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HomeMy WebLinkAboutMiscellaneous - 643 SALEM STREET 4/30/2018 643 SALEM STREET 10/065.0-0051-0000.0 \ t��. �. I;�i �, �; ,1 �'�� 9'1 68 Date.,46L/. ././l. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ♦ � •• r r ,SSACMUSE� / This certifies thatCl •�r�Q�• lri.Qty! �' . . . . . . ` has permission to perform . . . . . . . . plumbing in the buildings of q' . . ./.91,N ej. . . . . . . . . . . . . . . . at. . 4-�/-? . ,_ 4�1. .-.. . . . . ... .�. . . . .. North Andover, Mass. Fee. ,90 -$39bc. No..P-T/9. . . . . . . . . . . . PLUMBING INSPECTOR Check # 2V MASSACHUSETTS UNIFORM APPLICATION FOR TO DO PLUMBING (Print or T' TMass. Date 20 // Permit# y; A4 a' /w � t` Building Location lX � wner's Name Owner Tel# Type of Occupancy {� New ❑ Renovation V/ Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES z z x oLn z z z Ln 4 W x z �" ¢ o z z v) W Cn 2 U v z o � �t ¢ w � ¢ w A z H U ¢ x 3 = a z x z SUB-BSMT BASEMENT 1'7 FLOOR 2"D FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR T" FLOOR Installing Company Name u �p Check one: Certificate Address 6 — 'Corporation U-a l9 ❑Partnership Business Telephone O� �` w� L� ❑Firm/Co. Name of Licensed Plumber / //Cd✓1 �� INSURANCE COV GE: I have a current iliry insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2 No ❑ If you have checked ves,please ind to the type coverage by checking the appropriate box. A liability insurance policy ' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)in above p t ation are true and accurate to the best of my knowledge and that all plumbing work and 'nstallations performed under the permit issued for this appl' non aill be in compliance with all pertinent provisions of the Massachu its State Plu ode and hapter 142 of h Gene a ws. By rr < re o icense Plumber Tile Type of License:Master 6'0' Journeyman ❑ City/Town APPROVED(OFFICE USE ONLY) License Number U. -07 LICENSED AS A MASTER PLUMBER WILLIAM D LANE 169 JEFFERSON ST DEDHAM MA 02026-5028 8318 05/01/12 784881`::\ `�p� rn—rrrr;neE r �p•T�,^�'I 0 J+ �!F �����c}Ia M1�I �p A+CC>RE7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �• 10/27/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: James J. Dowd & Sons Iris PHONE FAX 14 Bobala Road A/c No Ext):4 13-53 A- A/C No):41 S'46-6020 - E-MAIL Holyoke MA 01040 ADDRESS: PRODUCER CUSTOMER ID#:SUPPL INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Travelers Superior Plumbing, Inc. INSURER B:Massachusetts Employers Ins Co MEI 8 Sanderson Avenue Dedham MA 02026 INSURERC: INSURER D: INSURER E: I'' INSURER F: COVERAGES CERTIFICATE NUMBER:1012523520 REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM/LDD/YEFF YYYY MM/LDD//YYYY LIMITS A GENERAL LIABILITY DTC08038L228COF10 11/29/2010 11/29/2011 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTE17- X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $300,000 CLAIMS-MADE 1_-_1 OCCUR M ED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2.000,000 POLICY X PRO- LOC $ A AUTOMOBILE LIABILITY DTA08108038L228COF10 11/29/2010 11/29/2011 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ $ A X UMBRELLA LIAB X OCCUR DTSMCUP8038L228TIL10 11/29/2010 11/29/2011 EACH OCCURRENCE $5,000,000 j EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 I DEDUCTIBLE $ X RETENTION $10,000 $ B WORKERS COMPENSATION MCC2000134012010 11/29/2010 11/29/2011 X WC STATU- OTH- AND EMPLOYERS'LIABILITY - -- ANY PROPRIETOR/PARTNER/EXECUTIVE� N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Of North Andover Jim Diozzi, Plumbing Inspector 160 Osgood Street AUTHORIZED REPRESENTATIVE North Andover MA 01845 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Date./s/w.f �/..... .. Of.,AORT1y TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION . 9 IS "S This certifies that . .sv/wl"l.�!" . ,/Y. . . . . . . . . . . . . . . r` has permission for gas installation in the buildings of . ./f/ r?�!�' . ./ !!le . . . . . . . . . . . . . . . . . . . . at . . .��� . . 4'/e�?. . . . . . . .©., North Andover, Mass. Fee.JO,Ar?. Lic. No. 0 elZZ 7/a. . . . . . GASINSPECTOR Check# 7875 MASSAC S,JTTS UNIFOR .APPLICATION FOERMIT TO DO GASFITTING Mass. Date /07;0'-- 20 L� Pe -t# VBuild.. Location. Owner's Nam/ xA Te ofOccueancy New ❑ Renovation V Replacement ❑ Plans Submitted: Yes❑_ No❑ G Cn Cn U w w W o H 5 E t' CD x z `s z o w W ¢ � CD 0 off z W Q ° a x ¢ > Gi wW � w ¢ � zW F" QF Cn U WW W - dc4Q ¢ owowl x 0 c7 x w 3 G] C7 a 00. 1r P. E Cz O / SUB-BASEMENT BASEMENT FIRST(I ST)FLOOR SECOND(2ND)FLOOR THIRD(3RD) FLOOR FOURTH(4TH)FLOOR FIFTH(5TH)FLOOR SIXTH(6TH)FLOOR SEVENTH(7TH)FLOOR EIGHTH(STH)FLOOR Installing Company Nanje d Addres Chec one: Certificate Corporation �oZ Business elep gone ❑ Partnership Name of Licensed Plumber or Gasfitter ❑ Firm/Co. INSURANCE COVERAGE: I have a current liabiliti rance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes No❑ If you have checked y_es, please indicat the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the MGL,and that my signature on this permit application waives this requirement. �Sig-natur,of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the peliliit issued lvr tlii" appiicatiorl wlll U9 in COIiipiiariCc wiui all peilinent provisions "i`le Massachuseils Stat Gas Code and Ch" ter 2 of,4 Ggtferal Laws. By T of License: Title lumber Master ignature of Licensed n er fitter City/Town ❑ Gasfitter ❑ ]oumevman License Number 1 APPROVED OFFICE USE ONLY) COIUIMof4V1EALTH OF MASSAGHUSETTSknidi 111 , ® m •°m m ' ..PLUMBERS AND GASFITTERS` REGISTERED AS A PLUMBING ISSUES THE ABOVE LICENSE TO; WILLIAM D LANE SUPERIOR PLUMBING INC 169 JEFFERSON ST DEDHAM: MA 02026=5028; .: '�:a 3277 05/01/12 950454 '`'' I umMim 1 F Fuld,Then Detach Along All Peifofations Location No. 2-5� Date 9 01"'90 TOWN OF NORTH ANDOVER " F p Certificate of Occupancy $ _ Building/Frame Permit Fee $ 5 sE Foundation Permit Fee $ r s�cHus t Other Permit Fee $ Sewer Connection Fee $ r Water Connection Fee $ TOTAL Building Inspector x / 06/11/96 1130 98 D Div. Public Works ' !' ' PERMIT NO. rC _ APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP 4J0. I Ldi NO. ,/1 0 r_j 2 RECORD OF OWNERSHIP (DATE (BOOK PAGE ZONE SUB DIV. LOT NO. C—Q4JV er 77 LOCATION �'i set pv� J7' ' PURPOSE OF BUILDINGyr ! �/ :...:.:.: OWNER /� ,1 ..,. ... 'S NAME Z-im P,'., 6.0 C7V`�. _ NO. OF STORIES SIZE/ -.! OWNER'S ADDRESS (pq.3 C�I`p� p -I BASEMENT OR SLAB 1�4 b ARCHITECT'S NAME CC((II II `•J d SIZE OF FLOOR TIMBERS ISVT '1 f�6 '1�'-2ND ARD BUILDER'S NAME AIA 0`�. e1A)A 4 6 0 SPAN /D C�l� DISTANCE TO NEAREST BUILDING RS/ „�- DIMENSIONS OF SILLS16 DISTANCE FROM STREET `f,�11�•I „O., POSTS DISTANCE FROM LOT LINES—SIDES �7 ,1't A REAR _ 6' t� ® ::: GIRDERS AREA OF LOT `d 4' FRONTAGE �]r HEIGHT OF FOUNDATION //_ �/ THICKNESS IS BUILDING NEW U i1 SIZE OF FOOTING w X �P „ IS BUILDING ADDITION 0 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFOfIM TO REQUIREMENTS OF CODE %i S IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY yf6 - IS BUILDING CONNECTED TO TOWN SEWER �Y - IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EBT BLDG cosi . . ... - ._ -EST. BLDG. COST PE Q. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST HE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FIILED.AND APPROVED BY BUILDING INSPECTOR � DATE FILED ��Io��i / 7 w�+'yf r rCl-�tidf:,.`=E`f :. " �UILDINa INBPECTOI SIGNATURE OF OWNER OR AUTHORIZED AGENT -} F E E OWNERTELI PERMIT GRANTED CONTR.TEL I 03-42'*? C+ 19 CONTR.LIC.I o/ H.I.C.I CYR Q 0079 Ix /0Ge 4 'low 0 h� x4JG a� - WV.-i —1,A e3J1 (b0� ` yrc,Pu,® cf,T �CLooit JotS7s SitrMP%ed Ott r-LOOri 7b i' Vndrl l� —-- oil fix),rT V'Olotk r-ouw 4A?#f v Y t7-� )(7-eri0r garotte WALL BLOCK rT/V F O K7' 7 d oot is I axe o`er SLeer�� C2rt� opt COA 801Vb.1S1N1wOV c�°�ucvi�J $AV UolBUtsuaN Zj v OalvNIa 38vw 86/Sl/90 U011e11dx3 W(taIAlONI — adAl LLtIOI Uot1el1s1Bag i ` �'Lee �arrvrreaozeuea� a��cwaa�uaelZa; Restricted To: 00 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE 00 - None Nuiber: Expires: Birthdate: IA - Masonry only CS 043801 11/19/1991 11/19/1952 1G - 1 8 2 Faiily Hoses Restricted To: 00 MARC W RINALDO D &)Lz 12 KENSINGTON AVE C0MM1c---•_q METHUEN, MA 01844 „ - � 9 NORTH ov of over 0 LKrt " dower, f.Mass. coc�icnewicn � ' A0RATED V'P��,�� SF BOARD OF HEALTH PERMITT., D Food/Kitchen Septic System ' BUILDING INSPECTOR THIS CERTIFIES THAT...................................... -.�. ........... t!(... ..�`� . ...............................:....................... Foundation has permission to erect.......... ' nAa .....y liW on .........6..`1 , .............. .l .N..!........ ............ Rough t0118 OCCUpled as.........................'........................F!9' ....l.. .............. �d.. ........................................................... Chimney provided that the person accepting this permit shall in every�spect 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 S S ELECTRICAL INSPECTOR Rough ............................ ......... ...... . ....... .... ........................................ Service B ING 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. Location 7 No. 'l �'r`� Date 1 3 NORTp TOWN OF NORTH ANDOVER O:t �au ,�1•�.O p Certificate of Occupancy $ 41 c ; Building/Frame Permit Fee $ ' ss�ssR4 ,SSACNUStt r Foundation Permit Fee $ t Permit Fee $ /fir wU r * , ,• -Connection Fee $ Water Connection Fee $ _~ TOTAL $ oOr Building Inspector Div. Public Works PERMIT NO., APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. t/AGE 1 .AP 4-40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK "PAGE ZONE SUB DIV. LOT NO. I LOCATION - PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRES L/ BASEMENT OR SLAB 1 ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME a fn fSPAN DISTANCE TO NEAREST BUILDIN 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 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION f, LAND COST _ SEE BOTtj�40DES zz ;p EST. BLDG. COST 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 BE FILE 7AN APPROVED BY BUILDING INSPECTOR • DATE FI D a .� BOARD OF HEALTH SIGN TURE OF OWNER/R AUTHORIZED AG F E E PLANNING BOARD PERMIT GRANTS OWNER TEL.# 19 CONTR.TEL #� CONTR.LIC.# BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY sroRIES 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 —I 8 INTERIOR FINISH -ONCRETE 3 t 2 13 -ONCRETE BL K. ---III PINE BRICK OR STONE HARDw D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. 8 M'TAREA _ V, '/Z 1/ FIN. ATTIC AREA _ JO 8 MT FIRE PLACES _ READ ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS :LAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ SNOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMIACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY iTUCCO ON FRAME _ 3RICK ON MASONRY ATTIC STRS. 8 FLOOR 3RICK ON FRAME CONC. OR CINDER BLK. iTONE ON MASONRY WIRING iTONE ON FRAME _ SUPERIOR POOR ADEQUATE I� ONE 5 ROOF 10 PLUMBING TABLE HIP BATH (3 FIX.) AMBREL MANSARD TOILET RM. 12 FIX.) 'LAT SHED WATER CLOSET _ 4SPHALT SHINGLES LAVATORY NOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ TOLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING MOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM iTEEL BMS. &COLS. _ HOT W'T'R OR VAPOR NOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OI L 8'M'T 2nd _ ELECTRIC Ist 13rd 11 NO HEATING J NORTH E / Townof - Andover VT% T r- o� OCLACHIC dover, Mass., ` 7 ADRATED PPa\ C. t '9S H BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT................ . ........ .. .. :'::..... � " � Foundation has permission to erecd. ... ............... Rough to be occupied as................ ` .... ........9 .. =oto ................... .......................................... Chimney p .. ... „ .. rovided that the person accep g this permit shall in eve respect catheterms of thea lication on file inP P P rll papplication Final this office, and to the provision 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 CONSTRUC ON STARTS ELECTRICAL INSPECTOR Rough :...................................... :. ............................................ Service B LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rnagh No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Cx,*zI $ Smoke Det. SEWER%,WATER FINAL i�-Q/7 J DRIVEWAY ENTRY PERMIT Location , � �,No. ,�Y l ' ' ..� Date Z � NORTH TOWN OF NORTH ANDOVER F , Certificate of Occupancy $ ,Building/Frame Permit Fee $ -- t'`F6undation Permit Fee Other Permit Fee $ � r� Oq�NP��O Sewer Connection Fee $ r Connection Fee $ TOTAL � . <<e • �- Building Inspector Div. Public Works PERJi�' N�. S�7 "S APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK -'PAGE ZONE -IS B DIV. LOT N �I y� 1 7 LO ATIONto --C TAC l D of�L�!- Cr URPOSE(� 1-0 t{� T Y2�A OW ER'S NAME „� NO. OF STORIES SIZE OWNER'S ADDRESS IC/TJ S 11 L�YVI ST. BASEMENT OR SLAB - ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD SPAN -- DISTANCE TO NEAREST BUILDING •v A 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 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS LAND COST n SEE BOTH SIDES FST. BLDG. COST r Q t1l f,.�- J PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM * PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY I ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P "S MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DAT FILED BOARD OF HEALTH SIGNATURE QF OWNER OR THORIZED AGENT F E E PLANNING BOARD PERMIT GRANTED / 19 BOARD OF SELECTMEN NT6uilding C7 { 7 'BUILDING INSPECTOR 1 Dept. CREAM: Assessors CANARY: Treasurer T � 4 BUILDING RECORD 1 OCCUPANCY 12 ` SINGLE FAMILY S.-OkIES 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 3 112 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER _ _! DRY WALL _ UNFIN. 3 BASEMENT 11 AREA FULL I FIN. B'M'T AREA _ V, 1/1 1/. FIN. ATTIC AREA _ N_O BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS 6jLAPBOARDS B 1 2 3 `DROP SIDING CONCRETE �_ WOOD SHINGLES ARTH' __ _ ASPHALT SIDING HARDW'D - NI�BESTOS SIDING COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY - WIRING STONE ON FRAME SUPERIOR (-1 POOR - ADEQUATE NONE Gj ROOF 10 - PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM'. (2 FIX.) - FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK - SLATE NO PLUMBING _ TAR & GRAVEL d STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE - _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 6 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS SAL BstM T 13rd I NO CHEATING WOOD STOVE INSTALLA ION CHECKLIST Permit U A building permit is required for the installation of any solid fuel burning appliance. The building permit and �. installation inspection are limited to the stove installation and not to the stove construction. Stove A. New t/ Uj -f,44 --*/y y Used AILJ B. Typelradiant ✓ Circulating . C. Manufacturer � Lab. No. /d,�'� -✓ Name/Model N u _Collar size Dimension eight d Length /4 t Width lob Chimney a` A. New ✓ Existing B. Size(flue area) C. Other appliances attached to flue(Number and flue size) D. Prefab(Manufacturer—name and type) E. Masonry/Lined \/ Flue liner Unlined / type d manufacturer) F. Height(refer to diagrams) 6tA,, g:,5-bA � cap 12" h11r1. 2t MIN. z �1It1. 15ML, !2 fi— ,ulrt. ►g"fAIN. — (FUEL, HEARTH CHIMNEY HEIGHT Hearth(non-combustible) A. Materials B. Sub-floor construction C. Minimum dimensions(refer to diagram) aA� Clearances and Wall Protection(see stove installation clearances chart) A. Type of wall protection provided Co-< z-r� —'24-a t B. Clearances(refer to diagrams) Com- Com�1ir i FIREPLACE CORNER WALL/CENTER 13 � +z—\ Mike Use Only '' �✓ The Commonwealth of Massachusetts Posit xe: 3. Department of Public Safety Occupancy L ren ahtehee BOARD OF FIRE PREVENTION REGULATIONS SU CMR 1200 3/90 ;t,,,K ntanti APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All uvrk to be performed In accordance With the Massachusetts Mcctrieal Code.527 CMR 12.0 10 (PLEASE PRINT IN INK OR =E ALL INFORMATION) Date City or Town of O lu 0,K- To the Inspector o Wires: The undersigned applies for a permit to perform the electrical work`described below. Location (Street 6 Number) f0SA&Zcel Older or Tenant ftlwlh, u Owner's Address Is this permit in conjunction_with a Zilding rmit: Yes No C3 (Check Appropriate Box) Purpose of Buildiny►//�[1,1 Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters " New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and A-pacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets Total 8 8 No. of Hoc Tubs No. of Transformers KVA +` No. of Lighting Fixtures 14 Pool Above In- Swimming grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Bactery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges - Total No. of Detection and 8 No. of Air Cond. tons Initiating Devices No. of DisposalsINo. of Heat Total Total PumDS Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No* of o. or Low Voltage S1zns Ballasts Wirin No. Hydro Massage Tubs No. of Motors Total HP OTHER: Jdle 1� INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YESba NOD I have submitted valid proof of same to this office. YES® NO If you have chec ed YES, please indicate the type of cove by ch kin the appropriate ppropriate b;M31 INSURANCE X BOND ❑ OTHER❑ (Please Speci ) /�j4 by ch Estimated Value of EI trical Work $ p ratio Date) Work to Start Inspection Date Requested: Rough Final Signed under the a lties of perjury: FIRM NXT �+ // A�/�C C & � . LIc. N0.�3 a Liutnsee J xf �/ae � Signature Lic. N0. 14 S9 3,3 Address /6L /L, 5'ipE V/ j8us. Tel. No. SGFf COS' Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts GeneralwsL—a,and that my signature.on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agen r�� ,4�`n'._�#"•'' sdC#, �..ra�w"v�'S.F'�;�a..s'i-:lac-w-...�c,�,.r�v.r�- "✓"tit.rr�..w�..�47w r"_r:p. . .k F " Date........... .... ... ..: .. i s° 313 NORTF� TOWN OF NORTH ANDOVER � PERMIT FOR WIRINGcc c ; 10 s This certifies that ....t, 1�t.�j.41 ....�..-....'e.c:bz ` ...........:...::..:.........:.. has permission to perform ....... 1. `.'y..... .. y'!l..Xy.. ....... wiring in the building of........hic.. z.e.yl. M at......6....913........S:q.�r�....S/.,..y.,................... .North Andover,Mass. g Fee..a. '. t.U. Lic.No.�'3 :.1.......................................... . ELECTRICAL INSPECTOR I&CA WHITE: Applicant CANARY:Building Dept. PINK:Treasurer 0-Y Randy Heins -� ® A q�� 643 Salem Street North Andover,MA 01810 617-821-9347 W �)�V ^f December 22,2014 Q. `� Jti r-A ` cq- YIncorporated Ke Lime 1 , 10 Hepatica Drive North Andover,MA 01845 S To whom this may concern, My family and I reside at the corner of Nutmeg Lane and Salem Street in North Andover. The town of North Andover identified the land between my property and Nutmeg Lane to belong to your company, Key Lime Inc. In 2011, 1 contacted you by phone at 978-683-3163 to request that two dying trees from your property be removed as they posed a safety risk to my property and the public way. The two trees remain in place. One of which is severed at the ground and has fallen onto a supporting tree. That tree leans more each week and will likely fall across the sidewalk and onto Nutmeg Lane soon. The other tree is dead and will likely fall across the sidewalk and onto Salem Street. ` The intersection of Salem Street and Nutmeg Lane is a very active pathway for those walking in the area. My son and our neighbors often pass on the sidewalk under these two dead trees. There is an immediate danger caused by these two trees. I request that these two trees be removed before anyone is injured. Sincerely, )0".' *--, Randy Heins Enclosed: Map of Salem/Nutmeg intersection, images current state of trees cc: North Andover Conservation Department ' 1 - < Dead Tree#2 failing direction on Dead Tree#1 failing direction onto Nutmeg Lane property ^� wa 3 Salem Street � �'•° � j / `fir w „q,,�w�.u+#:' •, •�SWvu '�i<.i��hm::. �':�'!``'�. ,fit „�''..' NMI- Own— NW ` '�• � '°� s`•i fir. '' :���♦ <!: \�R)'•� ! P i p{t r•a'- VP < V � r e� gG Ln a r •£+"s A. yt$ �'a^6n tt�pi .' �°�'t l'°x s� 3! gra c.• q� i i s t p r t'i `4 1,A zp ", s`t B w t a+ t'V � �+ r "s�t'r � � a ��• i A •ebFx°F 1 ��r � '�{�F q. r tL F ##y?y�+ /t• �"f�F� I 'yw 1p � Lf y,, B 8 yF � S r f^� "*"Pjfj�, f e:, �f .."'4�Sf t 'h.,,r `� �� g{� ,.t���9'i,f�Pi. i#�j.���t� 'jt•.. � ,4'4r11' i'ljr+]���t�... tar S ,rad 2P ' SRI -kb' £by adjacent tree, leaning towards ''.,'td't ,5Q.4 �� tA?' u:dra.a.9l ky. Dead Tree#1 dead, being supported ¢ ' Nutmeg Lane i yrs, e• n F Owl_Omh r r- ^ :w t� tg � 1 y� 1 r-+�j'L �pi'� '�', r � .�,.�+ f'- • c � ��b,$'y'S•4e �tl fe�`���.,� ' ��.. Vol At # T � � SPhJ"r y� ; �- }�•«��i� x 'X� s. � ys '� 4. 'S�`,�+ �3.�.'�. ! - � e f ;n f ►,gf�/ ����. Yp9asr"i �$"li � ,�S•-•--_ P���r' 11`�,+•�i �� -;Aati.� D .• tree#1 stump, recently severed �Z , e � r • ra�•v�w= 'NStreet ' "IO Dead Tree#2, leaning towards Salem }gY 7 ' S v Igor http://mimap.mvpeoig[tlorthMdovetmimapp p N�Welcome to Nortfr Arpfover,b1A Town of North Andover x ' Fileit View .Favorites Tools -Het Ed P NORTH 1? • r 14 IZ Base Map Zoning I 2012 Aertals Watershed Zone -Utiltties S'I—lion r 1 egend Loratlon Markup 1 + Help Mobile; Scaled"=105 ft v 1'Parcels ! �(showalp : FvII �e Owner Prop ID Addres 0-0059x,' tt EGA T ... r•-`.# E R" - .-- ROBBiNS,STEVEN D&KAREN C 038.0-0022-0000.0 20 NUT s • J • 0 1 *, ,' � � , a 06%0110 r< * ""& t it T� LH '+� SALEGA•5T .. • � •_ � � r .CK S selected To Mailing labels To Spreadsheet. ZT R ".S property Building Permits Planning Septic Pu ,q..• �+� NU E, ''�' t.E . yea, 110 li -Punt Owners ROBBINS,STEVEN D$KAREN A C � •r T �: 5T l.£G1 Sd _ � KALAC � 0 NE Address 20 NUTMEG NE Diivner2 ROBBINS, � � +� - -PropertyID 038.0-0022-0000.0 Lot Size 29185.2 5 - Fiscal Year'20i3. -Land Use Code 101 065.m Last Sale Date 376.42 V ,,= y. :.•;,.. - ,. r: 7 SALEtd•,.�.. Book/Page 7452... ¢r'roDertY Search Page v�Go a.a.e(ow�5vc.�:�xj .�cpcxm Save:Ma p as.rnage A Thursday,Jan 29,2015 11:55 AM