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HomeMy WebLinkAboutMiscellaneous - 66 CROSSBOW LANE 4/30/2018 (3) / ( 66 CROSSBOW LANE J 210/106.B. 199-0000.0 f a I Date...:6777.2.—.. 07 �' HORTM °f�"`° '•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING r �7SSACNUS� This certifies that has permission to perform ..... . wiring in the building of........... � �'� ..... ......... ......................................... 66 at � Sw ' ,North Andover,Mass. Fee...°. .�......... Lic.No.?d . .......... ....—r.....41�, ELEemcAL INSPECTOR Check # 674,E �► �L� I Of WumOWY Oca%.y and Fee Chedoad BOARD OF FIRE PREVENTION REGULATIONS ptcy,inn APPLICATION FOR PERMIT'TO-PERFORM ELECTRICAL WORK Auwo*,Wbcpc[fD mmdbaaooiaI wAhSxM=ssdmmftEbciWCa& lgnSVCURi2.W (PLE LtspB IIFlmmoxTYPS V ]11 Dam -� 9 City or Town at dr h 0 t? 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Htst3 HW Bei No.6�DlY�fJls er No. ofMaders TOW Hp Wa.of Devfoes er oT�en� �additio.>�ldeaamTfjdemtr�ar�s�g�d►adb�'d�al�'�°''�� Esiime�od Vidne Talc (Wbm required by pon-'9) wafc�3out Lmhv tOb'° insccadeoeewfobl�CRffieiQ9nd�anaamP)e - i no forcepm�'oemtmew<a£ w�od��issweMess vaqDRApiC8 0�proaa[�9 Moo= me mp ar t s ee::itiea s�ecb isinfaa,s"hwea toftpanvo�E afflc:a .CUB=Ori: DOURAHM BMW Q OTIM ❑ tsar) Z u Iexrl%se���d °f � I1CN0» F xwM6: >3CNa- 9 7_ w � •� tlie6iaenes �� �P� Oi Q L �Tei.x� 97 fr•-&3� AiLTdp�. 7,� Address: I&Sadly�S"I3oma I&No *PerM.0 I.-0141,s.5?-61,secsritY�os1� - o, ����wAivlae: i,� .�� �ao�t.bagedte liab�ly ie�aaax �°0�' ,q,hvd by law W my bdww�lbgft l mntirs(ci ace owner awn 's Ownuffigmt Taep�a.eNo. prr :s Location 40 S".. No. Date NORTH TOWN OF NORTH ANDOVER � 1ti WITP Certificate of Occupancy $ s„CHUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ S Check # -56 � Building Inspector I TOWN OF NORTH ANDOVER f BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BLUDING PERMIT NUMBER: DATE ISSUED. �3 X ic SIGNATURE: ,c B;T i9ng Commissioner/IEECEtor of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: . G�(JSS�OGy 4/Ue Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'red Provided Reqwred 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 ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record Name(Print) Address for Service q -af v Signature Telephone 2.2 Owner of Record: Name Print Address for Service: O Z rn Si ature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Mn Address Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name rn IP L Mm1V f;7" Registration Number Addres MW l G �b Expiration Date ^� Si na a /telephone tl• L 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 buildinjnxrmit. Signed affidavit Attached Yes......JX No.......0 SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify fAJ Brief Description of Proposed Work: V 01� M(" pay LV(Va 1 VCAPIL � s� 7r.( VA a SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY 7 Completed by permit applicant - 1. Building (a) Building Permit Fee / 36 /� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC a S� 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 1, All '`T- b 4 Y 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 6�a/ lVP(t, PrirobN Si ture of OwnerA ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T %4BERS 1 ST 2 3FD SPAN DIMENSIONS OF SILLS DIMENSIONS 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 a ' 1-1.1)No, 11.2 .. Jobb O�V l�V (��� /��/ Ml lall 1,u No unls'.1a ' �—�/ as�It:/ MA Ll'. No.120,1114 SALES: FOR ALL V.-York Dour.of U—,,a New York: SERVICEIREPAIRS HO►YleCQtl�Id�` ilral'e Lid,No.0730606 e00-s42.6m plEAS6CALL AIDS—Lk.No.147704160000 9oslon: FLIASE CAIL The Service Side of Sean" Sunola U0.No,21 IV41/1 80asPARS•31 SIDING Yaik4re 7907 ' Hartford Area: Westowsute WC0B13.N67 600-SEARS-99 CONTRACT New Jersey to.No.L011664 Prov Ideng�Area: Connecticut court,04 Consumer 880•SEARS•Sl Allen Lie.Nd,0063271e VT Lk,Na. SOLD TO L_ Rhod-Island Lb.N.131 1 ADDRESS_—�s�,A'r ;-, '( � DATE /1 PI IONE(Home)A7E)lRA1r7r lid�'__ CITY—.t1.Z� aLttG' ,4 STAT ZIP DlDI-.� PHONE(Work) JOE)SITE ADDRESS(f ditferard) APPLIED VINYL&ALUMINUM SIDING sold.Farniomd A InrIN11d by RAW Aluerk—S dlrp co,o'ow,aw IB Lyman 6t„Sulle MI A Begs Auhb yoed Comrade, --Wcgbaouph,NA 015Bi ao Einem Ad- ErmorA NY noxa General Description of Work at Above Adaress: Approx.Start Dale: /Vo O Typo Olt louse:pT 1 rami q MagOAsy Approx.Completion Dete: S O SPEOIFICATIONS Sean Approved maforlale wall.furnished and VlsraVed Id these sDepnee00m; YES �0 FI MSF nFAD CAREFULLY-ONLY THE ITEMS CHECKED•YES•ARE IOCi tF)F.D IN YOUn Onin n ' II IB(/BDLIOWINYL810ING-eoverongnalaaiareas deoyNteiforslalnpeasepttlrosaerplldesionstadaoloF.Gla bfALD Be _ IA'I V SIOINOwI P Cdr paChdBe CuslOm cornpr�— �1 h d Ip the IaTewih9 areas drily. Doss Bala Mott, bQ S L( II avantfrovalion q ipl ENvstka Initilib:t 1 pearllymon 0 Len EkvaUon 13 Partial /2 an NTNtn 'l5� I I Other U rste MttAH u•—.o tJ (O G.1,'�N.;e ' a i I y1 INSULATION•rgrer oCIV Iklw�N!desipnaled laf siding wilt / ae mIoptopreca AND emsI A✓psc beanspproesd OAIVANUO STEEL STMR STRIP where nGra xss ryhl � � 4 oeI Int faWOhe.. (NO]2411111t with h Halite.) A PEAMATAOS W D FINRN STRIP white a hactof doers Acspslary i^WIN obior ss Po'G.Not WINDOW OPENINGS aranlbN wdh NplAe.l 6 I I I I Current wrap with Seas Ippmved VIW doe alundnun;—1Color A47F�- I I Juno aver castings with sidiip and'J'chanes ColorI aLjj Cnmm1 e,islinq a� o rIW !�a Prc yuV,"'dpi e,_ bCdia i Dells�TO J�t 7 'V % NORTH F 0 of- _ 4Andover 0 JIL ti D� � O ��- LA E ori dower, Mass., 4?/ COCMICME WICK 7� ADRATED P .(C 1 S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THISCERTIFIES THATRke................. . .................................................. .................... .............. Foundation has permission to erect...vµ.r's /............. buildings on ........4.6....... 0"A.-.. �OW.... /V• Rough to be occupied as ~� ON igji i SAN vc �r 0 Chimney .......... �.......... ......................�....................................., ....................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough QG PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTI ST ELECTRICAL INSPECTOR Rough T A..............*,.................................. Service BUILDING INSPECTOR Final Occupancy Permit Required t0 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. SEE REVERSE SIDE smoke Det. r II HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 120456 Expiration 01 /01 /01 Type - PRIVATE CORPORATION BIL-RAY ALUM . SIDING CORP JOHN O 'NEIL 40 ELMONT RD ELMONT NY 11003 i ' i CERTIFICATE O F Y INSURANCE S U LATE ZI4�R�pD� AWED, CERTIF��A LIABtL1T RANCE as .Qs 98 DucEI; CFATIFICIITE IS ISSUED AS A MATTER ---�— PRO OF INFORMATION COUNTRY INN INSURANCE AGENCY, C LY AND ClAUMTiS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 217 MERRICX ROAD ALTER THE COVERAGE AFFORDED BY THE POUCIES EEL•Ow. SUITE 212 AY.ITYVILLE NY 1170 NSURERS AFFORDING COVERAGF. BIL—RAY ALUMINUM SIDING CORP . INSUR:E4 A.THE INSURANCE CORPORATION' OF—y 134-10 ATLANTIC AVENUE INSUAM a_CIGN- 'INSURANCE COMPANY RICMIOND HILL, NEW YORK 11419 INv-vtaA cREALM INSURANCE COMPANY immmv D GUARD IAN INSURANCE MTANY I INSL1ftE4 E: —— COVERAGES' THE POLICIES OF INSURANCE US70 BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE TOR THE POLICY PERIOO INDICATED.Norwv THSTANDING ANT RECLL1IRFME'iT, TERM OR CONOMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RE:PECT TO WHICH THIS CERTIFICATE MAY BE ;SSU ED OR � MAY PE'TAl N. HEE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUSJECT TO ALL THE TERM&,-EX=13 0"AND CONDITIONS OF SUCH POLICIES.AGGFZGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS- INSA I - POLICY EFFECT1VY FOLIC Y ExT gnom TYPE CF UVLrstM10E POLICY NulmeR LIMrrS GMERA.LLAZV rY EACR OCCURRENCE s I r 0 0 0 000 1 X COMMERCAL SEVERAL LUIBIUTY RAE DAMAGE(Am ons rrtel s 50 1000 CZ—QMS MAGE OCCUR 5 000 A IGL006886 05/14/99; . 05/14/00 P-RSONALIrACVauURY i1 000 000 GENERAL AGGRECATE *2 , 000 , 000 GEN'L AG GRET-Aj UMrr APPLIES I'MPN_OOUCTS-COMP/OP AGG $1 , 000 , 000 POLICY I 1a Loc A=omc°:LE UA aXrf COMUNED SNGLE LIMIT AIRY AUTO Ss i ALL OWNED AUTOS 8001LY INJURY SCHEDU"JT AUTOS �"o"s� i HIRED AUTOS BODILY INJURY i NO„•OWNED AUTOS . Low acovJ..+t1 PROPERTY DAMAGa $ IPer.cadent QIAPAGG LI.&SMIrTY AUTO ONLY-EA ACCIDENT L ' ANY AUTO OTHER THAN EA ACC t I AUTO ONLY: AO(S i EXCE33 L;AartrrY EACH OCURFU NCE 133 , 000, 000 OCCUR CLAIMS MADE AGGREGATE z3 000, 000 B BINDER # 05/14/99: 105/14/00 s oEnucnSLs CI 1514 9 7 • RETENTION L S WORKER'S COhTrw=ATl0N AND i g IJGRY—uMlTs07H C SUM.OYEMW UAaarrY BINDER 05/14/99 05/14/00 EJB EAcm ACCIDENT $500 '.000 CII 514 9 8 E.L.DISEASE-EA EMPLOYEE 1500 , 000 E.L.OISEASe-POLICY UMIT 8500 , 000 oTNENt' D DISABILITY BINDER 06/01/9$ IUN'IIL CI151499 I ICA CELED .oEsc�rnGH a�Ovstw-noMsnacaTlonsrvaicr�rocausaloNs aDOED aY s�cc�am+r�sr+_cwrRawsons , R CERTIFICATE HOLDER I ,iaa+slONaL INLURfi7; INSUPMt LEST- CANC��iT10H SNQLJLD A.YY Of 7'hPE•�COVE OF3CRt8ED POL}CF3 1SF CANCFStFD 6E�ftE TFrE F:YPIRATFON OATS TSa6 OF,TW_I=txNG INSURE{WILL ENDEAVOR TO M.LL 3 0 DAY.- WMTToy NOT=z To T3i8 cmm:iCATE HoLom NAM$I TD TNfi LEFT,aur,,%mLwm m w dO aKkL' MTOZZ NO OI UCATIOst OR LLANUTY OF ANY ICKD UPON THE IN.SUR L rr5 ACEYTS Cit R87�E2fTA '--1 Ai3TI'a7f� ',.yyE l 4 210 Date.....(.� _ ,LI o i { i NOR7p TOWN OF NORTH ANDOVER PERMIT FOR WIRING '1 •O•�T�O'�y1' ,SSACHUS� This certifies that ..... ��..`U r 0.....................S.P.�...................................... has permission to perform .....S.. ......................................................... wiring in the building of... �c `.ACP �? p�� t� ..... .................................... at.......t�.�... .U� .S 0w...�h...................... .NortP Andover,Mass. b J � Fee..................... Lic.No... ...���.......^...�.. .`.....A.. .�' .t �........ ELECTRICALI SPECTOR Check # 3 '5 �� TMCOMMONWEALTHOFIVIASSACHUSETTS Office Use only DEPAHI SVT OF PUB UC SAFETY BOA RDOFFIREPREVEWON REGUTA770NS527Ct1�tl2:QD Permit No. v Occupancy&Fees Checked APPLICA77ONFOR PERMIT TO PERFORMELECTRICAL WORK WORK IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE $2 LEASE PRINT IN IN 7 CMR 12:00 (P K OR TYPE ALL INF /ter ORMATION) Date �i�' Q .Town of North Andover To the Inspect r of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) C (�5'S ow L/� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building D b u Utility Authorization No. � xistin Servic -GZ g �U Amps t�Volts Overhead Underground M No. of Meters e ervice Amps / Volts Overhead Under found --- ------� g No.of Meters Number of Feeders and Ampacity ----- Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs' �/V No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above Below —VA Generators KVA round round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets I No.of Gas Burners No.of Ranges No.of Air Cond. Total Tons FIRE'ALARMS No.of Zones No.of Disposals No.of Heat Total Total No.of Detection and No.of Dishwashers Pum s Tons KW Initiating Devices Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices H No.of Dryers eating Devices KW Local ID Municipal Other o.of No.of f No.of Water Heaters KW Connections N Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER inma=Covemge;R ranttod�eregtmanetYsofM C,a�aalLaws :havEaametYLiabkhmamioepblicymchX1ff gComPletrOpai Cova,W0rits&ksMt>tialeg� YES NO havest>>xnWdvaalidpmofofsametotheOgioe YES ffyQulmwdrdmdYES,*Mir drvA eofcovsageby hec3��gthe box f VSURANCE� BONA OTHER (P9easeSPecify) (.�� D3 VoikioStatt h�pec6onDa-Recd Rough C f / E�valueofP7ac wod�C$ 3 Cs'G'^ ignedmderTiel rpt RMNAME 1 IicenseNo. _ I aensw S' LimwNo ��tP(1 BuskmTel.NO. -lrlrxc JVNER S IlVSURANCE W Ah Tel No. RIVER,IamawarethattheLioawdoesnothavetheinsutanoecoverageOrrtssuralq iva]atasmgtritedbyMass htuensGeneralLaws 9thatmysignmmcndmpemiftapphcah�thistegtnr�nt lease check one) Owner Agent Telephone No. PERMIT FEE$ --S—ignature or Owne—For-Agent Location " No. 2 tf Date TOWN OF NORTH ANDOVER o?o•,t`•o ,•,hooL ' p Certificate of Occupancy $ .�O, 0 C) * Building/Frame Permit Fee $ a10, U d k�, ?AtMEt Foundation Permit Fee $ kr�_ 'Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ ` O/V TOTAL $ d dF182-6 Build ni g nl spector 6 U99, Div. Public Works PF.V111T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1 MAP +40. ld� I LOT NO. ) (�, 0i 2 RECORD OF OWNERSHIP iDATE (BOOK PAGE — ZONE SUB DIV. LOT NO. ! Jr /P/e j LOCATION �� . ` A„g ` � � PURPOSE OF BUILDING �C40 , {� OWNER'S NAME 1't�j'S' ����inJ `�L�W�1�� + NO. OF STORIES / r SIZE !�' ��6 OWNER'S ADDRESS 1wf r ytr,.�`'E ��� l`Ali BASEMENT OR SLAB � 5��t. ARCHITECT'S NAME 1Q10A �C�_a�YG+. 1`i SIZE OF FLOOR TIMBERS IST �l� 2ND 3RD BUILDER'S NAME Rte. ,�] ��uC�• .i t I� ���� i. SPAN DISTANCE TO NEAREST BUILDING C.: 1C. DIMENSIONS OFF SILLS DISTANCE FROM STREET - POSTS 'ov DISTANCE FROM LOT LINES- SIDES REAR GIRDERS /✓ AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION ? ° THICKNESS l - IS BUILDING NEW SIZE OF FOOTING v^ X IS BUILDING ADDITIONdu MATERIAL OF CHIMNEY ! A/O 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 INSTRUCTI NS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST o O© FT COST PER SQ BLDG. . . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. ��. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUssY BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED /,pJ BOARD OF HEALTH SIGNATURE OF OWIfo OR AUTHORIZED AGENT FEE 3l �V v d�fll O I U PLANNING BOARD PERMIT GRANTft OWNER TEL.# "Y U1 19 CONTR.TEL. CONTR.LIC.# hew V_ BOARD OF SELECTMEN 'i ? MAY 251 ` - - /� j�'_V G ILDINO INSPECTOR 7AIRTRA.,ENT la t � � � s BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY StORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d t 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B M T' AREA _ '/. 1/2 '/ FIN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 22 f 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"✓'D _ ASBESTOS SIDING COMfAC:N VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I _I POOR _ ADEQUATE 1 NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) GAMBQEL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING t ,17 6446 . Lr XD • ti fit - MAY 5 air ROBERT JAMES SOTIROS H 28094 S Ed V v 4 IV t - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - • r B U I L D I N G C O N T R A C T CUSTOMER - OWNER: Mrs_ Angela Topham ADDRESS: 66 Crossbow Lane� CITY/STATE/ZIP: North Andover, MA TELEPHONE: JOB SITE: 66 Cross Bow Lane, North Andover Total price of this contract is: aa�,s�n_nn subject to change as authorized by the owner( S). This agreement is made on the date first written above by and between: Hawthorne Custom home Builders, INc. hereinafter referred to as "HCH", General Contractor and Customer/Owner hereinafter• referred to as owner 1. Owner wishes to have constructed and contracts with HCH for construction of the building described herein. 2. HCH agrees to analyze the owner's finances and recommend a budget for the proposed work. Financing of this agree- ment is the sole responsibility of the owner. 3. HCH will construct In-Law contemplated hereunder after a E" visual view of the owner's land and consideration of any land related information provided to HCH by Phe owner, HCH shall not be responsible for any additional 'costs hereunder in the event latent defects are found on, over or under owner's -land which result in additional expense to HCH such as but not limited to ledge, wetlands, peat, clay, unstable below ground conditions and the like. 4. HCH will work with owner's architect and engineer to outline a set of specifications for the construction of the in-law Those specifications, including any plans shall become a part of this contract between the parties. COMMONWEALTH (11010 COMMONWEALTH AVIS. . OFBOSTON,MASS.02215 • II ENCLOSE CHECK OR MONEY ORDER MASSACHUSETTS I c - { L I I Er\l'=;E FOR REQUIRED FEE, _ _ " EXPIRATION DATE :��`�_,(l�1 MADE PAYABLE TO � = EFFECTIVE DATE LIC-NO. RESTRICTIONS ) -; "COMMISSIONER OF PUBLIC SAFETY" �fDO NOT SEND CASH). w F'FA1•I :CI::E`: .I I1AL_.LC�id 029-44-8914N13 " h1A y: 3. 1 N :;T —� } - ilk, ? .. - t�i '►"i ihd NIA 7 .,•.�,� b iylr_ PHOTO(BLASTING OPR ONLY) FEE: .% '..F 'ti. •� NOT VALID UNTIL SIGNED By UCENSEE AND OFFICIALLY ' - HEIGHT: STAM R SGNATURE OF THE COMMISSIONER DOB: r l((��� THIS DOCUMENT M TT IGIj FIE OF (JCENSEE.r.I SIGN NAME IN FULL-ABOVE SIGNATURE LINE CAFIREO ON.THE.PE I _ o THE 110LDER;WHEN E -� ISggNER .. .. O `R{••mal rf,MUM4 P/(INT ED IN THIB OC _ 7 10 A ; � f ,��, � , �' �M1 # 'ar` �/u{ianrmoo+ueall/e o�./�aa)ac✓%uulla xvEl*� j' HOME IMPROVEMENT CONTRACTOR Registration 112669 48914` m8rt0,3=S3-j = -;► `ate`- ® Tice 'PRIVATE C0R 'ORATi7N j' _ w ee.-e3-a s-11 [NHiT3t101 04/15/95 311' - LON HAWTHORNE CUSTOM HOME BUILDER MAL .PATRICK: TR J. ALLON CY V- ` ., TLMSNQTON 11lA:,� ' `' 1 MAIN Si �c 1887-40m1 ;: ADMINISTRATOR WILMINGTON MA 01887 e �'.r+ •� � - - "iii 611 <i • I, FORM U - IAT 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 local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: X� Phone LO b -1 LOCATION: Assessor's Map Number Parcel j Subdivision Lot(s) L2Z Street �� CSf�!J �- St. Number **�k*********************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved od Inspec,Gt �o �r-Health Date Rejected A/0 2 �) Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit �re Department s- zi ? Received by Building Inspector Date - F1.11AY 2 5 ►� �; AORTH TONMI Of And No. i 0A�o�,,cQrt dover, Mass., JW 7� DRATED P �C S H E BOARD.OF HEALTH Food/Kitchen D . . Septic System PERMIT TBUILDING INSPECTOR THIS CERTIFIES THAT.... �f.. � .. .... �.. 40A......................................... has permission to erect.00APO .11100... buildings on -&-s...;�,�e. rea o...4ow ,e� ....... Foundation Rough to be occupied as49 / �. ..� .. .. . .�� ��r Chimney himn y 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. jewo*t 0"•'s 'W y .4,va PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN -6 MONTHS Final UNLESS CONSTRUCTION ST'ART'S ELECTRICAL INSPECTOR Rough 414 ...................................................................... Service p 10. - a U BUILDING INSPECTOR Final Occupancy Permit Require t0 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 - Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. t+rin►rn /IAIn-rr_n PKIAI �g nR1\/F\NSmoke Det. AV FNTRV PERMIT ___._