIC TANK � 2 c This is to certify that New England \ Engineering Services, ? Inc. has inspected the \\ �j EXIST, ING HOUSE subsurf ace disposal \.\ ,✓��::�%%l:'. `% _/-:�:`` system installed at \. Lot 16, Sunset Rock Road, North Andover, MA. The grades and \\S locations are as \ specified on the plan \� dated 1/29/97 by \\ Thomas E. Neve Assoc,, \ except as shown \ 7476' herein on this plan except for final SUNSET COCK ROAD } grading, ------------------------------------------------------------------------------------------------------------------- t � r10RTy .ppppp- Town of Andover No. C70 * 0 .. : w dower, Mass., O - LAKE 9A_COCMICME WICK i'�• .�� Dqq r E D 1►P '`� (G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 17�..[...� � ................................................................. BUILDING INSPECTOR THIS CERTIFIES THAT................................ ............. Foundation has permission to emct........... t`?d... ...... s-on .... S_ ......... C!L.lv. ? ... .......................... Rough g tobe occupied as............................... .......-2, ...?..a..8...............po..o... ............................................................ chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............................... Service ... . .... .... . . . ...... ......... .... ........ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. PEitmq kr APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. V PAGE 1 MAP 'No. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE I SUB DIV. LOT NO. .I : LOCATION C �Q ` PURPOSE OF BUILDING OWNER'S NAME C7 /l NO. OF STORIES SIZE 5600 si- OWNER'S ADDRESS ZgZ )' C leL�r� /� BASEMENT OR SLAB -- ARCHITECT'S NAME / r J SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME +• _ SPAN DISTANCE TO NEAREST BUILDING G� DIMENSIONS OF SILLS DISTANCE FROM STREET O I POSTS DISTANCE FROM LOT LINES -SIDES REAR \2 GIRDERS AREA OF LOT Qere- FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE R IS BUILDING CONNECTED TO TOWN WATER v Q BOARD OF APPEALS ACTION. IF ANY n � IS BUILDING CONNECTED TO TOWN SEWER n� IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY RNFORMATION LAND COST `�`���•� SEE BOTH SIDES EST. BLDG. COST 2f O,coo•alo FT COST PER SQ BLDG. . . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE,FILE YAN APPROVED BY BUILDING INSPECTOR DATE FILED— ( 777"`+ff`"' - �UILDINO INSPECTOR SIGNATURE-OF OWNER OR AUTHORIZED ENT F E E OWNER TEL.# IQ PERMIT GRANTED CONTR.TEL.#19 �� FM fl CONTR.LIC.# 0 5 ;Z; DUE FRAME PERMIT$ x!.82 t .,Z;22 l U fa �� -��3z i �.• -7✓ y ' BUILDING RECORD 1 OCCUPANCY 121 SINGLE FAMILY I S;OR1ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY` . P• OFFICES _ LOT LINES AND EXACT DIMENSIONS OF ,B-UPI .ILDINGS. -WITH _ ORCHES, GA- t APARTMENTS - RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 1' 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 I 2 ,r3 CONCRETE BL K. PINE BRICK OR STONE 1 ARDW'D _�- PIERS PLASTER i DRY WALL UNFIN. 3 BASEMENT AREA FULL -Iff FIN. B'M'TAREA y, 1/2 3/. FIN. ATTIC AREA NO B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 11, 9 FLOORS CLAPBOARDS B t 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDIN D ASBESTOS SIDING COM/AGN VERT. SIDING ;SPH. TILE STUCCO ON MASONRY, ! STUCCO ON FRAME 11 BRI K ON MAS&NRY ATTIC STRS. & FLOOR I_ - BRICK-ON FRAME CONC.*OR-CINDER BLK. STONE ON MASONRY WIRING V STONE ON FRAME SUPERIOR I__ l,,POOR _ 11 ADEQUATE NONE 5 ROOF 10 PLUMBING r GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED -WATER CLOSET i1 ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING .11 HEATING WOOD JOIST PIPELESS FURNACE / FORCED HOT AIR FURN. ■Sl ! TIMBER BMS. b COLS. STEAM (ry'�+,pp`¢¢F STEEL WOODS RAFTERS OLS. ART CONDITIONING VAPOR __ 7 ply, 31 RADIANT H'T'G '{ 11, ` UNIT HEATERS ✓ Tt' � 7 �'s�'t•j1 ]Letl r `I GAS .�.t� 1d$li4r wi .,+•., 7 NO. OF ROOMS OIL B'M'T 2nd I ELECTRIC 1st 13,d NO HEATING Location—<-I No. Date 5 "U 5 ', at "Oft TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ # � s +i • + Building/Frame Permit Fee $ •"o 't �'s ^°'E Foundation Permit Fee $ s�CHus< C> Other Permit Fee $ Sewer Connection Fee $ �r Water Connection Fee $ TOTAL $ ti ..,.,....,. �r Building Inspector to 10822 �---� Div. Public Works S - Location No. + Date °RTM TOWN OF NORTH ANDOVER Certificate of OccuRancy $ ` Building/Framemermit Fee.$ �sJAC►sdsE< Foundation Permit Fee r Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 1 �\ \ ' _2-32 Building,'' .� .1 0823 t Locationg No. Date 311 97 •` ORT TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CMUs Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ !�b• ��� Water Connection Fee $ 2• e . TOTAL � AWW g I for i:•A 920 Div. 0KC Works NORTjy Town of over No. /57 AD - m - * i _ ^ dover, Mass., AKE S 19� o� - � L � - 0 '��COCHICMEWICK�L�'�• O'�4 S E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System --� BUILDING INSPECTOR THIS CERTIFIES THAT...................................................... �..f.�.�.1� 12...(7,.........G.rS -............................. Foundation .. buildings on . .......... s�..l .:� L /C has permission to erect............. ---............. g 9 / Rough tobe occupied as.................................................. ./. �..�-�.L.. -............. .�...!. y................ .......................... Chimney provided that the person accepting this permit shall in every respect conform to the ter nfs 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. Roush Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR Rough ... ... ........ . ... ......... ...... ....................... Service D 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 FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner ---/a Street No. /d e �,?3 Smoke Det. --� 000000 �to , o \�o iso - d1b WO dop83dOOp- • i i�� / • / f i N P 93 10 0 1/ B9 1 � . POOPOSE� F 1.12 � SF ` DePF� OWL. 2 � �` m itvv 154 o , o� l ' N,yd,-int i � 416,- - 74.76 ' i Su" roe r RocK oAo \ '` /5` FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary 't 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: z00,4ep !Ll, ZocJ-r- Phone l�J'.69S'S' LOCATION: Assessor' s Map Number Parcel Subdivision ;�Axk p Lot(s) Streets,,i_j��- Td�� ?��. St. Number ************************Official Use Only************************ NDATIONS OF TOWN AGENTS: Date Approved conservation Administrator Date Rejected Comments kIIJJII�QQ, Date Approved ' G� Town Planner Date Rejected Comments Date Approved Food Inspe�e_al h Date Rejected Date Approved ep i c spector- alth Date Rejected Comments Public Works - sewer/water connections T 7 - driveway permit / :Z 19 7 Fire Department'OWtrc,. P,1 w xc� oi'�e Received by Building Inspector Date a ' Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name ooff.Applicant on Building Permit(below) Address of Property for Permit(below) !E�Lcry 2c, /0 5Y Sa4s_e,� kae'K' c Map and Parcel : Purpose of Application (check below) Family Phon umb��f Applicant: /SingleY —���_ ,S�S —Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the followingsections as indicated b a check mark. Y This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in 7The a as of the effective date of this by-law, provided that no additional residential unit is created. lots)wereiwas created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots), below the density, (buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowle a or not, is grounds for refusal by the Building Department to issue a Building Permit. W Signature of Owner or AAhonzed Agent who signed the Attached Building Permit Date -::5A This form must be attached to the Building Permit upon application for such permit • �4ORT/y own of - over m zt 7=_ dower, Mass., 19 Q;7 O LAKE A v �G BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. .. .. .....................,.1.... . ...................... ................................ Foundation has permission to ere ... ..... uildings on Rough '� � ../. to be occupied as.... .. ...... .. Chimney provided that the person ac ting this p rmit shall in e ry 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 PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS . ..... .............. . . ............. ..... ........ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place,on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. P- ppppp � {.10 R T own of � _ - over No. f- n► r Z dover, Mass., 19 Q C -OCNK [ q6_CICNEIKW ICK •iY 1• A e p �G BOARD OF HEALTH PERMIT T Food/Kitchen Septic Syste� �. 9/ei BUILDING INSPECTOR THIS CERTIFIES THAT.. �. .... .......... ............. .................................... ........................... oun tion has permission to erects...... g '.... l a uildin s on ' J. !..... . ..... ... C tobe occupied asr.......�.... ... �4r�........ ��'. �.......... ................................................................................................... Chimney provided that the person"==ting 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 ok Y 7�W) Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough p � . . oJ al PERMIT EXPIRES IN 6 MONTHS al - ELEC IC_AI_, INSPECTOR UNLESS CONSTRUCTION STARTS �7�_� �--- ...... .. .......... ................... ............................................ ....... Service " BUILDING INSPECTOR c��� `�� Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous .Place on the Premises — Do Not Remove Rough c� No Lathing or Dry Wall To Be Done � Until Inspected and Approved by the Building Inspector. Burner FIDEPARTMENT '\ Street No. OICF- f 7 , (� �- "` Smoke L-r CERTIFICATE OF USE & OCCUPANCY Town of North Andover 157 (4-15-97) „ pat® SPntPmhPr 1R, 1497 Building Permit Number THIS CERTIFIES THAT i THE BUILDING LOCATED ON 59 Sunset Rock Road MAYBE OCCUPIED AS Single Farr.ily Dwelling IN ACCORDANCE WITH THE.PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Howard Zolot p ADDRESS 59 Sunset Rock Road • • h An ver MA 01845 sACHUS. U Building Inspector ,� " •�•.•. •• �r.st•vruvr rtrruL.Arsun rvn rcnaui su uu rL.usysusss.� .... AIM a Type► �d d NORTH ANDOVER,_. Mase. Data l P. LcestBuilding Location g b , Permit tLn 3y)) net'sName New Rtinovatlon ❑ Replacement Q Plans Submitted: Yes❑ No.❑ FIXTURES r ~ a of s h } w Y J • rj M at O ♦. 1s1rr ~ A s i t a !- U at s • es s f� s F e1 i e1 O t s s , s r 0 r t w s i s s�i w e i s a s a a rr- as u ; a Y s � � .� 46 u � a eo u N s ! s 4110 e e 3 s w l e i r t °s i o .- sus-•tlYT. eAeaYR11T f 1 / a taT FLOOR 1 >INO FLOOR 8110 FLOOR ITN FLOOR P OOR OOROOR TjOOR Check one: Cartlocate Installing y Name���� /' "��//7!� � • MOW /address ❑Partnership Af�� ��- �/��d Business Telephone ~7-/ W7 13 Firm/Co. Nome of Lkensed Plumber INSURANCE COVERAGE: ec one 1 have a currentIlabllty Insurance Icy or Its substantW equNWont, • Yes 0 No ❑ K you have checked yM, plesse Icate the type coverage by checking the appropriate box A liability Insurance policy . Other type of Indemnity C1 Bond 0 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: ft a urs o K a Owners en Owner ❑ Agent [3 stilly that all of the details and Inlormatlon I have submitted tot entered)In above application are true and scoxals to the best of my pe and that at1 phrmbind wat and inslallailona performed under the per issued fa this ap tion wf1 ba h oompRana with all Iry l provisions of the MAsuchusetts Slate Phrmbkq Code and Chapter Ii 2 of na ud F'.6y6yRown Wanes Numb« Type of Phsmbing LJanse: Master [ 1�f'f'1iClVED IOfF10E,USE ONLY) Joumneyman (7 Date. I 3378 � TOWN OF NORTH ANDOVER a PERMIT FOR PLUMBING r.° ,SSACMUS(c� P H This certifies that :. . G�" �' . . . . . . . . . . . . . . . . has permission to perform . . .,�JJ!//.c!-� . . G f?!�`. . . . . . . . . . . . . plumbing in the buildings of . .T�G�c!' . . i �4. ?� . . . . . . at. S�G/ .S� s .?�. . c y North Andover, Mass. Fee.>.Gl!-. .Lic. No../.U.`�'/? . . . . :. . . . . . . . . PLUMBING INtPECTOR 4: 06/20/97 12:04 5 .00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer r "; r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING t `+• (Print or Type) .g _- NORTH ANDOVERDate .Mass _ -deb. � f._ - - ,Q • ' Ouilding Location 9 SUSS �oC Permit # _x_3"`16 Owners Name � �� • New Renovation D Replacement T3 Plans Submitted p r#. FIXTURES j a► at a a at tc .o o � s t+ w a s o v y t- •e z �+. O W f- ,q itO F W . i la N 1' W W O a W W F' Cr. W t t- a�. a� a to 4 V W z x .� Q o Q > W w z_ dc �, w r F x .ul moi H .Z t+ m O ? {�cc W h O ,4 W s; d W > C W 0 2 't tL < < O O us — O w t+ o c� x u. to ca u tr > a t- 0 16, 3 +. DASEMIEKT. t} 1ST FLOOR (� 2ND FLOOR ' SRti FLOOR - ` 4TH FLOOR V ' 'STH FLOOR STH FLOOD;; TTlt.FLdon STH FLCOR ' Type)(Print or T e) Check one: Certificate � n Installing otnpa y Name A C� � /�/� [] Corp. t" Address = Partner. Firm/Co. A_4H Business Telephone: y 7�—� .5 7 Ye . iVamis of Licensed Plumber or Gas Fitter AA 7 Insurance Coverage: Indicate 7e type of insurance coverage by che4king the appropriate box: Liability insurance policy Other type of indemnity 0 Bond �F 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 coverages. X'• Signature of owner/agent of property Owner Agent M 1 Ncteby Certify:that all of the details and Information 1 have submitted(or entered)in above application are true and aecm*to the best of nhY 'ifi ktht vieke and that ail plumbing work and Installations performed under'Permit issued for this application will-bean compliance withal pertinent , provisions of the MacsaehusettsState Cas Code and Chapter 142 of the General Laws. — .. AltBy TYPE LICENSE: } Plumber rF TitleGasfitter Signature of Licensed +' Plumber or Gasfitter rah City/Town: Master r, Journeyman '"� APPR6VO-r1 toFFICE USE 08LY1 Licensd Number 5 705 Date. f .�. s.!.�.?...... G1 ' N NpRTh TOWN OF NORTH ANDOVER pF i�ao ,e1ti0 PERMIT FOR GAS INSTALLATIO O 9 y q _ �9SSACHU`�Et� 'y ( CU This certifies that !:�. . . .. . . . . . . . . . . . . . FU has permission for gas installation .Ae.0. . . . . . . . . .. . in the buildings of . . v.u. �`.cr. . �l c / . . . . . . . .. . . . . . at . 5 cis ,S t ?� / u c /;. . . . Plakth Andover, Mass. GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer