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HomeMy WebLinkAboutMiscellaneous - 595 MASSACHUSETTS AVENUE 4/30/2018 (2) �595 MASSACHUSETTS AVENUE 210/045.C-0027-0000-0 i 3 G�' 1 Location i No. Date t { s. NpRrh -TOWN"OF NORTH ANDOVER p 4t�ao hpp � p Certificate of Occupancy $ a Building/Frame Permit Fee $ Arm ftp Foundation Permit Fee $ sus Other Permit Fee $ A Sewer Connection Fee $ Water Connection Fee $ �? TOTAL $ Building Inspector 10,274 Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MLOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. �- LOCATION Y-"G7� ��fJ�� �� PURPOSE OF BUILDING OWNER'S NAME] /(his/��}/v/.�� Ott �A NO. OF STORIES SIZE OWNER'S ADDRE4SS�J!'//JN.lirlwt ,r! BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME O// /tI i1»�i1 /ie�► 7 SPAN -- DISTANCE TO NEARESSTGGBUILCDIINNG' DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES—SIDES REAR " GIRDERS AREA OF LOT 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 IS BUILDING CONNECTED TO TOWN WATER x BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SE4 BOTH SIDES EST. BLDG. COST /t9i PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEFILED A p APPR ED BY BUILDING INSPECTOR DATE FILED l — 9.,/ ':�l /e� BUILDING INGFKCTOII SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.k /�y/ PERMIT GRANTED r �► CONTR.TEL.# 7V V-3 J�ek ----�/`,� 1 9 �y •`�-- CONTR.LIC.1f O T ��I/ � 7- V H.I.C.# Z&b BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS,OF BUILDINGS: WITH, PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH ` CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 1/1 1A % FIN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN M 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ t WOOD SHINGLES EARTH ASPHALT SIDING HARD�r✓'0 M ASBESTOS SIDING COMON " VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON,FRAME I 3 BRICK N•MAS N Y.' ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBREL MANSARD .TOILET RM. )2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY __ \ WOOD SHINGES KITCHEN SINK 1 SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING r '1 WOOD JOIST PIPELESS FURNACE r• FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BAS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GOA` 5'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING J'" FORTH TF ® of 5 0 dover Q ^�./ L No. / f- r gyp?"f o _ -: J ' brt dover, Mass., coc HICMEWIc' BOARD OF HEALTH Food/Kitchen PERMIT T Septic System ,, ^ �'iilS CERTIFIES THAT .....................................1.".1.. ...KO.A... ..U... ..e...f- ............................................................ BUILDING INSPECTOR Foundation has pe•mission to erect........................................ buildings on .......... x.5...........1.!4 SS........... ._.......... Rough to be occupied as .............................................� . ............. ... 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 ST TS ELECTRICAL INSPECTOR Rough ........................... ... .......... .... .. .. .............................................. Service NG INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. N° 1 441 i t NORTI�� ° ."'° '••"� of TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��Ss�cMusf�,h This certifies that ...... .... ............................................................................... has permission to perform wiring in the building of../ .... .... ..................................... at �� ... �... .✓ ......................... .North Andover,Mass. Fee.. �..`...... Lic.NoQ;-.,�.1Pe............................................................ ELECTRICAL INSPECTOR' �7;V- 1$6 v 02/19/98 13:51 75.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer -?47 Uqlr l':UAIIIIDAIUYIIlIiI QT ~1II56ap1I5%I Permit Na 7.._.�_ 11 partintnt of Vublic *Ufttq Occupancy A Fee Cr oww BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 3/90 0se1A1 ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be p ( ed accordance with the Massachusetts Electrical Code, 527 CMR 12:'00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -j-- / q-16 _ Q* or Town of NORTH ANQOVFR To the Inspector of Wins: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Nu/bar) _ t qS /9 Vg Owner or Tenant 00 f D / krool)l Owner's Address a r:, Is this permit in conlun tion with a buildin permit: Yes Na C (Check Appropriate box) Purpose of Building /�,� UU fity Authorization No. � Existing Service Amps/u� / Volts Overhead "�1 Undgrnd ` No. of Meters •' New Service Amps M0 1 74 b volts Overneac '✓ Uno rho 9 C No. of Meters Numosr of Feeders ano Ampacay Location and Nature of Proposed Electrical work 6,4�� . No. of Lighting Outlets I No. at yot "-cs I No. of Transformers Total KVA No. of Lighting Fixtures i Aocve— :n- g _at t— grro _ Srna _ I Generators KVA No. of ReCeatacte Outlets I No. of Oil EL(ners I No. of Emergency Lighting 8anery Units , No. of Switch Outlets No. of Gas _�rrers FIRE ALARMS No. of Zones No. of Ranges I No. cf Air Cxc. 'O1di No. of Oetection and :cns Indiating Oevtces NO. of Oiscasafs I No.0 Heat 'o:at 7oiai Pur-=s ons h14 No. of Sounding Oevtce.a No. of Sotf Contained No. of Oiahwasnsro SoacerArea Heaur.q KINOstecuorvSounatng Oevtcse No. of Oryers I Heating Cev ces Munciam r. KW :ocat Other Connection No. of - vu Low voltage No. of Water Heaters KW I signs ?a ias:s Wiring No. Hyaro Massage Tuos I No. of Motcrs ;o(at HP OTHER: INSURANCE COVERAGE. Pursuant :o the reoutrements --r '.tassac-.�sers ;enerat Laws 1 have a current Lraotbty, Insurance Policy rnctuatng Ccr,c stet Ccerauons Coverage or its suostantlal epuivaterm Yu — NO 1 naw suomtheo valid proof of same to Ins Office. YES = v0 = It you nave checxea YES. pfeeae imitate(rte type at cowsige oy r checking the aoproortare Cox. D INSURANCE = 00NO = OTHER = (Please S::ec.`.) 7 Estirnaad Value of E!ectncal work S 22nt), (Ekoaatton Oaal . work to Start Insoec:ton pats ;;acues:ec: Rougm F,rta( Signed unser the Rtes of penury:_ FIRM NAME UC. NO. Liuneee S•g^a:are �j tic.NO. 9ua. To. No. Address Alt. OWNER'S INSURANCE WAIVER: I am aware tnat the L:censee tees not nave the insurance coverage or its suostenual equivalent lie to. Quiroa oy Massachusetts General Laws. dna that my signature on :r,.s --ermct aoottcation waives this reautrentent. Owner Ageru (Please cneck ones• i ��� } •- (Signature of Owner or Agsntt teonons No. PERMIT FEE e C /�Gv ■eHi. Date . • I "' A • TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . .���. . ...` . . . ���.`. . . . . . . . . . . . has permission to perform .11i: L �7:7` �- '11-7.. . . . . . . . . . wiring in the building of . . . . . . . 0% .. o. . . . . . . . . . . . . . . . . . . . . . .North Andover.-Mass. i Fee ./ 5 . . . Lic. No. !y?? . . . . 14 . .y . . �J . . . . . /ELECTRICAL INSPECTOR Check b 11121 t Commonwealth of Massachusetts Official Use Only UV Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: CJ Z7,6 / 1 Z City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4S Aiss Ave- Owner or Tenant o l C t l 1 O Telephone No. j-0?'6-36 ! S 10 Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building �3-kt^ �C - ad L I Utility Authorization No. Existing Service -"Z 0O Amps IW / Zy0 Volts Overhead ©" Undgrd❑. No.of Meters ) New Service Amps ! Volts Overhead❑ Undgrd ❑ , No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical)Work: K�11 —( r�nnlrl9 ;�ty -�Ged s c-� 1I bX -I K,-4, '4/ in STp l� �U M f��i t`Cr C,J re c"+,t� + SG✓r �l�+S Completion of the followinjkztable mav be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting 1 No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Batte Units No.of Receptacle Outlets i 0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches s No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. otal No of Alerting Devi g t a5� Tons rt g ev ces No.of Waste Disposers Heat Pump Number Tons IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers i Space/Area Heating KW Local❑ Municipal El Other I Connection No.of Dryers Heating Appliances Kms, Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring- No.of Devices or E uivalent I L OTHER: f✓ v n C C,r (-Q�� 1 Lb Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ZSQ 0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 2' BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 11 LIC.&0.: Licensee: a rT G�,/ l i� Signature LIC.NO.: ZZ - (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: 6 (-J vrr' Sf * ` q Al# 636'45 Alt.Tel.No.: 603-Ss3 -OS qb *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ok r 1 Commonwealth of Mas usetts ��€-+�x•t `^ 3 �Dro%sia'nofRegisfrafid MATTHX 15 CULV t UNIT,44 =+ r PLAISTO V ' Journeyma ',.e r 14226-B 07/31/2013 s e 007069 License No. Expiration,Date. Serial No-'.:� The Commonwealth of Massachusetts ( i Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 i www.mass.gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Aa Re 4, J ,n Address:— -- 15 LAvGr Sr QAj'j q N City/State/Zip: Ni Aa s.✓ IV 4 4 3$6,5 Phone #:,6.3 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time)."` have hired the sub-contractors 2.[�I am a sole proprietcr or partner- listed on the attached sheet.x ? [ Remodeling ship and.have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 313 1 am a homeowner doing all work right of exemption per MGG 11. Plumbing repairs or additions myself [No workers'comp. c. 152,§t(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks bo)1#l must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ul:der a pains and penalties of perjury that Ilse information provided above is true and correct. Signature: Date: _ Z-6 2- Phone Phone#: 6 C 'S—Q T Y Offlcial use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk .4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Location No. Date r y' pORTIy TOWN OF NORTH AN.DOV_9R - 0 6iWIiiI&LL1.00 Certificate of Occupancy $ } Building/Frame Permit Fee $ d - �'sACHu � Foundation Permit Fee $ '" Other Permit Fee $ Sewer Connection Fee $ i Water Connection Fee $ TOTAL $ Building Inspector #_ 1�2 1239 k Div. Public Works PERMIT Aft it APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 M ;t�0. s-C JLOT NO. M. 2 RECORD OF OWNERSHIP DATE BOOK PAGE s - ZONE\ - _Cl/ SUB DIV. LOT NO. - �Z /�/9Z) 3609 1 2 7 . LOCATION �(�� � PURPOSE OF BUILDING -OWNER'S NAME / ��e NO. OF STORIES \� ZE y 6rx /� OWNER'S ADDRESS �!-Y�S" h' ��eAlAyVdAe�. M A. BASEMENT OR SLAB —_ ARCHITECT'S NAME �y(1 �vC� SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME , l` wv m `'✓Z11 SPAN— DISTANCE TO NEAREST BUILDING '7 DIMENSIONS OF SILLS „ DISTANCE FROM STREET POSTS i . DISTANCE FROM LOT LINES-SIDES REAR GIRDERS ' AREA OF LOT � �,'�i FRONTAGE 52T- HEIGHT OF FOUNDATION �I lh„►� ry�THICKNESS IS BUILDING NEW 1 J SIZE OF FOOTING .QGVV VAX IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE V IS BUILDING CONNECTED TO TOWN WATER - BOARD OF APPEALS ACTION. IF ANY �"fC�iGi tri rl�f"c{r`Iry IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS rT#dam!T 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES . BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 i c SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ND APPR VED BY BUILDING INSPECTOR ` DATE FILED / Z - ■ G INSPILCTOR SIGNATURE OF OWNER OR-AUTHORIZED AGENT ^A E 01' FEEZA OWNERTEL1 IV 7 PERMIT GRANTED �� CONTR.TEL x ( ! ! G O 7.6 CONTR.UC.O H.I.C.# RE IdD ' •••'`cy JOYCE BRAD5HAW TOWN CLERK c►+us�t .. NORTH ANDOVER pP Any a cial "sliall be filed TOWN OF NORTH ANDOVER � I8 1PM 91 within (20) days after the MASSACHUSETTS SEP date of filijt ° Notice `s. In the -officeof the ToBOARD OF APPEALS Clerk, T.fs is to certzly Mat taenhl(MI)dais hays olapwA f=rom rkua d dea:!rn gird rig,.� :ing ti ttiL`tsof an ap?o�trr� 404L,/997 Jvyco A Era&;tz v NOTICE OF DECISION Tarm Clerk Property: 595 Mass. Ave. NAME: Leonard & Eugenia Mironovich Date: 9117197 ADDRESS: 595 Mass. Ave Petition: 020-97 North AndoverMA 01845 Hearing: 919/97 , The Board of Appeals held a regular meeting on Tuesday evening, September 9, 1997 upon the application of Leonard & Eugenia Mironovich'requesting a Variance of Section 7, Paragraph 7.3 and Table 2 of the zoning Bylaw so as to permit relief of a rear setback, and for a Special Permit for an addition to a non-conforming structure; of the Zoning Bylaws. Said premises is land and buildings with frontage on the South side located at 595 Mass. Ave., which is in R-4 Zoning District. The following members were present:* William Sullivan, Walter Soule, Raymond Vivenzio, Robert Ford, John Pallone, Scott Karpinski, Ellen McIntyre. The hearing'was advertised in the Lawrence Tribune on 8/26/97 and 9/2/97, and all abutters were notified by regular mail. Upon a motion made by Raymond Vivenzio, and seconded by Walter Soule, the Board of Appeals unanimously voted to GRANT relief in the amount of 11.1 feet for side setback and to expand a non-conforming structure. Voting In favor: William Sullivan, Walter Soule, Raymond Vivenzio, Robert Ford, Ellen McIntyre. The petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from.the intent and purpose of the Zoning Bylaw. Note: The granting of the Variance and/or Special Permit as requested by the applicant does not necessarily ensure the granting of a Building Permit as the applicant must abide by all applicable local, state and federal building codes and regulations, prior to the issuance of a building permit-as requested by the Building Commission. BOARD OF.APPEALS, William J. Sulli an, Chairman Aestdec/1 AMST: A hue COPY Q Town Clark A i �Y II fY .. 744 Registry of:Deeds.' h Northern.District of Esse' r'-6 my LawEke, MA 01840 LEONARD MIROkWICH # 65-;Rec: ,Type •PLAN Inst.`,29358` # b6 Rec:, Type NOTIC x10.00,:: a Inst 29359 ,3 Postage , - 0.32 Total 27682 # 67 Payment Check., THANK'YDII! Thomas.. Burke r Register of Deeds I i'ti810 dM 'N3nH13A ��k � 80 31dA31 9? AVA31 I NI NS 00 :01 paJOIJIs08 0181111180 00011!1180 WHO SJ :alepgla 18 :saa l dx3 :joqunN 3SN3311 80SIA83dnS NOu n81SN09 'T r A133VS 9119nd 30 1N3NJU30Ae til�P�d t � I, HOME IMPROVEMENT CONTRACTORS REG'FSTRAIJO N Board of Building Regulatic)n,> and Str.ndards. One Ashburton Place — Room 1.301 Boston ,, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 124861 Expirati_nri 09/03/9 Type — DBA HOME IMPROVEMENT CONTRACTOR , S & ' B American Construction _' Registration 124861 Shawn M . LeMay _ Type - D8A ,,. 26 Temple Dr Expiration 09/03/99 ,tMethuen MA 01844 S & B American Construction � G� � Shan M. LeMay ADMINISTRATOR" Temple Or Metl)uen MA 01844 c.�, 595 I�'lc� . ave N. 74Ndode,< D1895- lqgg TD WN Conise,,� ✓��6n, De��z,2Zmev� ot • A4f /�o wo-R vee i�� N. Z�o zy s /��v �✓� L�o�v Q�v� ,vecv ���5 W Z-8 co • page 1 ljN[MAR� OF INS NICE! prepared 04/17/97 4 C J McCarthy Ins Agency, Inc. a American Construction 229 Andover Street c/o Shawn Lemay Wilmington, MA 26 Temple Drive 01887 508-657-5100 Methuen, MA 01844 508-374-6397 Arnoyrt Company Policy No Eff Expx. iI MAgyaQF INS RANC ravelers Insurance Co. 1680756W1443COF-97 04/05/97 04/05/98 RW Premise 1 Building 1 45 St.Botolph Street Haverhill MA Premise 2 Travelers Insurance Co. 1680756W1443COF-97 04/05/96 04/05/97 Property Premises 1 Building 1 Tools&Eq 4,00( Cause of Loss Special Deductible 250 General Liability Travelers Insurance Co. 1680756W1443COF-97 04/05/97 04/05/98 Occurrence General Aggregate 2,000,000 Products/Completed Oper.Aggr. 2,000,000 Personal&Advertising Injury 1,000,000 Each Occurrence 1,000,000 Fire Damage(Any One Fire) 300,000 Medical Expense(Any One Person) 5,000 1 Carpentry-one&two family dwellings Premium Basis: 38,500 (S)GROSS SALES-PER$1,000/SAL S 1 Carpentry interior Premium Basis: 38,500 (S)GROSS SALES-PER$1,000/SALE S Equipment Floater Travelers Insurance Co. 1680756W1443COF-97 04/05/97 04/05/98 Coverage/ Deductible tools-including theft 250 Unscheduled Equipment tools 4,000 So0 Maximum Item 50 *See Attached Equipment Schedule hag e2 SUMMARY( F I[ S►URANC prepared 44/17/97 American Construction C J McCarthy Ins Agency, Inc. C/o Shawn Lemay 229 Andover Street 26 Temple Drive Wilmington, MA r Methuen, MA 01887 508-657-5100 01844 508-374-6397 Equipment Floater Equipment Schedule Policy No. I680756W1443COF-97 #; Year Descriptinnl .;. i tf315eraai Number :i Date;Purchased +nr/Used 'Amountof insurance ............ _.... .... ......... ... . ....... ................... ....... ... ......... .... ..... ... ...... .... ......... ......... ............ ...... .... ..........>: ......... ......... .......... ................ ......... ............. ._...... ...._............... ......... _.... ......... ......... ......... _..... i ........ ......... _...... _.. ._........ ......... ........ ......... ......... ......... ......... .... .......... ... .. ......... ......... _.......... ...... ...... ... .........._ ......... ........... .........._ ........................... ........... . . ......... ............ _._ .... .................... _........... . _........ ......._... ......... ......... ......... ......... ....... . ........ ... ..... __ ......... .............. ..... ......... ......... .......... ........... ....... ..... .... ......... ............ .......... ......... . ....... ............ ............ . .... .... ..... .... �b �� V�entiy � C� r rurcm U - LOT RELEASE FORM P �13�- 0-f 6 I INSTRUCTIONS: This form is used to verify that all Boards and^-A,oartments having jurisdiction have been obtained approvals/permits fr/m the applicant and/or landowner from compliance with any appliab a or ems not relieve qulrements. "**"******""*************APPLICANT FILLS OUT THIS SECTION APPLICANT ��Y1d vi�� .. - PHONE 8'S-I& LOCATION: Assessor's Map Number PARCEL_ SUBDIVISION LOT(S) . STREET �SSQ�,�Q� Q _ ST. NUMBER IAL USE ONLY R M. NDATIONS OF TOWN AGENTS: CONSERVATION ADMIN TRATOR DATE APPROVED 017 DATE REJECTED COMMENTS S I U I OA- �,11, 1 TOWN PLANNER DATE APPROVED DATE REJECTED i COMMENTS FOOD INSPECTOR-HEALTH "' DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 1 COMMENTS I� PUBLIC WORKS-SEWER/WATER CONNECTIONS i DRIVEWAY PERMIT o l�. FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 1 1 FORM U - LOT RELEASE FORM r INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve' the applicant and/or landowner from compliance with any applicable or requirements. *'"""APPLICANT FILLS OUT THIS SECTION ZAPPLICANT fONL c/�DNO��� PHON 97' "-� ✓LOCATION: Assessors Map Number `� —� PARCEL 27 ✓S BDIVISION LOT(S) y/ j. STREET //� �l�C'` s �`S ST. NUMBER USE ONLY REPWIVIENDATIONS OF TOWN AGENTS: I CO SE VATION ADMINISTRATOR DATE APPROVED j � DATE REJECTED COMMENTS ) i i TOWN PLANNER DATE APPROVED F.. DATE REJECTED COMMENTS r FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS ji i PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT IRE DEPARTMENT d� 7� 10� �z• F7 RECEIVED BY BUILDING INSPECTOR DATE j r r1ORT Town o _ - over No. .3 ' * _ _ _ * _ " over, Mass., 1098 -COC HICHEWICK •� AOgq E S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.................................... .......... ... �. o.. .�. .. . . . . ......................................... Foundation anon has permission to erect..A—.CW#rf.W. WWF WWon .........4T..q. ...... .. 5.......a.��jt Rough • to be occupied as ��.'. 3.�/ .. �..... �.. ................... Chimney . . . .... . .. . . . provided that the person accepting this permit shall in ery respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST T Rough ............................. .... . . Service ... . .. ...... .... ............ ....... B L IN SPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by. the Building Inspector. FIRE DEPARTMENT 3 Burner Street No. Smoke Det.