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210/098.8-0074-0000.0
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North Andover Board of Assessors Public Access Page 1 of 1
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SS,�N�S roperty Record Card
Click Seal To Return Parcel ID :210/098.B-0074-0000.0 FY:2013 Community : North Andover
SKETCH PHOTO
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Summary
Residence
Detached Structure -
Condo 60 5/47 RIDGE WAY
Commercial
Location: 60 RIDGE WAY
Owner Name: KHASGIWALA,UMESH
ANITA KHASGIWALA
Owner Address: 60 RIDGE WAY
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood:8-8 Land Area: 0.50 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 3277 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 680,100 634,900
Building Value: 460,300 416,900
Land Value: 219,800 218,000
Market Land Value: 219,800
Chapter Land Value:
LATEST SALE
Sale Price: 359,947 Sale Date: 03/14/1997
Arms Length Sale Code: Y-YES-VALID Grantor: KENSINGTON
WOODS
Cert Doc: Book: 04709 Page: 0240
http://csc-ma.us/PROPAPP/display.do?linkld=2256368&town=NandoverPubAce 11/25/2013
Residential Property Record Card
PARCEL ID:210/098.B-0074-0000.0 MAP:098.113 BLOCK:0074 LOT:0000.0 PARCEL ADDRESS:60 RIDGE WAY FY:2013
PARCEL INFORMATION Use-Code: 101 Sale Price: 359,947 Book: 04709 Road Type: T Inspect Date: 11/09/2011
Tax Class: T Sale Date: 03/14/97 Page: 0240 Rd Condition: P Meas Date: 11/09/2011
Owner: Tot Fin Area: 3277 Sale Type: P Cert/Doc: Traffic: M Entrance: X
KHASGIWALA, UMESH Tot Land Area: 0.50 Sale Valid: Y Water: Collect Id: RRC
ANITA KHASGIWALA Grantor: KENSINGTON WOODS Sewer: Inspect Reas: C
Address:
60 RIDGE WAY 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
Style: CL Tot Rooms: 9 Main Fn Area: 1956 Attic: NBHD CODE: 8 NBHD CLASS: 8 ZONE: R2
Story Height: 2.00 Bedrooms: 4 Up Fn Area: 1321 Bsmt Area: 1515 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class
Roof: H Full Baths: 3 Add Fn Area: Fn Bsmt Area: 1 P 101 S 21780 0.500 219,816
Ext Wall: AV Half Baths: 1 Unfin Area: Bsmt Grade: VALUATION INFORMATION
Masonry Trim: 72 Ext Bath Fix: 1 Tot Fin Area: 3277 Current Total: 680,100 Bldg: 460,300 Land: 219,800 MktLnd: 219,800
Foundation: CN Bath Qua]: M RCNLD: 460266 Prior Total: 634,900 Bldg: 416,900 Land: 218,000 MktLnd: 218,000
Kitch Qual: M Eff Yr Built: 2000 Mkt Adj:
Heat Type: FA Ext Kitch: Year Built: 1997 Sound Value:
Fuel Type: G Grade: V Cost Bldg: 460,300
Fireplace: 2 Bsmt Gar Cap: Condition: V Aft Str Val1:
Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Va12:
Aft Gar SF: 220%Good P/F/E/R: ///95
Porch-Type Porch Area Porch Grade Factor
T 280
SKETCH PHOTO
T
14 280 Sq.R 14
4 4
36 ARIq 220
FU"0.5/FM/B
FU/FM/8 q.R
15 315 S 15
1164 Sq.R
32 s'�
6"0.5/FM11 —� }
441 Sq.Ft
21 21
1 60 5/47 RIDGE WAY :'
Parcel ID:210/098.8-0074-0000.0 as of 11/25/13 Page 1 of 1
Date. .
",��T:1tio TOWN OF NORTH ANDOVER
" PERMIT FOR PLUMBING
SACMU"'
This certifies that .. . . . . . . . . . . . . . . . . . . • . . . • • • . • • . .
f
has permission to perform . . `. .. J"
plumbing in the buildings of . . N. .4 1�.� �: �. /, . . . . . . . . . . . .
at . . � c� > . . . . .�.;� North Andover, Mass.
Fee. Lie. No.r.. . . . . . . . . .` ... . . . . . . . r. . �,.. . . . . . .
PLUMBING INSPECTOR
Check #
IT
SL g
1 .9SL
o
� '• � WATER cLosErs
• .. KITCHEN SINKS
LAVATORIES
BATHTUB
SHOWER 8YALL8
a _ Ic
�� �� ( •DlsHwnsHEas . o � Ic
• DISP08ERS9. S
S, TT
LAUNDRY TRAYS 3 •0
WASH. MACH, CONN.
HOT WATER TANKS
V ,Y TANKLESS C
SLOP SINKS
p Ip FLOOR DRAINS ~ Z
OAS TRAPS p
0 [:I � o 0
URINALO..
DRINKING FOUNTAIN
AREA DRAIN
• WATER PIPING
' CI ROOF DRAINS
g' BACKFLOW PREV, �''
f i • I OTHER FIkTUREB;
S
>30ILER MATE � .0
GREASTRAP
SCULLZRT .SINK • 4
g SHOWER VAL.VB c
. . C7
BELOW FOR OFF=Vii'ONLY
fIN 4�NSPECI'1.0'Np SKR�EB FEE RROORIEBs PEOTIONS
NO.
APPLICATION FOR PERMIT TO 00 PLUMilNO'
UNDERGROUND ROUGH
COMPLETE ROUGH
M"AL INSPECTION
PERMIT GRANTED
DATE
PLU;lIW0 INBRECTOR.
Date... ..`.. ...... . .
�r
HORTM
o� ` TOWN OF NORTH ANDOVER
tX PERMIT FOR GAS INSTALLATION
SACHUSEtA
This certifies that . :{a . . . . . . . . . . . . . . . . . . . . . . . . . . . .
s_f —.
has permission for gas installation . . i. .�.�.. . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . .
at C . . �.: � . . . . .f . . . . . . . , North Andover, Mass.
Fee. . l�. ... . Lic. No../•... . . . . . . . : . s... . . . . . . . . . . .
GAS INSPECTOR
Check 4 %�
ONirst or Type)-
MASSACo{tpe)- UNIFt ORM=APPLICATK..FOW,�,�-TO 00-G ASFF7TiNO-
_AXV Date 1o-1 o
Z t3
BukftR ,
P r
Ownes Naive
- 7g 3_ yah
.Type of.pct► S
New 0 Rte`O
Remacernerib Plans Std
ed. .Ye p Kolb
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TTHFLOOR'.
aTH F.LOOR..
Instapl tpy: �.
Address °"a•� �'
❑ Cocporatlon
Business Telephone Pip
Flan/Ca
Name of Licensed Plumber or,Gas Fes: 110
rz
INSURANCE-COVERAGE:.
1 have t
Y r�ar�oe• d4-'Or'�s :. "aAwhlch-meets the requicerner#s ot_MGt:Cfic 142..
K y°u twft: J'dha keds: +sa *a
4ype�� "mge:by.cl,egcinp ft appoop We box
A liabilty instuanoe;
Poky Othecaype �y❑ 90�.
OWNER'S INSURANCE:MAIVE*R:1 ant'tw4m:that":#m
Chapter 1.420t the lum,General�l t --my
1 nsee.,e�oes,not=htaro _the ,coverage required bjc
wt:_and -my signature--on•thlsperm&-appocation r
equiament.
Qnatun of Owner Cttieck one:
rtwrs . • OwnerO Agent:❑
i hereby cerw that ap Of
the d$tais and information.tha�ee
knowied�e and 11tat ap piwft*%v*.&d irutaaa6oat �bmitted(or enteron in abOtie radan tnre and aoauate.to:the bddW my-
oe ^t ptOvi;ions Of-ft Massadum is Stas Gas.Cods��phapter 142 0fws. wiq be in anN wiltr at
IC
t.ioensa.
Tito Plumber .
Gasfitter r or as rtter
aty/Towr� man ucense Number
BELOW Fo.*OFF'lcAlfs ittit.0
FINAL INSPECT:ION SKETCHES
Pflb.OpL"S.S 1NSPf;:CtION ,
FOR
APPLtCA?I,ON F:O�,�EAMiT'TQ'�.0.4i1i.SftTTINQ •
HAMS�A TYPI .OR NUtiblNla.....
�.,.
,
t6CATIR&O 11
r.
PLUM�R�h O GASFf RR
i77
:
.. .` ♦ rel ...ww,.: .4A
20.E k. 1
GAS INOtCT.61
NORTH
And
` .. ,�Town o _ X>, over
LA E dover, Mass., pZoZ U oZ
COCHICKEWICK V
�ADRATED P'P -`y
�S � BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
/�, r BUILDING INSPECTOR
THIS CERTIFIES THAT.. S,/I... INI d A / „a�.... ..,
G - ......S,�
• Foundation
has permission to erect....&."'XaJ............ buildings on ..... .....Y'Q.. ......y..... ....... ................ Rough
m0 J— �/l l�S !v �-T/o /`vr C ' n file�*i Chimney
to be occupied as.... ..................................... .?`............°�..... .............��... .... ............. . ......I.............. .
provided that the person accepting this permit shall in every respect conform t terms of p cation oFinal
this office, and to the provisions of the Codes and By-Laws relating to the In ion, Alter d Construction of
Buildings in the Town of North Andover. 9► S 6/47 47/ 3, PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. �� Rough
PERMIT EXPIRES INA N Final
. UNLESS CONSTRU ST S ELECTRICAL INSPECTOR
/ Rough
( Service
.... . ... .... . ... ...... . ...
BUILDING INSPECTOR
Final
Occupancy Permit Required to Oc Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.
GENERAL BUILDING NOTES/CHECKLIST- NOT LIMITED TO ITEMS BELOW
POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY OK)..or no inspections
INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final.
FOOTINGS: Continuous Full 2x4 Keyway
Continuous strip footings for interior columns
FOUNDATION: Rebar as required
Anchor bolts or straps
Damproofing
Foundation drain-pipe/stone/fabric filter/cover and outlet connection.
FRAME:Fireblock-over girts/plates between floor joist
Penetrations for plumbing, heat, elec, etc.
Walls at stair stringers.
Windbrace corners and center bearing partitions.
Size ridge to provide full bearing at rafter cuts.
Hip and Valley rafters-watch bearing at walls.
Ridge&Hip-Provide proper connections.
Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate.
Stair stringers-watch cuts and heal support.
Joist hangers-fully nailed w/hanger nails.
Sill plates 2-2X6(1 PT)w/sill seal.
Girls-solid brick or steel plate bearing at foundations
"air space at sides in foundation pockets.
Lateral bracing at ends.
Certified calculations. required for Beams/LVL's Trusses.
Solid bearing support for Headers/Beams etc.
Check headroom clearances-stairways, under beams
Attic Access. (min. 22x30 w/3'headroom above)...
Crawl space access. (min. 18x24).
Bath exhaust fans to have metal duct to exterior(not in soffit).
Firecode S/R wood frame of"0"clearance fireplaces&stoves
Window Schedule or Every Habitable Room Must Have:
Natural light equal to 8%of floor area.
Y of required glazing shall be openable.
Bedrooms required min. 20x24 egress window or door.
Vent attic spaces-"proper vent", soffit and required ridge vents.
Firecode under stairs if used for storage
FIREPLACES: Separate permit required.
Inspections at Footing-Smoke Chamber- Finish
Smooth parging,clean joints, 8"solid @ combust. Surf.
DECKS: Separate permit required:
Lag to house, provide flashing.
Rails min. 36" high, Baluster max space 5"on center.
Over 8'above grade, use 6x6 posts w/lateral bracing.
Lag all posts and rails.
Pier footings down 48", Conc. pad at stair base.
FINISH: Handrails returned to wall/newall post.
Guardrails required alongside open cellar stairs.
Exterior grading complete.
Certificate or occupancy required prior to occupying structure.
Temporary Stairs required for inspection.
Re-inspection fee-$25.00(Be Ready).
Certificate of occupancy required prior to occupying structure.
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SeC#IOH#Or OfflCBt Uge >� rn
BUILDING PERMIT NUMBER. DATE ISSUED: 1 / 0 OR X
SIGNATURE:
I �C
Building Commissioner/Inspector of Buildings Date Z
SECTION 1-SITE INFORMATION O
I.l Property Address: 1.2 Assessors Map and Parcel Number:
---�0
�n r Map Number Parcel
1.3 &,niuig hiformation: 1.4 PropertjDnmons
PERMITISSUED ❑tonin DisUicS Pr osai Use Lot Area s � -- -PE INU k�
1.6 BUILDING SETBACKS ft y t
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
v
1.7 U;ater Supph-M.G.I...C.40, 54) 1.5. Flood Zone Infomtation: 1.8 Sewerage Disposal System:
Public Prix ate Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0
i SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT m
21 O•.�ner of Record
1-?1�({ice+( SC 1�►/��P _ 6ko(`mac\(JA'yam n1 A 0 P�
Name,(Print) Address for Service
Signature Telephone O
2.2 Owner o1 Record: /j
Name Print Address for Service: z
Z
M
Sienature------ -------- ------_--- Telephone ---- ----
SECTION 3- CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable 0
Licensed Construction Supervisor: _
'License Number
Address
Expiration Date ic
Sienature Telephone r
3.2 Registered Home Improvement Contractor Not Applicable ❑
Comparty Name m
Registration Number r
Address ---------- -- -- -- -
Z
Expiration Date 0
Sienature Telephone YJ
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 .......11 No.......❑
SECTION 5 Description of Proposed Work check all applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0Addition
Accessory Bldg. ❑ Demolition 0 Other 0 Specify
Brief Description of Proposed Work:
Co U6--ro, TKA Q RT \O \ (4 'T}k TSL RCz\ASE �
L-EVE SNA � L-L
XOD
SECTION 6- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY
Completed by permit applicant 1. Building (a) Building Permit Fee
D t _ Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(a) X (b)
4 Mechanical(HVAC)
5 Fire Protection [ Q3,Q3t
6 Total (1+2+3+4+5) Check Ni-umber
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owrter/Authorized Agent of subject property
Hereby authorize to act on
My behalf: in all matters relative to v,,ork authorized by this building pennit application.
Signature of Owner Date
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
1, as Owner/Authorized Agent of subject
property
Hereb\ declare that the statements and information on the foregoing application are tnte and accurate,to the best of tmv knowledge
and belief
Print Name
St nature of Owner/Aent Date
NO OF STORMS SIZE
BASEMLNf OR SLAB
SIZE OF FLOOR TIMBERS 1ST2 3
RE
SPAN
DI7 iNSIONS OF SILLS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
F�MTERIAL
E OF FOOTING X
OF CI-IIMNEY
UILDWG ON SOLID OR FILLED LAND
IS BIJII_DING CONNECTED TO NATURAL GAS LINE
NORTH
Town of
O .. 0%
No. S33
�,_ a
=_= L A E odover, Mass., a m u`)
COCMICHEWICK
ADRRTED P• .(5
S
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
// BUILDING INSPECTOR
THIS CERTIFIES THAT... �IT5 ... �....ct........ 'Q..5 ..�.. ..a.`. Foundation
...............................................
has permission to erect....I.'y.�Xa.�............ buildings on ..... ..................................... Rough
/�mo �.....over iJi v0� �,4-�/B / /Q�/') �C'vr.3 S ra4 o.v k cr,,w Chimney
to be occupied as.... .............. ?`.............J ..... ..................C.. 1......./.... ..................................................
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. 9► 8 6/07 C7/ /a3 PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
/ Rough
...... ......... ... ......
1.............................................................................. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
j
Smoke Det.
SEE REVERSE SIDE
I
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
rn
MI
BUILDING PERT NUMBER. 5-33 DATE ISSUED. -/7/ _a a —a 00 a X
ic
SIGNATURE:
Building Commissioner/Ins for of Buildin s Date z
SECTION ]-SITE INFORMATION
1.1 Property Address: 1.2 .Assessors Map and Parcel Number:
__6_0kEL- 0 __N) f NSP �c`12, C `C) -E� —_
Map Number Parcel NuMber
1.3 Zonurg hifomiation: 1.4 Property Dimensions: ,1
Zoning District Proposed Use Lot Area so Frontage fl
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
v
4-
1 Water Supph M.G.L.C.40. 54) 1.5. Flood Zone Infomution: 1.8 Sewerage Disposal System:
Public Private lone Outside Flood Zone ❑ Municipal C On Site Disposal System 0 _J
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2.1 Owner of Record
( r M
/?cs� � � n.+_�T�_ (�c r-�_�_ sc`�A<<P ----K-4,11
Nam/ m) Address for Service
�v\r3"A3.1
Signature Telephone O
2.2 Owner of Record:
Name Print Address for Service:
Z
Si nature Telephone
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Constriction Supervisor: O
License Number
Address
Expiration Date ic
Signature Telephone r
3.2-Registered Home Improvement Contractor Not Applicable ❑ v
Compare:Name rn
Registration Number r
Address r
Z
_ Expiration Date 0
Sienawre
Telephone Yd
SECTION 4-WORKERS COMPENSATION(NLG.L C 152 § 2546)
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 Work check all a ucable
New Construction ❑ Existing Building ❑ Reit ❑
Pa (s) Alterations(s) .❑ ti Addition
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief Description of Proposed Work:
V - TK�� RT \g i f�1 Tlkt (� (�Ctc a F TSL rl4Vk =
S�.. t r
�N E �'X��-�CtJ�Gt PATIO v`11�� (Sr=
KP\SLI TQ, F 4(\k�L-7
L-Vtt P'N D 1, \LL cJ(l I —
A- 9
SECTION 6- ESTIMATED CONSTRUCTION COSTS J
Item Estimated Cost(Dollar)to be
Com leted by en-nit a licant OFFICIAL USE ONLY1. Building
10
I (a) Building Perniit Fee
2 Electrical l / Multiplier
(b) Estimated Total Cost of
3 Plumbin Construction
Building Permi4x (b)
4 Mechanical(HVAC)
5 Fire Protection I o --
6 Total (1+2+3+4+5
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WJfENber
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I.
as Owner/Authorized Agent of subject proper
t\
authorize
My behalf: in all matters relative to work authorized by this building permit application. to act on
Sionature ol'O\Nmer
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION Date
I.
property as Owner/Authorized Agent of subject
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and helief
Prinl Name
Si nature of O\%mer/A ent
Date
NO. OF STORIES
BASEMENT OR SLAB SIZE
S17_E OF FLOOR TIMBERS l
SPAN 2 ND
3
DIMENSIONS OF SH-LS
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
I[EIGFIT OF FOUNDATION
SIZE OF FOOTING �CKM SS
MATERIAL,OF CI-IIMNEY X
IS BUILDING ON SOLID OR FILLED LAND
IS BUU-DING CONNECTED TO NATURAL,GAS LINE
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
h*.
&➢�; ik:Ycivn c�.3�x _
BUILDING PERMIT NUMBER: DATE ISSUED: rn
�3 3 y aa-aO°a �
SIGNATURE: v` CLQ
Building Commissioner/1for of Buildings Date Z
SECTION 1-SITE INFORMATION 0
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Map Number Parcel Nuinber
1.3 Zoning Information: 1.4 Property Dimensions: (,
Zoning Distrid Proposed Use Lot Area(so Frontage(11) W
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide R red Provided Required Provided
v
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D
Public 0 Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 _J
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn
2.1 Owner of Record
0MC--SH AriI -TA l{H S(�iIYAJLA A 016 5- �
Name Print) Address for Service:
r
Signature Telephone O
2.2 Owner of Record:
Name Print Address for Service:
rn
Signature Telephone 90
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor: O
License Number n i
Address
Expiration Date
Signature Telephone r
3.2 ,egistered Home Improvement Contractor Not Applicable 0 v
Company,Name rn
Registration Number r■
Address r
Z
Expiration Date �1
Signature Telephone Y�
SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes........❑ No.......❑
SECTION 5 Description of Proposed Work check all applicable
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 11 . Addition
Accessory Bldg. ❑ Demolition ❑ Other ❑ •Specify
Brief Description of Proposed Work:
COV THE QN'S\q 14 T�kC Nctc C�,F ThAxS�\ASL
T VAE: '(E-f,\YKKGt.
�c{yA
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be IAL.USEyt3iNLY
Completed bV permit applicant
1. Building 0 (a) Building Permit Fee
/ I
Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(e)X(b)
4 Mechanical HVAC tt Q 3 t
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
(F SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
r
�r
y
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.
;z
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
Print Name
Signature of Owner/Agent Date
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS IST 2ND 3RD
SPAN
DIMENSIONS OF SILLS
DIlvIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
• FORM U - LOT RELEASE FORM I
• )t�- Do� Porc Gear n S,vvI- w�
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
APPLICANT_ (x/11 cGS��d �IrUryd ���q S /lrr� � — 4PHONE
LOCATION: Assessor's Map Number 1 U PARCEL
SUBDIVISION LOT(S)
STREET �� C u/ A /
� ST. NUMBER (�sa
( *****************************************OFFICIAL USE .
ONLY***********************************
RECOMMENDATIONS OF TOWN AGENTS:
�i
CONSERVATION AD NISTRATOR DATE APPROVED 0 2-
DATE REJECTED
COMMENTS h Wd lM d 5 U 00 /
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
W 12 DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE_
Revised 9\97 jm
}
f
' 90.86'
`t1A !1�+f,
LOT 47A ` c
22,225 S.F. OT 48A.u �� v%sTEP .``
ER ZONE
22,093 S.F1�
50 �-'
O A _T1
LOT 46 �s \ `�� `\ \ 73 \
362 m 380
\
348 35o
\ \
N 348 \ \ 76
ry
EXIST. HOUSE "-
25.3' ( \\ \ - -370
Tc=351.00 + I 3 S'Q a bd
5. GAR=350.00 I 31.5' L�\\ \ �- — —.—
SLAB=343.20 I I
� 366
INV.-341.2Q \
f-3-5014 \ 350.0
\ 6'� N X 358-
\ \ , a� 3 - -
\ 10 .98 ��_ \ - -360
o �
N \ \
8" PVC = " S
< S INV�3 1.5 _
338.10 339.10 ) j0' WIDE-AQPRO\ED W ( -- 4356
8 CP r INV-344.27 V
44 7
N D �h /
�O - N
NOTE: ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE GRADING / SITE PLAN
SITE CONTRACTOR. EATON F-EDEM4L LOCATED AT
LOT 47A
SETBACK: F-20' S-Q' R-20' OTHER-20' BETW. BLDG. NORTH ANDOVER ESTATES
NORTH ANDOVER, MA
LAND PLANNING, INC. PREPARED IMR
CML ENGINEERS • LAND SURVEYORS TOLL BROTHERS, INC.
~ ENVIRONMENTAL CONSULTANTS 321 COMMONWEALTH ROAD, SUITE 102
u WAYLAND, MA 01778 /
• 1J`1 li!��'H
Note
1.Proposed co•.wed patio will have entrance from
/ I hrn*fe.qt e.r??ng nzicfinp
/ 2. There VM be a franch door opening from fatuity room
to proposed covered patio.
(s.Fauo 41 have cathedral ceiino
Kitchen I-2>
--------------;
tl
i
i
t
1
Breakfast Area j Open Patio i I
I
i
I I
I I
patio Door I
step °
-----------• -----------• iI
i
Front of the use :sky lights: ;sky fights;
mm -------------
i
IProposedi 21'
Windo ° Covered Patio
-r - ------------- ---------------
Famil Roam i C (winterized)
ILL
(Floor level same as family room)
1
----- -----------•
1
smy lights I :sky lights:
• •
f
I
4-
14f
Clnr�r r•�Inn
4 IVVt S iGl l
rropeiay Owner:Umesh nnasg waia (978-864m34377)
60 Ridgeway,worth Andover,MA vi846
A A IA ll r^^f%A
1 1/ IU/LUV I
°... Town of North Andover 6 :,�• � �
Building Department
27 Charles-Street .North Andover, MA. 01.845
D. Robert Nicetta
Building Commissioner.
(978) 688-9545
•'�978 688=9542 Fax
HOMEOWNER LICENSE EXEMPTION
Please print
DATE .
JOB LOCATIOf�y �4. (lE__ N- P4),VQ�, 6 \t �lS�
.Number Street Address Map lot
..HOMEOWNER
Name Home Phone Work Phone
PRESENT MAILING ADDRESSIvy
City Town State Tip Code
The current.exemption for"homeowners"was extended to include.owner-occupied4wellirigs
of two units or.less and to allow such homeowners to engage an indMdualfior hire who does.
not possess a license, provided that the owner acts as supervisor. (State@uddngCode Section 108.3 5.1)
DEFINITION OF HOMEWOWNER- ~
Persons)who owns a parcel of land on which he/she resides or intends.to.reside,on which
there is, or is intended to be, a one or two family dwelling,attached or detached shx;We -ac-
cessory to such use and/or farm stn�. A person who constructs more than one hone in a
two-year period shall not be'considered a homeowner
The undersigned"homeowner"assumes responsibility for compliance with the State BWkfi'n Code
g . and other
Applicable codes,by-laws, rules and regulations,
The undersigned"homeownef'certifies that he/she understands the Town of No.Andover
Building Department minimum:inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
0
4Nf �
,
F NORTH
Tovm of ^ 4 over
No. . �.�
�p LA Edover, Mass.,
COCHICMEWICK
%d ADRATED
S 4
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
Foundation
�15 ... �.... ......-.
THIS CERTIFIES THAT.. A..s,�..i..w...a....1.�.........................................
has permission to erect....Iy.�ua.�.�......... buildings on ...... .�/....��......Y'Q.c.G�4
y..................................... Rough
��0 J- .v.C .....�� !��!v A�/' dr 3 S CPS O4) AOCJAtj Chimney
to be occupied as.... .................... ?`............I ...... ........... ...... ..... .. ........................................I....
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. 0/ 06/175/ A23, PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
...... ......... ... .. . .
.......................................................................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No. •
i Smoke Det.
�i SEE REVERSE SIDE ��
Locatio�n/
No: `7 Date
HO TOWN OF NORTH ANDOVER
3?0�� ,o .G.BOOL
aCertificate of Occupancy $
* Building/Frame Permit Fee $
+► o ,� a
t<�
�cNFoundation Permit Fee $
� us
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
cj Building Inspector
lM/31/% 13:54 t5e.eeDiv. ublic Works
el 7
Location e�o i
No. Date
i
' „°RT►, TOWN OF NORTH ANDOVER $
�, Certificate of Occupancy $
} x Building/Frame Permit Fee
Foundation Permit Fee $
s�CHusE
rri
Other Permit Fee $ , y� R
,�►
Sewer Connection Fee $ '_�
Water Connection Fee $ //Sl.dF0
TOTAL $
' ��55 ui ng I I) to� ,� ,
// •
ZA a9/30/� 13:
.µ 91 2 Diy� u is Works
a y
PERJLT,T NO. / APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP 4-40. dQQ LOT NO. O� 2 RECORD OF OWNERSHIP (DATE I
BOOK 'PAGE
ZONE ` V SUB DIV. LOT NO. /� /�� Am 6 I i
LOCATION h r �r1y PURPOSE OF BUIL INC QIP DYy1leC
OWNER'S NAME NO. OF STORIES /1 O( Sl ZE 3 sO S /+
OWNER'S ADDRES$�/ �)� „/_A'A /� JpX Af4 BASEMENT OR SLAB r�*w.i ['�
ARCHITECT'S NA M33F>T' 2rTO 1.4fTeI _Z,max Iii/_ ! /_ SIZE OF FLOOR TIMBERS IST �x 2ND �-A �� 3RD
BUILDER'S NAME ,�G �R�V a 4 SPAN 6 --
DISTANCE TO NEAREST BUILDING f DIMENSIONS OF SILLS
DISTANCE FROM STREET S1Q POSTS
DISTANCE FROM LOT LINES -SIDES REAR GIRDERS W W //7
•i
AREA OF LOT ? L•p� FRONTAGE Lis- HEIGHT OF FOUNDATION gT 6 THICKNESS t�
IS BUILDING NEW vJ ! SIZE OF FOOTING
If X
f3"G C
IS BUILDING ADDITION /WO�r_ AVIV-aMATERIAL OF CHIMNEY 1R /
IS BUILDING ALTERATION E / IS BUILDING ON SOLID OR FILLED[LAND
NO `' JO
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE y�t IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY i/ ! IS BUILDING CONNECTED TO TOWN SEWER E•�rf
IS BUILDING CONNECTED TO NATURAL GAS LINE �.s
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST 14
` OO 0
SEE BOTH SIDES
EST. BLDG. COST
FT
COST PER SQ
BLDG. . .
- PAGE t FILL OUT SECTIONS 1 - 3 EST. �i
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO. ^/6Y
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE F412D G
BUILDING INBPKCTOR
SIGNAT E.OF OWNER OR AUTHORIZED AGENT
oe
-FEE r /I OWNER TEL.# SG�l►e aZ e2
PERMIT GRANTED oft CONTR.TEL.#
/ 19p wo�++��"/ "'�NTR.LIC.# C„S Q9Xe7A 1
H.I.C.#
. s
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY _)t SroRIEs - THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOQ' 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 _ B 1 2 13 -
CONCRETE BL'K. PINE _
BRICK OR STONE --H
LASTER —_ _
PIERS PLASTER
_ DRY WALL _st _
UNFIN. 4,
3 BASEMENT I '
AREA FULL I 7C FIN. B'M'T' AREA _
l/ 1/1 1/. FIN. ATTIC AREA
NO B M'T FIRE PLACES
HEAD ROOM _If MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS 0 1 2 3 '
DROP SIDING CONCRETE X �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDN!J'D �[
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY,
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. d FLOOR (_
BRICK ON FRAME
CONC. OR CINDER.BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR POOR
ADEQUATE I-i NONE
5 ROOF 10 PLUMBING
GABLE I SC HIP BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX.I 1
FLAT —SHE—D WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES X
TILE FLOOR
TILE DADO
g FRAMINGHEATING
WOOD JOIST PIPE
LESS FURNACE
FORCED HOT AIR FURN._
TIMBER BMS. &COLS. STEAM
STEEL BMS. R COLS. HOT W'T'R OR VAPOR fir • �.
WOOD RAFTERS AIR CONDITIONING �r 1f� ri�Yi7,i�ifL3��
RADIANT H'T'G
UNIT HEATERS
GAS
7 NO. OF ROOMS OIL
B'M'T2nd ELECTRIC
1st / 13rd A NO HEATING
!� NORTH
Town of dover
No.
0 1-i Y� 6 r dower, Mass., 911 a 19516
COC HICHEWICK
0RATEr) F''?�L 41
BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT.................... .. .A .................p.6.. )... ...... .................
Foundation
has permission to erect............... .................... buildingl on ..........Co .......... 'x'*******..... Rough
tobe occupied as ...................................................... .......... ...................... .. Chimney
provided that the person accepting this permit shall in every respect conform to the terms I e 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 STAR ELECTRICAL INSPECTOR
Rough
. . .... ... Service
.............I.........../ ......... .. ......... ....................................................
BUILDING INSPECTOR 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 DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
�`�t�
90.86
� a d
LOT 47A A
22,225 S.F. OT 48A.u ��,�Fs��sT '`. !v-
22,093 S.n i
BUFFER ZONE
50 _- 0_ \ 0
w
ual 1 iZ
v
0
LOT 46
o
3
8o
\ \348
350
76
EXIST. HOUSE \� \ \\\\ — "-
25.3' 350 - -370
Tc=351.00
5. GAR=350.00 31.5'
SLAB=343.20 fif \\\
�\ INV.=341.20 \`---*366
\f�
350 (350.0 358
N
\ a� Q - -
�U3 3
10 .98 - -360
8.
� S" PV — 045 PIC SEV
S INV= INV= �S INV�3 1�.5
\ 338.10 339.10 i 50' -AQPROVED WA (� �
��/ 8 CP d'= n 1
~ �
t0 r� N
` 7D
NOTE:, ALL UTILITY LOCATIONS ARE TO BE FIELD VERIFIED BY THE GRADING / SITE PLAN
SITE CONTRACTOR. EATON F'EDEIFAL LOCATED AT
IAT 47A
SETBACK: F-20' S-O' R-20' OTHER-20' BETW. BLDG. NORTH ANDOVER ESTATES
NORTH ANDOVER, MA
LAND PLANNING, INC. PREPARED POR
CML ENGINEERS • LAND SURVEYORS TOLL BROTHERS, INC.
n) k
ENVIRONMENTAL CONSULTANTS 321 COMMONWEALTH ROAD, SUITE 102
167 HARTFORD AVENUE, BELLINGHAM, MA 02019 WAYLAND, MA 01778
(508) 966-4130 FAX (508) 988-5054 8Z76 96 1 1"--4'0' ' 1V_9E--477,4
N2 651
APPLICATION FOR WATER SERVICE CONNECTION '
North Andover, Mass. �P/v 19 /(-
Application
(
A lication b the undersigned is hereby made to connect with the town water main in /
pp Y g y � jaStreet,
subject to the rules and regulations of the Division of Public Works. `. U
The premises are known as No. cab Street
or subdivision lot no.
1,2
Owner Address
Contractor Address
Xpplicant's Signature
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
C
to make a connection with the water main at e Street
subject to the rules and regulations of the Division of Public Works.
Beard o. Pu lic Works
By
Inspected by
Date
See back for rules and regulations
1
RULES AND REGULATIONS GOVERNING THE INSTALLATION OF WATER SERVICES
1. No persons shall tap or in any way tamper with water mains which are part of the distribution system of the Town
of North Andover without a valid permit from the Division of Public Works.
2. All water services shall be installed a minimum of fivejeet below the finish grade. .
3. No water services shall be backfilled without inspection by a representative of the D.P.W.—Telephone 687-7964.
4. Service connections shall be 1" type k copper tubing.
5. All fittings shall be brass flange type Mueller or equal
H 15202 Corporations
H 15212 Curb stops
H 15402 Three part unions
H 8185 stop and waste valve's, ,
6. Curb boxes shall be installed .at the property .line and shall be of the Erie Type with 4�/z foot rod and brass plug
type cover.
A
N° 1162
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. G 19 g�
Application by the undersigned is hereby made to connect with the town sewer main in <� "vz Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. C Street
or subdivision lot no.
Owner Address
Contractor ;Addres
plicant"s Signature
PERMIT TO CONNECT WIW SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works..
Vivi/on f Public Works
By
Inspected by
Date
See back for rules and regulations
R
RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES
1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer
or appurtenance thereof without first obtaining a written permit from the Division of Public Works.
2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The
owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation
of the building sewer.
3. A separate and independent building sewer shall be provided for every building; except where one building stands at the
rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an
adjoining alley, court, yard, or driveway, the building sewer from the front building may be extended to the rear building
and the whole considered as one building sewer.
4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by
the (Superintendent), to meet all requirements of this ordinance.
5. The size, slope, alignment; materials'�of construction of a building sewer, and the methods to be used in excavating,
placing of the pipe, jointing, tisting, and.backfiijIJng the trench, shall all conform to the following requirements. The sewer
shall be 6"diameter SDR 35, PVC pipe. Minimum sl'op'e shall be 1/8" per foot. The minimum depth of sewer shall be four
feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a
minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown
of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of
the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift.
6. Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all
buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such
building drain shall be lifted by an approved means and discharged to the building sewer.
7. No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or
ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer.
8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for
inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superintendent)
or his representative.
9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the
public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the.work shall be
restored in a manner satisfactory to the (town).
r
R
TOWN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
GEORGE PERNA Telephone(508)685-0950
DIRECTOR Fax(508)688-9573
NORTH I
Of
I61
Q
Q T
• i �
F o a f
9SSACHUS�t
DRIVEWAY PERMIT
Date:
LOCATION: C7 &d2el
BUILDER: phone:
OWNER: o phone:
The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the
grade and set-back from street established in any driveway entry onto any street or way maintained by
the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval
of such entry.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
Remarks: Approval:
L6ty
MORTFI
own of over
0 VA
o L K rt dover, Mass., 19
G OC HIC HE WICK � -
A0RATED p? 5
5 BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT.................................�lo .... .. ..................6.....6 ..5...... A.............. 0C, ;____
has permission to erect...................-�--.—...... building$ on ..........�.. ..........( .t.�.. ..y.....................
to be occupied as...............................................:......�/..�.C4-e......... R.F?!1.. .. , ........................................ s
provided that the person accepting this permit shall in every respect conform to the terms 6f 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. PLUMBIN IN EC OR
VIOLATION of the Zoning or Building Regulations Voids this Permit. OA 7
PERMIT EXPIRES IN 6 MONTHS F al 3
UNLESS CONSTRUCTI>NST( R ELECTRICAL IN PECTO
Rou....... ........................................... Service
BUILDING INSPECTOR
Occupancy Permit Required to Occupy Building GAS INSPE TOR
Rou
Display in a Conspicuous Place on the Premises — Do Not Remove e 3
No Lathing or Dry Wall To BeDone FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
i
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 449 (1996) Date MARCH 10, 1997
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 60 RIDGEWAY
MAY BE OCCUPIED AS SIGNLE FAMILY DWELLING IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Kensington Woods Ltd.
�: oA 321 Commonwealth Ave.
ADDRESS
s,cNu
ui ding Inspector
Date., ..,
, .� 24 . 9
_ g
s
NpRTN TOWN OF NORTH ANDOVER K'
Of t,.ao .e 1ti0
? a O
PERMIT FOR GAS INSTALLATION
SA US .tea
Q�
This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . -�
has permission for gas installation . . . . . . . . . . . . . . . . . . . . .
in the buildings of .
at . . . . . . . ) . . ., North Andover, Mass.
Fee. 7..j Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAS INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File
i •
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTin
(Print or Type)
NORTH ANDOVER Mass. Date
,/I A.buil ing LocationPermit
Owners Name
New Renovation D Replacement p Plans Submitted
FIXTURES
- � W y •
z w �
N CC .p 0 ' N =
ttf Q to CC
a pr J O V 0 S tls
z Q � > z z o
w
m 0 tw- d ¢ oo ' a W t-
ts m s w w a s 4
., t- to y
w z v z a to `w a to. o t- z
n t- z r z t. w w a 0 > 9L tw- w 1 iw- m
z a W e a t- y. 0 w 0 a. o N =
a ,cr > a w o z a cc a .4 0 0 to _ o W t-
cc x O o z u. a ra .t v rr y 0 a t- o
SUQ—BSPdT.
BASEMEMT
IST FLOOR
2ND FLOOR
3110 FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name Q Corp.
Address e�Q ��j S �Q�` Partner.
f Firm/Co.
Business Telephone:
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy Other type of indemnity 0 Bond
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 E] Agent El
I hereby certify that all of the details and information i have submitted(or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and Installations performed under Permit isseed for this application wilf�e in eo noo with cat
provisions of tho Massachusetts State Cu Code and Chapter 142 of tho Central Laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of Licensed
City/Town: Master 71c—e�
be Aum�ber itter
Journeyman
APPROVED (OFFICE USE ONLY) Lns
Date. ./.8 .Sj?
"0R'" TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
,SSACHUS�tg /
This certifies that . . . .... . j. . s°^j . .. . . . ./. .O/ :'V 4-77. . . . .
has permission to perform . . . .w. .��'tzy .
plumbing in the buildings of Oe C5
at. .bz.>. .117,1).or7I�Llo�. . . . . . . . . . . . . . .. North Andover, Mass.
FA/ '..�'. .Lic. Noal.4-P?7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
86/20/97 12:06 15.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
E •• •_••• """"'�� �•+ �rest•unuYl Arrut•A/sun run rtttrAi i I u uv rLuuvrurr.v
— (Ptint a Type)
NORTH ANDOVER, Maas. Date .10 n �� �887--4 r;'
Bugding - Permit, 3
Locstfon--L R1 (.(1
�
r aha i`wa
New m/' Retlovsilon ❑ Replacement 0 Pians Submitted: Yes❑ No.a-�
FIXTURES
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M s Is i t•e o � w a0 so IL �
Is M A ; Y w e • s a O `
U y � a Y a or o s • 16 Kw
as s
lfYl1—!lMT,
[ 1-ff _ _ -
fAflII�NT
1fT FLOOR
' tlMO FLOOR
11110 ►LOOK
4TH FLOOR
IT 11 rL0011
ITM FLOOR,
1'TN FLOOR
ITN FL00R _
Check one: Cartillcate
Installing Company Name P-4 �� IpL rt�,,,�vy,,y ❑Cow
Address (,, G Y/i�/,�c�✓ (,car rkik v .T__.. ❑Partnership
a !/1 YAC @.Ffm/Co.
Buslness Telephone
.Name of Licensed Plumber �L�
r
INSURANCE COVERAGE: ChecX one
I have a current liability Insurance policy or Its substantial equivalent. Yea Q/' No 0
N you have checked y", please (/ndicste the type coverage by checking the appropriate box .
A liability Insurance policy flY Other type of Indemnity 0 Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Masa. General laws. and that my signature on this permit application waives this requirement.
% Check one:
1Wnaturs of Owner or Owners an Owner ❑ Agent ❑
hereby certify,that all of the delafle and information I haw submitted for entwedi In above application are btte and aauraie to the best of my
pe and that al phxnsabing work and Installations p*rformed under the p.�laauad for this applkallon w11 be in compliance with all
pertinent provisions of a Maschusetts State Plumbing Code end Chapler Il 2 o11M Qw al taws.
a
� nor ue
by/Town Manse Number
APPfIOWD(OFFICE.USE ONLY Type of Plumbing Ucense:Masiar O tla�
Journeyman