The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 6 PERRY STREET 4/30/2018 - __- g PERRY SST'~_.._- 0.0 210100�w -' - ._---_� _�.. ---- -------_-- i i i I North Andover Board of Assessors Public Access a Page 1 of 1 NORTH Northi. Andover Board of Assessors- OE4«ao y�0 9. ,SS"C"j5� i4ilProperty Record Card Click Seal To Retum Parcel ID :21.0/005.0-0022-0000.0 FY:2012 Community :North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarge Search for Parcels Search for Sales :• � .,,tea, Summary �� r Residence 1 -+ Detached Structure Condo .. , Pte_- - 6PERRY STREET f i Commercial Location: 6 PERRY STREET Owner Name: GRAHAM,ANDREW S CARRIE E GRAHAM Owner Address: 6 PERRY STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5-5 Land Area: 0.20 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1779 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 288,700 288,700 Building Value: 128,700 128,700 Land Value: 160,000 160,000 Market Land Value: 160,000 Chapter Land Value: LATEST SALE Sale Price: 138,000 Sale Date: 05/25/1995 Arms Length Sale Code: Y-YES-VALID Grantor: O'ROURKE,JOSEPH Cert Doc: Book: 04262 Page: 0007 htt ://csc-ma.us/PROPAPP/dis la .do?linkld=1887355&town=Nand v r p p y o e PubAcc 5/17/2012 Residential Property Record Card PARCEL ID:210/005.0-0022-0000.0 MAP:005.0 BLOCK:0022 LOT:0000.0 PARCEL ADDRESS:6 PERRY STREET FY:2012 PARCEL INFORMATION Use-Code:_; 101 Sale Price,_138,000 Book: 04262x Road'Type_,_ T _ �; Inspect DateA 01/17/2003 =,m Tax Class T Sale Date 05/25/95 Page 0007 Rd Condition: P Meas Date 01/17/2003 Owner: - GRAHAM,ANDREWS Tot Fm Area. 1779Sale T' e. P -Cert/Doc Traffic: M Entrance: X am CARRIE E GRAHAM TotCand Area 0.20 Sale Valid:_Y' � - � Water: � � � - � Collect Id Address: Grantor. O'ROURKE,JOSEPH v Sewer: Inspectt Reas C 6 PERRY STREET 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.. CO Tot Rooms:' 6 Main Fn Area: 843 Attic:, NBHD CODE: 5 NBHD CLASS: 5 ZONE: R4 g. ``- -`"" __- _ - LL— __ ` — __ `"" ` Se'��Ti7 Code Method S� Ft=Acres Influ Y/N Value CI'ass Story Height: 2.00 Bedrooms __ 2 Up Fn Area: 936 Bsmt Area: 843 �g._ ,_ Yp _ �;"„ , q Roof L' Fulf Baths 1 Add Fn Area: -a`� Fn BsmtArea. � 1 P 101 S- - 8693 3j 0.200 N R 159,958 EXt Wall AB Half Baths: Unfin Area: _ Bsmt Grade m � —�- _a 1- DETACHED STRUCTURE INFORMATION Masonry�Trim: T ."-Ezt Bath Fix: 0 Tot Fin Area: 1779��, w 3 1 . .._,��.. .;�L..,,� .�-.. ,��.....�. - - _ �..-.....�. .-.._._��,_. ;.o -—_...�.�.� _ - Str Urnt i-1-1 Msr-2 --E YR-Blt Grade Cond /oGood P/F/E/R Cost Class Foundation: ST Bath Qual: T RCNLD - 122018 . 6_ -. _d. Kitch Qual T Eff Yr Built 1962 Mkt Ad. G1 S 400 0.00 1988 A A 50///50 6,700' 1 3 Heat Type. FA Ext Kitch Year Built: 1900 Sound Value VALUATION INFORMATION Fuel Type _ Oy a Grade's AACost Bldg:' 122;000 Current Total: 288,700 Bldg: 128,700 Land: 160,000 MktLnd: 160,000 Fireplace. 1 Bsmt Gar Cap: Condition A Att Str Val 17 Prior Total: 288,700 Bldg: 128,700 Land: 160,000 MktLnd: 160,000 Central AC` N�"�`Bsmt�Gar SF. '"` Pct Complete:'�"�`-°"�`""`AttStr Val2:� .. Att Gar SF: - %Good'P/F/E/R: //100/72 Porch Type Porch Area Porch Grade Factor P 207 SKETCH PHOTO 24 7 FOU r - Ft 3" za 0 ' 5 P 6. h, 6 6 PERRY STREET �.�. 74 Parcel ID:210/005.0-0022-0000.0 as of 5/17/12 Page 1 of 1 Date Y/. - Commonwealth of Massachusetts I'lio'll 7 Department of Fire Services "cl "10- - OCCLlpanc\ and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9051' ,leave APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \11 ,.wi-k to he rei-lf'oniied in llccol-&ilice w011 the.\I;lssacllusetts Flccti-iClil 527(AIR 121.00 _PE t I'LL ISE PRIA T LN, INK OR T1 T,IL[JATOR, - City or Town of: )R1J.IT1OX,, Date: k, Aklli�j[ak Tn Me h7speC101' 0/ f6'71T.S'.' 13Y this application the undel'sil"lle ,is,S S nutice of his or liel- intention loll to Pel-fol-lli the Q11ecti-ical work desci-1h"i below. Location(Street& Number) Owner or Tenant A i��ke, Telephone No. Owner's Address Is this permit in conjunRon W1 h a building pirmit? Yes No (Check:Appropriate�Box) Purpose of Building_ Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd [I No. of Meters New Service Amps Volts OverheadEl Undgrd F No. of Meters Number of Feeders and Ampacity Dop, M)PADS Location and Nature of Proposed Elec Heal Work:~ ` f ILAP_� kt)rj cl,ZU4 �AD A An 11 1201M) L;�! 13 /nov he 11anka/,v-l/J j No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of"ot'rubs Generators KVA No.of Luminaires Swimming Pool "bo Nse In- o.oVEmergency Lighting gi-nd, Und. C1 iBattery Units No. of Receptacle Outlets No.of Oil Burners FIRE Of 7.ones No. of Switches No.of Gas Burners No•ot'Detection and Initiating Devices Total No.of Ranges No.of Air Cond. TonsAlerting Devices No. of Waste Disposers "eat Pump Number Tons KW. I!No.of Self-Containedrotals: Detection/Alerting Devices llllclp� No.of Dishwashers Space/Area Heating KW 'Local El `vl t * ' 1 R Other _ --Connection No. of Dryers Heating Appliances KW Security S steins:* No.of Water No. o) No.of steins:* or Equivalent Heaters KW Ballasts Data Wiring: No.of Des-ices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Fellecommunications Wiring: No.of Devices or Equisalent OTHER: (,/' 'X'0 1611111-c.ib1lilt' F,,tiinatcd VJuc of Electrical Wot-k:$ 6W (1k 1101 re Ljuired by municipal policy.) el\k oi,k to Stan:Ap _ 1:,pections to be requested in accordance with EIEC RUIC 10, and Upon completion. INSURANCE CON ER,k(.,"E- Iii css waived by the owner. no locnii1t r'or the pullonnancc of cleLti-ica1 4vorlk ma} i ,sue tulle flit: licensee prc%ides proof ofliability insurance 111cludim-,1.,_,oll1rlVtCd operation-covel-a,,e or its i t. k;cl.tlrlc., t1l;lt .Ildl cm i:. ill t, ill NA 11�1'.Jllll IN",l RAX(_1*1 13(;m) Llell uo r it, nider Oe "I f!'he!Wor'nidion on.itis Ipplicaliall lr,re lu'd A[ NANIE: 1-icellsee: a�� or l(dress: s Alt. Te . SYAC111 Conti-actor 11,iccri-;C fcLIL111-edi tier[hiS t ir-11, itfapplicablu.enter the liCLAISC 111.1nibcr here: OWNFR'S INSURANCE INAIVER: I ;mi ;lx"l-c that'Ile 1,6,01"ce ;71 have the li:Abilit} ll1Slll%l1lcC llcrllludl., 1 icquired by law, 13)'111} below. I this Requirement. i ;mi the(check onc) 0 Owner,'Agent ,;"flatui J?WTI Location No. /n y� Date NORTol TOWN OF NORTH ANDOVER Ot .a° :a 1y 10- 9 Certificate of Occupancy $ �' b'••a° '��',SBuilding/Frame Permit Fee $SAC IM4 Foundation Permit Fee $ Other Permit Fee $ od TOTAL $ � Check # 1 8 2 G 0 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: SIGNATURE: Building Commissioner)12TMtor of Buildings Date SECTION 1-SITE INFORMATION O 1.1 P�rropertt Address; 1.2 Assessm Map and Parcel Number: Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Prosed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide ReqWred Provided Regiiired Provided v 1.7 Water SupplyM.G.L.C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 'i•`:.ti iCt: 2.1O`]w�n�err o(fj Record ■ 1 r WAV 1.�AJ f7 1 {�L`V��i �� /�� L^�"�� I�tI`.V v-� .. Name(Print) Addres for seService ipin Telephone 1 r � 2.2 Owner of Record: 0 Name Print Address for Service: M Signature Tel hone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ TOOK! J NIGI� �� 5 a �� 0 Licensed Construction Supervisor: � f q 1414)Z. 414)z / / ) 1� �/ ' / 7�y � License Number ' A dres �� /f Expiration Date 11 a re Telephone r 3.2 Registered Haile Improvement Contractor Not Applicable ❑ Company Name /J �/ ✓ ! M Registration Number r - r Addres q��665� G) Expirati6n Date /!� Sigh�ture t/ — Telephone Y, I � \ SECTION 4-WORKERS COMPENSATION(KG.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 Descri tion of Proposed Workcheck ad a cable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Desc tion of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by penrdt!p2licant 1. Building ,rte@ ?r (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 AUTHOUIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as uthorized Agent bject property Hehorize to act on Mg�L ti a ers r a 've r a thorized by this build ng permit appDate N 7b OWNER/AUTHORIZED AGENT DECLARATION I, 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 i I Print Name Sianature of Owner/.Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS Or2 3 RDi SPAN DIMENSIONS OF S.9-LS DIIv]ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING �{ MATERIAL OF CH SANEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ZDT 17 0T / ZOT /S L 0T/d C'AR,ACE D0,RC/V - _- -- - L )T// o��urlrG � DoT /D AN a No. ) (IAZ- j • 9. r �°o c �) `ko 9S� �AOR Y T LOCATION OF STRUCTURE'S) BASED ON LIN98 OF OCCU NTION. *^A A44 ONLY. A MORE ACCURAlt LOCATION H O WILL REOUIRE AN INSTRUMENT SURVEY. c) JOHN S. yNVP LAURETANI #34311 i v y AMERICAN SURVEYING COMPNY OF BOSTON INC. Jft S. v'1VWAi l 1284 MAIN STREET WALTHAM, MASS. "461 A REGISTERED LAND::SURVEYOR, PHON9 (781) 893-8477 FAX (78L) 893-7091 DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTIONMORTGAGE INSPECTION PLAN PLAN WAS PREPARED: FOR DATE: RECORDED AT: ESSEX NORTH CLIENT: COUNTY REGISTRY OF DEEDS N CONNECTION WITH A NEW CLIENT REF. : BOOK: ; PAG C. CERT P. ORTGAGE, AND I.$ NOT INTENDED J 0 1 a. OI OR REPRESENTED TO BE A LAND DRAWN PER TOWN OF. ASSESSORS OR PROPERTY SURVEY;`NO THE LOCATION OF THE ORIGINAL MAP#: PARC.EI. DATED CORNERS WERE SET,`AND IT DWELLING SHOWN HEREON EITHER ADDRESS: T NORT NDO >Q'' CANNOT BE USED FOR. WAS IN COMPLIANCE WITH LOCAL BORROWERDREW& CARRIE L .r6HAM ESTABLISHING FENCE,.HEDGE. APPLICABLE ZONING BYLAWS IN OR BUILDING LINES: THE LANG EFFECT WHEN CONSTRUCTED SHOWN HEREON IS.BASED ON (WITH RESPECT TO HORIZONTAL CLIENT FURNISHED DIMENSIONAL REQUIREMENTS ONLY), INFORMATION, AND MAY BE OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTIONUNDER MASS THE SUBJECT DWELLING LIES IN FLLQQppD ZONE SUBJECT TO FURTHER : G.L. TITLE VII, CHAP 40A, SEC.7 AS SHOWN ON THE NATIONAL FL ObO fNSURAN E. PRO RAM OUT-SALES, TAKINGS,'EASMENTS, UNLESS OTHERWISE NOTED OR 03 AND RIGHTS OF WAY':NO SHOWN HEREON.A CONFIRMATORY INSURANCE FLOOD RATE MAP DATED: 5/22l ':NO IS EXTENDED INSTRUMENT SURVEY IS ADVISED COMMUNITY / PANEL 1+: $81di�3C HEREIN TO THE LAND. OWNER OR WHEN STRUCTURES ARE SHOWN I FIELDEDA H. OCCUPANT. IT IS NdT,INTENDED LESS THAN V FROM PROPERTY OR BY: ISAS TO BE RECORDED..; REQUIRED ZONING SETBACK LINES. DATE: I 2OtJ5 'PGE:1.57 v� _Cf ®S FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTIO ' APPLICANT �J I'�` �' `�4`�'"�- PHONtq-M 7a5 01' LOCATION: Assessors Map Number.�� 7�, 0 PARCEL a'� SUBDIVISION LOT (S) ( r STREET ---�� ' �-a''z� ST. NUMBER OFFICIAL USE ONL EN TONS T AGENTS: , CO ERVATION ADMINISTAATOR DATE APPROVED r,-5 , 2 DATE REJECTED , COMMENTS _\In (W+IaL TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE RevIeW 07 Jm i s «.. ..., ...... t .......•............_..............................._.. .. ....,..�. t t i , i aL E i { i i r r : i r i a , f a E , e i _......... ... ......... ... , r { i i � f ...1 i t i : __.... . ............,....., i : jlwf t _.,_c.<... .._._.. tt r i i t i f LORTif 1 TOWN OF NORTH ANDOVER .'4100 :••"�oL OFFICE OF p BUILDING DEPARTMENT 400 Osgood Street 14;,o; `',g North Andover, Massachusetts 01845 Telephone(978)688-95454 D. Robert Nicetta, Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: � 3j JOB LOCATION:_ S-- N 6LAK/ Number Street A ess Map/Lot HOMEOWNER �yy1v� �7$ �aSd l IR2 �oR I I�.C7 Name Home Phone W kor Phone ' PRESENT MAILING ADDRESS l0 ; W City Town State �-Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to 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 HOMEOWNER 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 structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances with the State Building Code and other Applicable codes,by-laws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the own of North Andover Building Department minimum inspection procedures and requirement's e m th said procedures and requirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL 131).\RD OF,VITALS 6XX9541 CONSERVATION 698-9530 IIE.V;1168X0540 NI,.\`JViNG6XR')535 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 Numberis 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: (Location f Facili Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the office of the Building Inspector MAY. 3.2005 10:01AM JJ RUDDY NO.500 P.1 DATE(MMIDDfYY) ACQRDTM CERTIFICATE �;�F LIABILITY INSURANCE 05/03/2005 PRODUCER (781)396-4900 FAR (792)31:1-7597 THIS CERTIFICATE 16 ISSUED S A MATTER OF IN ORMATION 3."J. Rudd insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Y HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 193 Main St. ALTER THE COVERAGS AFFORDED BY THE POLICIES BELOW, Medford, MA ou55 INSURERS AFFORDING COVERAGE INSURED Jon MCN-41T w INSURER A- AIG 84 Marblehead St INSURERS: N Reading, MA 01854 INSURER INSURER D: INSURER S' COVERAGES _ THE POLICIES OF INSURANCE LISTED BELOVt HA~VE BEER ISUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION 0;ANY CONTI !40T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED @Y THE POQC :8 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN P I DUCED EIY PAID CLAIMS. TYPE OF INSURANCE POLICY TIMBER PO F R T ON LIMIT'S GENERAL LIABILITY EACH OCCURRENCE 8 COMMERCIAL GENERAL LIABILITY PIRE DAMAGE(Any one ire) 6 CLAIMS MADE r7 OCCUR MED EXP(Any one eman) 6 PERSONAL&ADV INJURY $ GENERAL AGGREGATE 6 OWL AGGREGATE LIMIT APPLIES PER: PRODUCTS.CCMPJCP AGO 9 POLICY P 0. Loc _. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 8 ANY AUTO (Ee sociger>h ALL OWNED AUTO$ BODILY INJURY SCHEDULED AUTOS tPer meteon) E MIRED AUTOS BODILY INJURY NO"WNEO AUTOS Dyer eCeldaM, 8 PPROPERNTYnAMACE 8 (PerateenGARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO 0T�{ER THAN FA ACC ! AUTO ONLY AGG 9 EXCESS LIABILITY EACH OCCURRENCE 8 OCCUR CLAIMS MADE AGOREOATE 8 6 DEDUCTIBLE 6 RETENTION 6 6 WORKERBCOMPENSATION AND WC41721841 12/09/2004 12/09/2005 EMPLOYERS'LIABILITY E.L.EACH ACCIDENT 6 500 000 A E.L,DISEASE•EA EMPLOYEE a S00 000 F.L.DISEASE•POLICY LIMIT $ 500,000 OTHER ' OBSCRIPTIONOF OPERATION8A.00 TIONSNENICI&VIII�CLUSICN !p0S0 Y ENOORS NT(SP901AL PROVISIONS ]ob: Andrew L. Graham, Perry 5C. , Ahe�over, CERTIFICATE HOLDER ADDITIONAL INSURED;IN !IRER LETTER CANCELLATION ��- SHOULD ANY OF THE ABOVE OK4CRIDED POLICIES SE CANOELL6C BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of N. Andover "O GAYS WRITTEN NOTICE TO THIS CERTIF OATS HOLOGR NAMGO TO THE LEFT, Building Dept, OUT RAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO ObLIQATION OR UABILITY 400 Osgood St. OF ANY KIND UPON THE COMPANY,ITS A0ENTA OR REPRESENTATIVES. N. Andover, MA 01845 AUTHORIZED REPRESENTATIVE �Q Gale Fanciullo GAF ACORD 25.8(7 7) FAX: (978)Ob4-9995 OACORD CORPORATION 19 N®RTH T0VM Of t 4Andover 7Y 3dLAKE over, Mass., .'�• Io -yy0,�' COCMIC HE WICK V �,9 AERATE D PPS` �y BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT BUILDING INSPECTOR IV ..Y. � � wl Foundation has permission to erect........ ...... buildings on S L.?' �S/ G rr • .... .... ......... ....... ...... .. ................................................... Rough to be occupied as & • _........ '. ��I V Chimney ......F.!u.... �C..... ..�s^'........... ...................................... ................ . . ... provided that the person accepting this permit shall in every respect conform to the terms of the applicat 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. S/2 Z PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMU EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STAR ELECTRICAL INSPECTOR Rough ............ 4*1'4 ................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rom Final No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. SEE REVERSE SIDE Smoke Det. • MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN- G t (Print or Type) NORTH ANDOVER , Mass. Date o� Building Location ��.f+�, �"� Permit 1 D4 -x .� Owners Name GrALQfln • :' New 77 Renovation D Replacement Plans Submitted D Y FIXTUP=c W W v � Sze i rA a a W IL 0 — 0. LC W 4 N N 0 ul W Of Z 4 a 0 Q > to W t t o z a = W cr a a (at' m v x C2 r W vi O ? r o tin i z d W e a m = o z w > c ¢ < o o to cc o W t- O O z U. c7 .� 0 rr > Q a t- O SUR—BSIMT. I t SASEMENiT IST FLOOR , 2ND FLOOR 3RM FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR LIT _H FLOOR (Print or Type) ) / Check one: Certificate Installing Company Namey!k �l./� L,- � Q Corp. Address Partner. 5Z71 Firm/Co. Business Telephone:z6e6 Fqy'�!yir Name of Licensed Amber or Gas Fitter d � Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy � Other type of indemnity Q Bond Q 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. Signature of owner/agent of property Owner Q Agent Q I hereby certify that ail of the details and information I have submitted (or entered)in above application are true and accurate to the best of mY lcnowtedge and tint all piumbing •Toric and enstxelations performed under"Permit izseed to: this application will-be in compliance with all pertinent provisions of tho Massachusetts State Gas Cade and Chapter 142 of the General Laws. •.. By TYPE LICEN Plumber Title Gasfitter- Oure of Licensed City/Town: Master Plumber Gasfitter Journeyman APPROVED (OFFICE USE ONLY) License Number �`'' :j:.sa�vas..rs<*',q"•^�-:t.••i;;.�+�'�"rS°'.'r,'.�,r+..'•ic' _�..:x��f`-.:w., ^-*y.-N,K„'y+„�.�3 za .To Date.. . ... . . ..... ... .... j P 055 3 f NORTH 1 TOWN OF NORTH ANDOVER ;a1 Q.pL O o g..-. op PERMIT FOR GAS INSTALLATION, S 9SSACHU This certifies that . . has permission for gas install tion 412 ��_-3" r in the buil 'ngs of . � , /1 �--• • . . . . . • . • . . • • • at •�• f j . CJ. . . . . . . . . . . . . . . North Andover, Mass. Fee.Z Li . No,�.I . . . . . . . . . . . . . . . . . . . . . p � GAS INSPECTOR WHITE ApMTa-ntov CANARY:Building Dept. PINK:Treasurer GOLD: File 01'S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print of Type) /(lD2T�7 , ass. Date�� 19�U Permit x lr Building Location �'�r°/"S"�f �fi� Owner's Name,LZCIGf!/Ig/yf Jo?S e 191 Type of Occupancy��/1'I "f�7 New p Renovation G Replaceme5,2� Plans Submitted: Yesp No p N as: Y W 4t Z It a a sn a a: a W a: O j a Z r W a O V sf t- _ 0 J N W � � C C • < W = s ~ a O ' W V = ` 210 W s W 1. Z t F W F. = M C V f Z -J, ~ Z �' H } a m Z O Z �' O M = W C W Z C < t O O W G O el ►' rASIMENT asMT. LOOR 2LOOR I t II 3RD FLOOR 4TKFLOOR 1 STM FLOOR GTKFLOOR 7TKFLOOR aTKFLOOR Installing Company Name �lf�6 f! Check one: Certificate Address ❑ a zLg� S ❑ Partnership Business Telephone O Sv ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter �� INSURANCE COVERAGE: 1 have a curr�WAlty inauartee policy or Its substantial equivalatt which meets the requirements of MGL Ch. 142. Yes No O If you have checked Ig, please M irate the type coverage by eltecking the appropriate box. A liability insurance pollryJ�_ Other type of indemnity❑ Band Cl OWNER'S INSURANCE WAIVER: I am aware that the Ikensee 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 ❑ nature of OWW Of 's Apart I hereby aRiy that ON of the details and information I have submitted ter entered)in above applteatton we true and accurate to the best of my knovdedpe and that so plumbing work and installabona Wformed under the permit issued for applicatta►will be in liana with all ps"WWt provisions of the Massachusetts State Gas Code and Chapter 142 of the Genual BY T s•: « net UR Film Title Manse Number iia 9 Ci /Town JOtu"M"an T' yyo5 1/ 776 Date. J f.' ��. ........ 4 „ORTry TOWN OF NORTH ANDOVER R OF +1'40 jo 3? '� PERMIT FOR GAS INSTALLATION t • t1J i i, • �1SgACHUgEt . a .•ti This certifies that . . .!. .F czs s! e.%. • • �..�s. . : • •�,• has permission for gas installation . 14-; !f. . . . . . . . . . . . . . . . . . .m. . in the buildings of . ... . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. : . . . . Lic. NoJ// .G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Location No. Date NORT1y TOWN OF NORTH ANDOVER F Certificate of Occupancy $ sACNUs t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �7 3 3 15942 ,Aff Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING .rss BUILDING PERMIT NUMBER: ISSUED: SIGNATURE: '� C Building Commissioner/12nwor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 2MapCiv Oo L2- Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distrid Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWrcd Provided RecMired 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 ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record n/ p Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone M SECTION 3-CONSTRUCTION SERVICES �" 3.1 Licensed Construction Supervisor: Not Applicable ❑ E0 A." 6 (3mo Licensed Construction Supervisor: a _ _ J License Number Address S ( ✓ S Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company ° ►.�� D Sex S U�? r�-J l 0 l9 Com Name ` / � A `V Q I� Registration Number Address ( 7 6 Expiration Da A Signature Telephone G) I 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 Pro osed Work check all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: f SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to befFFICIAL USE ONLY, Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b), Estimated Total Cost of Construction U 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 I, ,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 I, 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 y y O l /� Print Nam "'6 Si a tt Deur Deur Owner/A ent Date 10—M Elm IMNIMNKWRN�" NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DiIvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 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: 1 L S (4)a s uJoy Luu,-e �r� S e w-► G% (Location of Facility) Signature of Pefmit Applicant l0 - r °7 °- vim Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector ISI r Page of Free Estimates 105 Haverhill Street Fully Insured Methuen, MA 01944 THOMPSON'S ROOFING (978) 691-1355 Shingles — Slate — Rubber Roof Single Ply— Copper Work PROPOSAL SUBMITTED TO PHONE _ DATE Andrew Graham 4-16-01 STREET JOB NAME o -Perry Street CITY,STATE AND ZIP CODE JOB LOCATION North Andover MA 01845 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Strip off all roof shingles on house Renail all loose boards Install aluminum drip edge around roof line Apply ice and water shield 3 ft. up all along edges and in valleys Apply 151b. felt paper on rest of roof area Reshingle with a 25 year shingle Install new flanges around soil pipes Cu.t in a ridge vent , add a water diverter over doorway Remove all work related debris 00 25 year warranty on material \ 10 year guarantee on labor construction lic . #060112 improvement #128612 We propOC hereby to furnish material and labor—complete in accordance with above specifications, for the sum of: Si thnii-ganci ------------- h inn - On �. ,Payment to be made as follows: $2 , 000 . 00 start of job $4 , 000 . 00 on completion 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 above specifications involving Authorized i extra costs will be executed only upon written orders,and will become an extra charge over and Signature above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note:This proposal may be ccovvered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. 01rceptance of j3lropozal—The above prices,specifications and 1� conditions are satisfactory and are hereby accepted.You are authorized to do the Signatu work as specified:Payment will be made as outlined above. Date of Acceptance: Signature C E R T I F I CA TE OF L IAB I L I T Y I N S U R A N C E DATE 08.08-02 (MM7bD/Yn PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER PELHAM INSURANCE SVCS INC THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 960 122 BRIDGE STREET I N S U R E R S AFFORD I NG COVERAGE PELHAM NH 03076- INSURER A: Western World INSURED INSURER B: Liberty Mutual Thomas Doyle dba Thompsons Con INSURER C: & Roofing 8 West St INSURER D: Salem NH 03079 INSURER E: COVERAGES THE POLICIES 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 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS R POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 [x] COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 300,000 A [ .] [ ] CLAIMS MADE [x] OCCUR NPP770609 04-17-02 04-17-03 MED EXP (Any one person) $ 5,000 [ ] PERSONAL & ADV INJURY $1,000,000 F ] GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 [X]POLICY [ ]PROJECT [ ]LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [ ] ANY AUTO (Each accident) $ ] ALL OWNED AUTOS BODILY INJURY [ ] SCHEDULED AUTOS (Per person) g [ ] HIRED AUTOS BODILY INJURY [ ] NON-OWNED AUTOS (Per accident) $ f 1 PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ [ ] ANY AUTO OTHER THAN EA ACC $ [ ] AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ [ ] OCCUR [ ] CLAIMS MADE AGGREGATE $ [ ] DEDUCTIBLE $ [ ] RETENTION $ $ WORKER'S COMPENSATION AND [x] WC STATUTORY [ ] OTHER EMPLOYER'S LIABILITY E.L. EACH ACCIDENT $ 100,000 B WC2-31S-314995-012 04-21-02 04-21-03 E.L. DISEASE-EA EMPLOYEE $ 100,000 E.L. DISEASE-POLICY LIMIT $ 500.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing CERTIFICATE HOLDER [ ]ADDITIONAL INSURED: INSURED LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR Ron Charette TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED Clover Hill Realty TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 151 Berkley OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Lawrence Ma 01842 REPRESENTATIVES. AUTHORIZE447P TIVE fax: 978 692-8588 (-�c�) Page 1 of 2 �.1ORTH Town of E Andover No. a 9 - - 0CoCHLA * dower, Mass., ORATED PVY, �5 S G` 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... ,/v........r �� . .�. � Foundation ................................... .......................................... . has permission to erect...s40%4.?........... buildings on .......�......... .~. .Y .......q.............................. Rough to be occupied as.......rt.... 0Chimney ......................................................................................................................................... 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 relging to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. S = Z ` 0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final r ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR S C 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. Smoke Det. SEE REVERSE SIDE Commonwealth of Massachusetts Department of Fire Services Occupanc% and Fve Clivcked BOARD OF FIRE PREVENTION REGULATIONS 9 051' APPLICATION FOR PERMIT TO PER ELECTRICAL WORK .N I I,.%,irk to i1c I,Qr�ormed 111 accordarce lith 1110 Nh-,SAJILIS011., F J,:Ctj-;C Ll 27 CAIR 12.60 P1,E.ISE PRIA T IN IN K OR TYPE.I L Date: INFORY,I RON,, " Cih, or Town of: To the Inspeclor of 11"ire S... 13v ibis '-at'on [lit: Location (street & Number) "It'"tiOl to P,016-111 the clectriclil Durk de�crlhed llclokv. Owner or Tenant Telephone No. Owner's Address \h Is this permit in conjunnion �Ni a buildingiij Yes 0 (Check,Appropriate Box) ij Purpose of Building 'XAC2 Ltility Authorization No. ExistingServiceAnips i Volts Overhead ❑ Undgrd ❑ No. of Meters New Service amps Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity S /N Location and Nature of Proposed Elec rical Work: kA)kA l WO [)m4 1)t)p 120,A)64, qQo�h 6mf hl)mb mie, C". 11.311k,/ ASIA AW No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of T Transformers KVA No.of Luminaire Outlets No.of Hot'rubs Generators KVA No.of Luminaires Swi-mmina Pool •kboveIn- ❑ No.of Emergency Lighting I _grad. tli n d. iBattery Units O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas BurnersNo.ot'Detection and 1! t Initiating Devices No. of Ranges No.of Air Cond. Total ! Tons No.of Alerting Devices No. of Waste Disposers Heat Pump Number 1'ron, I KVV------'No.of Self-Contained Totals:I Detection/Alerting Devices I.No. of Dishwashers Space/Area Heating KW LocalEl "l""'c'P'lF] Other Connection 1No. of Dryers Heating ASecurity St ,appliances KW Systems:* No. of Water No. No.of No. A Devices or Equivalent "caters KW signs Ballasts Data Wiring: No.of Devices or Equiv.nlent No. Hydromassage 13athtubs No. of Motors Total HP I clecommunications Wiring: No.W'Devices or FouiNalent (OTHER: F,tiillatvd V�duc offlo:ctricA NN'.1-k'._1 [',A c i lit"-,:i,"idpli,-0, (j %k 1101 1-cAluired 6to i� municipal pclic,.) romrt:41— �3C001S to be _CCjLCStCd in accordle � h \IEC RUIC 10 d IC601.L1 1 1INSLRANCE 0ERAC"E: X1Vdkk:d by ihe t)v,,jcj-. jj, cjjjj*t 1, r the 1"CIA, I-111alicc 4,do-trical .v(;rk 1na\ 1"AI0 11111, IS�J!-;, i 11c: !11;11 C,l\ a" ''I hlhitcd J'nwl�l rG IIIc A rder fie w.,-is vj OA]dress: _aL 'o.1r AlPty (_,;ntr;;twr too-[his -(L)11, ilV0! Ll i 0ic )I � L Lill IILLIIL hL1111bt:I htIV IN-si- 10V FAN'w;FR: :�wlro: fhat 111-� I k.'.jL1irud by law, 11y n1; -_ - ' ,natur(: N:Iov, I IICTI-hy � :10,L thi: 1'1_+1i1-L HK 11t. I ;!Ill (dicck ciic I I i vr I r L T n� o� << , � _ a & � �