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Miscellaneous - 7 CARLTON LANE 4/30/2018
/ 7 CARLTON LANE 210/107.A-0019-0000.0 t I �I F Date........ ...........�....D..7 NORTH °f,"`°:• '"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SS US This certifies that ........&.jlv!......6 ......... .. ......... has permission to perform ................. .1.:z6 .. .... ......n................................. wiring in the building of d t ..ice ,.. at........x.4!9, .LTA41.......S7 ............... .. .North Andover,Mass. �r- �} l6ozy 'ee.: ... .. Lic.No. ............ ................. . o �i/� ............ ELECTRICAL INSPEC#SOR� f�Check /1 ljjj////// 7724 Official Use Only Commonwealth of Massachusetts y Department of Fire Services Permit No. 777-17/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)—J Owner or Tenant yl�� 1'c. �. Telephone No. Owner's Address `J cL i,,,, P Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i^Clnpy a i `� 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 Ampacity Location and Nature of Proposed Electrical Work: Completion o the ollow'n table may be waived b the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets l No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- o.o mergency Ig g Swimming rnd. rnd. ❑ Batte Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.of Detection an Initiatine Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers eat Pump Number .Tons o.of Self-Contained Totals: -' Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection ❑ Other No.of Dryers Heating Appliances Imo' Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of ' Heaters I�1 Signs Ballasts. Data Wiring:No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: l ZC IO (When required by municipal policy.) Work to Start: /G-/7-C,-) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under tAe pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: q I_10-LJtr tT C LC LIC.NO.: 1(9G 2 Y Licensee: ��� �j���� SignatureLIC.NO.: C,j Z (If applicable, enter"exempt"in th license num¢er line. Address: _& 6e L►lj r- 4-4- C\' I F �/�c l(�i'Cc� �� U(5rZ Bus.Tel.No.: 4C�j i *Per M.G.L c. 147,s.57-61,secusecurityAlt.Tel.No.:_1716-�0-ir-IF?cl.z security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ Wj 0 O/C The Commonwealth of Massachusetts >Ai ! Department of Industrial Accidents or EI� Office of Investigations ii �rr a 600 Washington Street `, ai Boston, MA 02111 {i www.nsass gov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aiiplicant Information Please Print Legibly Narne(Business/Organization/individual) C,� \ F—I(e�V' Address: �9 �{`-} C\ V c_[ City/State/Zip:_ �< << �,►.��Ccc,lN►t/�- G 1 a Z i Phone#: 7� SCJ 15�7_< cT ? Are you an employer?Check the appropriate box: Type of project(required): L.Q I aro a emplo with�_ 4. ❑ 1 am a genera!contractor and 1 employees ful and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am.a.sole proprietor or partner- listed on the attached sheet.t 7• [e—modeling ship and have no employees These suit-contractors have $. ❑Demolition working for me.in any capacity. workers' comp. insurance. q• E] Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.ED Electrical repairs or additions 3.❑ t am a homeowner doing all work right of exemption per MGL I.❑ Plumbing repairs or additions myself. [No-workers'comp, c. 1.52, §1(4),'and we have no 12.[_ Roof repairs insurance required.] employees. [No workers' comp, insurance required.] 1.3.0 Otter "Any applicant that checks bo)t*I must also fill out the section below showing their wo&ers'compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lCont actors that check this box must attached an additional shmr showing the name of the sub-connectors and their workers'comp•policy infonnation. !am an employer that is.providing:workers'compensation insurance for my employees: Belo information. w is the policy andjob site Insurance Company Name: Policy#or Self-ins. Lie.#: Expiration Date: Job Site Address: Lc,r 4 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a p fine up to$1,500,00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of u to$250.00 a da P y against the violator. Be advised that a copy of this statement may be forwarded to the Office of Y/ Investigations of the DIA for insurance coverage verification. !do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Si ature- /� Date: 1G Phone# 7 Official use only. Do not write in this area,to be completed b c' or town official y City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building.Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. 'However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152,§25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation.affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with-no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.. Also'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,notthe Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the numberlisted below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under,"Job Site Address"the applicant should write"all locations in {city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture ` (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-774 Revised 5-26-05 vvww.mass.govldia r Date....�..'. ......... .. NORTF� ;•140 a� ,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACHUS� r This certifies that .............pt.c .". . Aw ..........LG.C................ . has permission to perform .......42.004..... ....................... wiring in the building of � ��.1.!4 ................ ............................................... Ciy'12L T'o�/ Lam........ ,North Andover,Mass. at............................ ....................... Fee....�r ..."""Lic.No...ro O.2 .................... '. ..-�7�? ELEMICAL INSPECMR Check # I o 2. 7769 --- ��--=- �OIf1-Ifloinvealth-of {lssQ'UhllsettsOfficualllce yl; _.._ Department of Fire Services Permit No. `7 REGULATIONS Occupancy and Fee Checked UBOARD OF FIRE PREVENTION R • ev.9/05] leave blank ' APPLICATION-FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA77OA9 Date: City or Town of: l� &A f, To the Inspector of)fires: By this application the undersigned gives notice of lits or her intention to perform the electrical work described below. Location(Street&Number)_ ��- Owner or Tenant ��c �jjl,�t � _ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 7 �t_?j 30(0 l Existing Service I V(j Amps 1 Zi J.2t-L0 Volts Overhead❑ Undgrd g No:of Meters I New Service r7- Amps LW /7-'t/Volts Overhead❑ Undgrd No.of Meters l Number of Feeders and Arnpacity 15Q Location and Nature of Proposed Electrical Work: i-- A , Completion of the ollowin table 2 bo waived by the I or of Wires. No.of Recessed Luminaires No,of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No,of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ove ❑ ❑ o.o Emergency g g rnd, d. Battery Units No.of Receptacle Outlets No.of Oil Burners '`. FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection an Initiating Devices No.of Ranges No,of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers eat P am m ons o.'oSelf-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal[].Municipal Connection [I Other No.of Dryers Heating Appliances KW Security Systems:* No.of Witer No.of Devices or Equivalent o . .. Fm.�,;�:.. o.o ICW" � Data Wirin Heaters Signs Ballasts No.of Devices.or aIvaleat No.hydromassage Bathtubs No.of Motors Total HP a ecommnnications g: No.of Devices or Equivilent . Attach additional detail if desired,or as required by the lmpeetor of Wires. Estimated Value of Electrical Wodc 11-06 (When required by municipal policy.) Work to Start: L -,) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. �^OND CHECK ONE: INSURANCE. B ❑ 0 THER ❑ (specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: E e '4 r 1 C. L. L. ' LIC.NO.: 14L)LI Licensee: ' ►�i C,h Card F n'► Signature - LIC.NO.:E 3 307 (lfapplicablG enter"exempt"in a liceenumberline) Bus:Tel.No.• ,0 Address: Circle I ' r W f � AIL Tel.No.:_121 Iq G I *Security System Contractor License required for this work;if applicable,enter the license number here: 55 C-0 00051' OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Ovmer/Agent Signature Telephone No. PERMIT FEE. $ FORM U - LOT RELEASE FORM J ` G Pao 1 ej rs INSTRUCTIONS- This form is used to irerifythat allnecessary approval/permits from Boards and Departments having jurisdiction ha�e been obtained. This does not relieve the applicant and'or landowner from compliance utith any applicable requirements. ff...es.■...■m....r..own was■.■r.......■ .■■was■nan".Boom..rrr.s.r.s..ss.sss.a APPLICANT fi A u a11 Q`Q ri PHONE ASSESSORS MAP NUMBER 101- A _LOT NUMBER ®O 11 SUBDItTISION LOT NUMBER STREET °�''� `1 STREET NUi1BER 7 OFFICIAL USE ONLY ..woman.......... ........s...■'..■............................................ . R-ECOAPvIENATIONS OF TOWN AGENTS l....■ ..,......,■r....r..r.......r,...r......,.............W;.............. DATE APPROVED -7/20/0 CONSERVAMNAD"INIS TOR DATE REJECTED COM1�fh�]Ts DATE APPROVED TOWN PLANNER DATE REJECTED COT�fMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED _ 4 DATE APPROVED G SEPTIC INSPECTOR-HEALTH DATE.REJECTED"._ � CON*&-NTS NA-4. PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED CONDENTS RECEIVED BY BUILDING INSPECTOR DATE Location 17 (",612)4,) `—Nf-' No. Date 41 11R10 —3 MORTq TOWN OF NORTH ANDOVER O��,ae .e 1ti0 O ? •• •• F ' Certificate of Occupancy $ Building/Frame Permit Fee $ � �cMus , Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i 6 3 INA �--- Building Inspector 'r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI "NOVA T OR DEMOLISH A ONE OR TWO FAMILY DWELLING Ma in BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNA'T'URE: Building CommissionE for of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: / 1.2 Assessors Map and Parcel Number: Cat, 1 [ {T�.� b ,►tee_ Po-7.4 pal Map Number Parcel Nunlber 1.3 Zoning Information: 1.4 Property Dimensions: Zonis District Proposed Use Lot Area Fronts ft 1.6 BUR DING SETBACKS tt Front Yard Side Yard Rear Yard ed Provide Roactired Provided Regwred I Provided l� ca "i S10 L 6 ire 19 1.7 Water Svpply M.G.L.C.40. 34) 1.3. Flood Zone,Information: 1.8 So--V Dispose)System: Pubhc ❑ Privato 0 ZOIIO Outside Flood Zone 0 Municipal D On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record l Q tic.+ +^��, ©� `7 C& Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: i Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 St A C1 PI-1-1 Licensed Construction Supervisor: co-13 0 70 � � �� �� License Number Address Expiration Date J gnature Telephone 3.2 Registered Home Improvement Contractor l Not Applicable 0 _.,r. -1 Company Name '( 0 Registration Number Addre ( � ©2_13_Dr (a Expiration Date Signature Tele hone I s s • I �l � { f . :' -� r� ,. `r, � � _k, � (, SECTION 4-WORKERS COMPENSATION(M G.L C 252 § 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-buildingpermit. Signed affidavit Attached Yes.,.....Q!'T- No.......0 SECTIONS Desert tion of EMposed Work check an a licable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: d SECTION b-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be $ Completed by permit applicant L Building (a) Building Permit Fee x.33 u' Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plurabing Building Permit fee ta)x (b> 4 MechanicalHVAC i –_ 5 Fire Protection 6 Total 1+2+3+4+5 u0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WIN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT :177 L-11i�a�n c A-1d O 6'nwe'`^ ,as Owner/Authorized Agent of subject property Hereby authorizes •t- P"'.' ;TLto act on behalf,in all mattes ative towork authorized by this building permit application. Si ature of Owner 5 !ter 03 SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, f��N \• � � property y,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 belief n Print I ` SiA LIP iner/A 1-1\ el. Pitar 03 ii of ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATER AL OF CFMVLNEY IS BUILDING ON SOLID OR FILLED LAND 1S BUILDING CONNECTED TO NATURAL GAS LINE 342 N.MAIN, smEET ANDOMFR MA 01810 TEL; (508) 474-4410 FAX (508) 474-5067 MA MASOM JWWY S %XCZE'!SWW CAW REP. 084V / 327 LOICArZOAt 7 VAAIL7W LARD FLAAA ASF. PILO at $J ,XrY, 6'rAW A+K7W7H AAVOVSV AN SCALA: 1- M' FOIA rl5'w e / 82 / w IN s/ 01e2 9,otj -cv AS t � z N/F FARR 0 DECK F' LT 21 4,311 SF.+/- ,c� # ? 2 STORY U Fro,%+ or DlWq � IV 5C}-br-di— R=25.00' � L=39.27' RALEIGH TAVERN LANE ZW-Rr PrPn rn. AAva.A 342 N.MAIN STREET ANDOVER MA 01810 TEL: (508)474-4410 FAX (508)474-5067 NW WHAM aOWY 0 aAZZE LE WaV DSW AEF. 8848/ 987 LGICA Y7QAC 7 GAAL 73aN LANE ALAN /Mr. ALO 00M .7TY,6TAW NGW7H AAWVSV AGI SCALE.` lar M" M M S /W /liar a w ik o?/ 018138 Rpv Np --Iry LA � yyti yet ,<� Z �r NIF FARR O DECK E' LOT 21 M m a 44,311 SF.+/- ,y # 7 2 STORY U WOOD a: R--25.00' i L=39.27' $�SCge(yeap� R A L E I G H TAVERN L A N E efiR Z/,moo 732' B4Y9AW Thismortgage inspection was prepared in accordance With the Technical Standards for Mortgage Loan Inspections as adopted by the Massachusetts board of i1F-F This aortgage inspection Was prepared Registration of Professional Cnglneers and Land :prcitically for mortgage purposes only and pF Surveyors 25o cHR cos. is not to be celled upon as a land or propertyNqJ,f� I further state that in my professional opinion that :Inc survey. building location and offsets �y+F �[� the structures shown conform with thorn are specifically for zoning determination �O CARMEN Gd, the local zoning horizontal dimensional setback Z y and not to be used to establish property A. requirements at the time of construction or are .Ines. The land shown hereon is based on TESTA ,^, xeept under provisions of H.G.L. CH. e0-A Sec. I. •eferenced information,noted and may be subject .o further takings and easements. Northern 'I �l.Property/Nouse is not In a Flood Hazard. .emaciates, Inc. accepts no responsibility tar CI$TLR 2.Property/Nouse is in a Flood Hazard Area. iaaea reau ltinq from sold reliance by anyone f�, 9J 7Information in insufficient to determine -theragthan the said mortgages and its assigns in �kqi iANO Fioad Regard. :onnection with Its proposed mortgage financing flood Hazard determined from latest rederal rlood .n said sort a or. Insurance Rete Ma Panel Z5%�C798 —OCL'7a 4 9 9 8 Z4• QJr Dats p e-.� �. .m_r_ ('C,0-') C,f FORM - U - LOT RELEASE FORM + ` -y- L3 tr 3 NO ' INSTRUCTIONS- This form is used to,�`rifythat all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the .3" a� 03 applicant and or landowner from compliance with any applicable requirements. .■..r.a.a.■■..a■r.■■■■ms.a..rm■■r..rm■garmrsr�rrrrrrsr■.m.gr...rasNow.aallow APPLICANT G t- 0" n PHONE g7 fr— ` ff- p,767 ASSESSORS MAP NUMBER 107, A LOT NUMBER po 0 SUBDIVISION LOT NUMBER STREETC STREET NUMBER 7 6omegas sosoassrsrrsrsrrsrrrsrrsrssssrr■morasSEEN ssamsras�ausarrasssasssm.s■ OFFICIAL USE ONLY ..............................man arr■rasas a.mono .............................. . RECOMMENDATIONS OF TOWN AGENTS Iaaaa■ oars am.ssmr....s.grog.rs.mamasommmaarasno.■ DATE APPROVED .3 2d 4 CONSERVATIONADIMIINIS `TOR . DATE REJECTED COMMEN TS DATE APPROVED TOWN PLANNER DATE REJECTED COMIvv1ENTS ---- DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED 741 DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COZvZvfiNTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE � arFrus r ; Axa . .cr.�Cmnmrnzu. r f P a ,. DJZGB OT t7ZTlai10I1a ��`E,�� SDC�v�aSningZar_,5'n'eG,. it Bo�•snr�WA CZ711 �rarier'Ccnmensarion;„�,„�„�e Arndavii .. Please PP=- Legibly ?PLICkT,,7 'TION Name: t,, f XA Lgcation: CR �. •�'^ �•sw< T eiephoue'–': Cj 7 � " 6�3� � t`�J ' D i am a homeowner Performing all wort:myself O i am sole proprieror and have no ane wor�nz in my rzoscity MM an amployer providing woricers' compensation for my employees wonting on tni.s job Company Nairne: Address: City: Tele_oh=.... e ,J � 39' g230 1nsu.�ace Campa�� D I am(cir'rle one) sole proprietas, sleneral contractor M homeowner and have hired the contractors lisred oeiaw who have the followin;. workm, compensation policies: Comnavy Name: Address: ' Circ^. Teicnhoas r: . inetTranCe Company: Policy r: Company NB=--: Address: Telephone�: City: insysnce ComDarrv: Policy' Attach additioaai sheet ii necessa-y Pally:te aIn o secnrf- coverage renuired de-Section 25A o;MGL I 5 can lead to the imposition o=cr mmol penalises o?a fine.up to S1SO G.OD and/or one Years' imprisonment as well as civil,penalties in the form o:a STOP WORE OPDHR and a&-L of 5100.00 a day againsr mt. I LIlderSrand That copy o=this statement may be forwarded-cc)the Omee or investigations o=fisc DIE.for cgverage verification I dr,hereby cerrijy under the pains and penalties of perjury that the information above i;rrue and correcL Dat : b3 Sisnature: S Print Nz*��: lam.��'^ \'• Phone — OiMcial Use C)2 LY-Do not write in tai>area o Building Denarimer FermitlLicense r: a Urenslno Board City or i own: D Selectmen's Cff,,cs D Health Denariment D Other M Check it immediate response is required Massachusetts general Laws chapter 152 section'_ requires a1 emplOVtrs to t)MVide workers' campensation Ior thezi e�T�lDyeeS. � filiated]I'om the"la's" an e}'f1Dloyee I5 d.e�ned aS every pelSDn In the 5erV1.Ce•af another under any contract of hire, empress or implied, oral Or written. T. 4.n emDloyar is defined as an individual, partnership, association, corporation or other legal enai5r, or any two or more of the foregoingengaged in a j oint enterorise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partaership, association or other legal entity, employing employ e=S. .However the Owner of a dwelii.ng house having not more than three a_naranents and who resides therein, or the occupant of the dwelling house of another Who employs persons to do maintenance, construction or repair work on such dwelling house or on fat grounds or building,appLimmlant thereto shat not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also-states that ever-y state or local licensing agenny shall withhold the issLance or r enevral of a license or geraait to operate a business or to constmet buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of Its political subdivisions shall enter into any contract for the performance of•public wort -.mtil acceptable eiddence of comphance with•ttie insurance requirements of this chapter•have beenpresemed to.the contracting authority. _ pplicants Please nll in the workers' compensation affidavit completely,by checking the.box that applies to your situation and supplying company names, address and phone numbers as all affidavits maybe submitted to the. Department of In Accidents for.conf=ation of insurance coverage. AdRo-be sure io sign and date the auiaaFiu The affidavit should,be retuned to the city or-town that the application far the permit or license is being requested, not the Departm.eiit of Industrial Accidents. Should you have any questions regarding the "law"-or if you are required to.obtain. a worl=rs'zompensation policy,please call�the.Department at the number listed belovr. City or Towns "lease be sure that the am davit is complete and printed legibly. Tae Deparanent has provided a space at the bottom of the affidavit for Vali to fill out in the event the Office of Investigations has to contact You.regarding the apphDant. .Please.be sure to fill in the perp it/license number which will be used as a reference number. Ta- affidavits may be rmim- ed to the Jepar=mt by mail ar FAX,unless other arrangemnts have been made. The C)fE.-e of Investigations would a-e,.to thank you in.advance for your cooperation and should you have any questions, please do not hesitate to ,give us a call. The 13epaf-t2nenf's address, telephone and fe-: number: The Commonwealth of Massachusetts Department of Industrial 4ccidents Office of Investigations 600 'Washington.Street . Poston, IYL-A: 02111 (6 17)7=7-7749 Telephone= (617) 7277-1900 =t. 406,409, or 3)7 AGORD CERTIFICATE OF LIABILITY INSURANCEFAM u DA71:(MM/ODIYYYY) O1 I7 03 PRODUCEn THIS CERTIFICATE IS ISSUEDA�^A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR C.J.McCarthy Insurance Agency,inc. CIO Piazza Insurance Agency,Inc. ALTER THE COVERAGE AFFOR06D 8Y THE POLICIES BELOW. One Elm Square, Andover,MA 01810 ...., INSURERS AFFORDING COVERA f'21E MAIC# INSURED INSURGRA CNS =II911=811G'G •QOS. Family Pools & Patio Inc. INSURER B: American Intea-national Grou 1611 A Cindi Gianopoulos INSURER C: S. Broadway N¢uRER o: Lawrence MA 01843 COVERAGES NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T07WE IMBURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTYWTHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH THIS CERTIFICATE MAY B;:ISSUED OR MAY PERYAIN,THE INSURANCE AFFORDED 13Y THE POLICIES DF80RIBED HEREIN IS SUBJECTTO ALL THE TERMS.EXCLUSIONS AND CONDITIONS QF•&UCH POLICIES-AGGPGCATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS, x .......... LTR NSR TYPE OF INSURANCE POLICY NUM00R TE I DAMMIDDIYY USBIDATE MP� GENERALLLETY LIMITS-- EACH OCCURRENCE $1000000 ,.,. A X COMMERCIAL GENERAL 01098398230 12/31/02 12/31/03 �Mlscs�rP,�e�� c 1000_00 CLAIM¢MADE ]�" OCCUR MED EXP(Ahy one Perron) $10000 X PD Ded $2K PeR.oNAL&ADV INJURY IsI.000o0o f'GEWLA�OGREGA71E nket Addl Ins. GENERAL AGGREGATE _ s2000000 REOATELIMITAPPLIESPtR PRODUCTS-COMPIOPAGG $2000000 Y X PRLOCLE LIABILITY corJBlNgpSINGLELIMIT s 7.000000 AUTO TBD 12/31/02 12/31/03 (Ealcrd&nt) .... ......4NEDALITOSULEDAUTbS (Aerperslcn} YAUTOSWNEO AUTbS BODILY INJURY (Per:aidcm) I°RCPERTYDAMAGE ¢ (Per�eeident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUT ' EA ACC' 3 GTN THAN ---..........._ .._ ALOIILY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR D CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION S _ .•,._ S a WORKERS COMPENSATION AND _ - B EMPLOYERSrL1AWLITY ANY PROPRIETOR/PARTNER/GXECUTWE BINDER. 12/31/02 12/31/03 E•L•'cACHACCIDEN.T: S l0OCO0 OFFICERIINEMBEREXCLUOEDQ I G.L.•7I6rASE.EAr*LOYEE $100000 1F yyes desorihe under SPE�IALPROVISIONSU:(aw E.L.0:¢EASE-POLICY LIMIT s500000 OTHER i DESCRIPTION OF OPERAT1pN51LOCA716N8/VEHICLES/EXCLUSIONS ADDED RY ENDORSEMENT/SPECIAL PROY1510NS For informational purposes only, CERTIFICATE HOLDER CANCELLATION NOMORT* SHOUL b ANY OF THE ABOVE DESCRIBED POLICIES Or;CANCELLED BEFORE THE EXPBRATIQN DATE THEREOF.THE ISSUING INSURER WILL ENDEAVOR To MAIL 10 DAY$WRITTEN NOTICE TO THE CERTIP90ATE HOLDER NAMED TD THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY KIND UPON THG INSURIN ITS AGENTS OR REPRESENTATIVES. PAO ' AUTHORI28D REPRESENTATIVE R Tile Piazza Zits, e ACORD 25(240 t/08) 0 ACORATION 7988 C.S.Mcoarhy Ins ttl�rlCd r Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 j Home Improvement Contractor Registration Registration: 118204 Type: Supplement Card Expiration: 2/13/2005 FAMILY POOLS & PATIOS INC GLEN WIGGIN 70 S. BROADWAY LAWRENCE, MA 01843 Update Address and return card.Mark reason for change. j Address Renewal Employment Lost Card fie iparrvi>zaauueai aaczclzuael Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration.-.',.,,,1.18204 One Ashburton Place Rut 1301 ExplratIon 2/13/2005 Boston,Ma.02108 =Type Supplement Card FAMILY POOLS&PATIOS INC GLEN WIGGIN �- 70 S.BROADWAY ` 1 LAW RENC`E,MA 01843 Administrator Not valid without`'onl4e • r , _�.'i�,'S-;�,>�-• >Vii,"', ,>'t-` ..� �'� `tri" {'`�'fi�� rr.3^���°� .� � �}~ v-"3 '•• •� p ri,( �t:•a' '-xc`,`r�i' t+x$J t a :T, � r.n- x.. m, - .-� Ir-i��+�i, `�7�'-��i��`F',�i x sx..� .ES".T:"� �` - • I 'r _ w �. J-'ra;,.. ,Y� �.,e>�a�u"'"•, �`1r�i,.:�$�: `'� .�'_Y. <�r. y,� � �a.w*mak-. _ `S�: ��.a 'tea,, �,�, 1+� .�. ,.-;. -s...�,-:t�,�+- -.�.. I �-.:-x-r �'�r,-, x-. vs-ra,;���p_.. .,. -^..,r.,.." s, ,. -`C', . �•' S`' ��G,� ,.-,e;'` `z5 ���'-.s,:r�-�c^.;&�� ,�LeS .t •.,�,���..�^. ,_. :._,' " �T:� - 4+.�.x"r»:*+d-.. ,.+' '� - "'':�<"� s.;`�•3 tom "`..'��, .� �i'..z,�..,.a,`•m..m',9"o",#€rr�^, .saw�^F�?:.1'"-„r`"r+t<..•,.+L.-,r '11, ..:t-, u.w�•-.�4��'s�e... 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'� � w`� o-.`,c r ': - �t"�-e �s..'iY'r'�-tw .-, „ `”»;��7:1 �'z:+" 8-8'Plam Panes(08-0D9-5) 3.4'Plain Pones(08-016-5) I 2-r Piaui Panes(08-01141) LF--•-�- F�•-�—G�-1 H J �--- K 4-TWO Corners rob-141) j 17 Turnbudc{e Braces(OS-214) SIZE A e G D E f G H K 1-Steel Hanfwme Krt(08.204) �:Ig' t6• s2' r re- r tr. 5•i' {•i• 4•r g• �}• 1-16x32 Stroigl>f CopingSat b'Radius(10001) r {•r 1-r WO Gaping Comer Set(10-138) FM:>a o1+Xo. li S2' S16. r{ r 14 5'6 {'6 {i r 1-rayl liner(see options below) 2 '' a1 6'Step-Remove 1-(08-009-5)8'"W and �eucaF 1-(08-016-S)4''pond- bud 1-0146)6'shp, 2-(08-017-5)3' . .�-., . panes and 1-(OS-214) * tumbudde brace- wHWL Step Remove 1408-009-S)8'panel and oe 4 ' 1-(08-016-5)4'panel hurt 1-(01-002)8'step, °�' rr 2-(08-018.5)T pones and 1-(08-214) turnbuckle brute. iv Replete 4.8'P (OB-009-51 wide : C� � n �x T 1-8'skmuaa (OB-0il-S1 2-8'rdet pmuds(06-0105) 3 a CEPiMl�! ,<i , 1-B'tightpanel(08-012-5) • •; x NICE °,1'C�r + 3• �,'�"y�Jz`r� r �•-fit �T 3' �s a� r�-. _yy '4Ys• til Jr, q s MS may: ✓ :rt .. •ru-'u� 'F ,,ili.. 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Town of North Andover NORTH Office of the Health Department F °p Community Development and Services Division William J.Scott,Division Director '+ •� 27 Charles Street � lGHUS Sandra Starr North Andover,Massachusetts 01845 Telephone(978) 688-9540 Health Director Fax(978)688-9542 March 20,2003 Diane&Andy O'Brien 7 Carleton Lane North Andover,MA 01845 Re: Application for in-ground swimming pool Dear Mr. &Mrs.O'Brien: Your application for a permit for an in-ground pool at 7 Carleton Lane has been reviewed by the Health Department. .The application was denied on March 20,2003 for the following reasons: 1. X Missing information 2. Passing Title 5 inspection of septic system required 3. Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition—all rooms b. Certified plot plan showing house,septic system and proposed pool in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, . Reviewer Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 ,ORT, E Town 0 ..f Andover t1% No. 490 * =; _ - - t ,� 0 - L A dover, Mass., C0':H1C 1Q\1_ 0RA E D P" H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System % BUILDING INSPECTOR THIS CERTIFIES THAT.....%P.!.A_.o.QA...11.....A.A PP.As......................................... Foundation .... ........ has permission to erect...tiv-P)r3Y...... buildings on ....ICA A.1�N.....tAk.............................. Rough to be occupied as.......... ........... Nr 9 qp. Chimney ............................................... .... ......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 Inspec Alteration and Construction of Buildings in the Town of North Andover. I 1p #) p ' /1 1340 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final 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. SEE REVERSE SIDE Smoke Det. o Z MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or TXNJOU JIJ() e-A , Mass. Date Permit #_ _ Building Location ! �a�Nw l�jj Owner's Name _ _ L�m� Q„J q7S '� —7 jV Type of Occupancy New ❑ Renovation ❑ Replacement's Plans Submitted: Yes ❑ No1 FIXTURES x z N z Y Q N N N O z t' > N h N J W W Y J 4f } Q Q N W 0 z N Q Cr Q ~ z O _ z h a O ; W F- W X _ X U) - ?. J N - N M X N F- U W N Y Q N U. d a- U z m y W } Q f H Z G a 0 Q � Q � X O O o: Q W D Q A z a n O W rt W W Q y N rr J _ D D -� a z O S Y 4 F- _Y _z Q W u. Y W > a- O W F- Q O ¢ Q ct x Q O ¢ F- 3 sus—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company. NameMETROPou T �a P1 I a Check one: Certificate .PMR1 Address & HEATING Co., INC. ts{`Corporation Norwood !" commerce tr., idg. 34 Endicott a ❑ Partnership Business Telephone WKWUOD, MA 02062 P (617) 759.1779 O Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a currSnj liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes , No ❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. A liability insurance policy X, Other type of indemnity ❑ Bond [I 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: Signature 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 permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Signaturd otLicensed Plumber Title MM-1 --8-- City/Town � E]D( Type of License: Master Journeyman q APPROVEOFFICE USE ONLY) License Numberm (�o 4 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE t NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 t F i PLUMBING INSPECTOR R t ' Date / / . . U2 2689 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that o . . . . . . . . . . . . . has permission to perform . . . plumbing in the buildings of ./.P .. . . . . . . . . . . . . . . . . . at. .�. ',i9 .L o.n-. .,�As:. . . . . . <rth Andover, Mass. Fee. ./,� . PS"... .Lic. No. .Y7. . . . . . . . . . . ... . . . . . . PLUMBING INSP R 11/09/95 13:32 12.50 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Date... .� . .. . vok `°,'•�"o TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 ,SSACMUSEt l� This certifies that .........?(,c ..... ..... .. has permission to perform .......:-*-... .:................................................... wiring in the building of........a ?.!..P.°.L......................................... ' ' �o� Lw at................. ►�.. .... .. ,North Andover,Mass? Fee...!..5.'.......... Lic.No�3�5�1 d/ .... .. .::r-fir,-r-t,........1/... ... (� ELECTRICAL INSI�. Check # 44 : 0 TBE COMMONWF.ALTHOFMASSACHUSE7TS office s ` DEPARTAIEWOFPUBIICS MY Permit No. V BOARD OFFIREPREVF.VH0NR8GUTAH0NS527CM12:00 Occupancy&Fees Checked APPLICAHONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: YesNo (Check Appropriate Box) Purpose of Building f �2e 7 e Utility Authorization No. Existing Service Amps / Volts Overhead Underground No.of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 14w ✓ovl� �. _S G No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA f ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Swit-h Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No_of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal ^ Other 4UConnections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER � hmu-attoeCovt�FutstlaYtottlelagtluerrten$�Gataall.aws IbaveaomettIA&yhmm=FbiC,ymdu&gColrplete CoveWeritssubgmtmle4uyalat YES NO Ihavesul rAWdvafidploafofS&W1D1heOffiM YES ( ffycuhavedrdkrdYES,00menkaethetypeofo mrWby INSURANCE BOND MiER ( Sp0Y) EqimfimDaic EAnrkdVahteofEbc"Wolk$ WolktaStatt kgeciimDaleRegtesled Rough Final SignedunderErpbmftofpajtlfy ,/ p FiRMNAME /G�.y1i0 141 >. -, P C� j/�G/ i"/.0/1; LiCUMNo. Licer>�e �/f;Lim®ter/ /?�CY�, �� Sigr>ahue Lioa>9eNo�� r /j Arlc_hPcc f d� / C���rd' S r r PSb i S� 1/ e�f�l� Ak.TCLNo. OWNER'SINSURANCEWAIVER;IamawmedlattheLxxlwdoesnothavetheirmt&=oDmnWoritssu legmvdia tasrequffedbyMassachusettsGe ed Laws and(hatmysgr attueon thispemritapphcabon waivrsthislequuan it �. (Please check one) Owner Agent Telephone No. PERMIT FEE Signature ot Uwner or Agent u The Commonwealth of Massachusetts 9 Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 s Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity EJI am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone#- , Insurance.Co. Policy# y� Company name: Address City: Phone#7 Insurance Co. Policv# Failure to secure coverage as required,under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,5W.00 and/or one years'imprisonments neell_as_cn!7_penaltws_n_thelnan_ A_STDP V*VW-O ,d_afine�#($1110 OD)aliay mf. I understand that a copy of this statement may be forwarded to the Office of investigations of the DtA for coverage verification. I /do hereby certify under the pains and penalties of perjury that the#dbnW6orr provided above a true and correct Signature Date Print name Pie# Official use only do not write in this area to be completed by city or town offic iar City or Town Petrrd ft icensing D Building Dept -' []Check if immediate response is required n Licensinq Board E] Selectman's Office Contact person: Phone# E] Health Department Ei Other l� Location '� 6 ��✓ No. 4 Date wy NORTH TOWN OF NORTH ANDOVER F 9 Certificate of Occupancy $ �'�s'••°'E<�' Building/Frame Permit Fee $ S�CMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 18 '13 L Building Inspector TOWN OF NORTH ANDOVER I' BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLINGso Z BUILDING PERMIT NUMBER, DATE ISSUED:. rn SIGNATURE: / Building Commissioneffl for of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: CARL4oN LA Aje 0 7/1 O© I I Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: Public 0 Private ❑ ' — I Zoae Outside Flood Zane ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHW/AUTHORIZED AGENT 2.1 Owner of Record C krc ,4-6pke.r f,>Au LfW-5- ,ltJ�, q�/1�aC4-- Name(Prin Address for Service: N' Z S" n80 Z Signature Telephone Q 2.2 Owner of Record: 0 Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor: 0 License Number Address Expiration Date ic Signature Telephone Issas 3.2 Registered Home Improvement Contractor Not Applicable C v Company Name M Registration Number Address r Expiration Date z Signature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L C 152 f 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 it. Signed affidavit Attached Yes.......0 No.......0 SECTIONS Description of Proposed Work check a bk New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify , Brief Description of Proposed/Work: Ex42,adGl/JU ex�r5�/Iyq sul twooYV1 OF 12x 12 5 Sze , l Sx / 8. v n JA.+iwa Lu;*J A�5 , �OC4 , "d am SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant I. Building Z 5^000 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of / S0 Construction 3 Plumbing J 5_0 U Building Permit fee(a)x(b) n 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 2 7 2 SO Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, C rc5 k r ftvas Owner/Authorized Agent of subject property Hereby authorize N 14A A(L C h AWA Or- (A 6QC kA\N I S o,u Coo S'+' to act on My behalf,in all matters relative 1p work authorized by this building permit application. 3f341Os` Signatureof'Ovker Date SECTION 7b OWNER/AUTHORIZED AGEN/ ,, T,�DECLARATION U>�" 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 N i Si ature of Owner/A intDate NO. OF STORIES 2 SIZE BASEMENT OR SLAB OA-5 a n1"eW-4- SIZE OF FLOOR TIMBERS 1 2' 3RD SPAN DMIENSIONS OF SILLS DRAENSIONS OF POSTS DB ENSIGNS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i x 1PAAJ b S`(v�,,—, r o o wt I/ FORM U - LOT RELEASE FORM 4/'( /01— INSTRUCTIONS: /'( l01INSTRUCTIONS: 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_ --_ PHONE Jl`�,-� ss-s"02-9 LOCATION: Assessor's Map Number 10^7 A PARCEL 00 � SUBDIVISION LOT ($) STREET_ ! � ,i e ST. NUMBER OFFICIAL USE ON CO E�IqA#CJA4 OF TO ENTS: i C NSEFRFV-ATM AdMINISTRATOR DATE APPROVED DATE REJECTED 471µi t- ' COMMENTS s 5e i os TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED I WSP INSPECTOR-H `INSPECTO0-HEAI TH DATE APPROVED ODS DATE REJECTED COMMENTS - - --�- c PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE RevhW U7)m NORTH TOWN OF NORTH ANDOVER °f •1"� OFFICE OF I ' BUILDING DEPARTMENT 400 Osgood Street North Andover,Massachusetts 01845 ACIWst� D. Robert Nicetta, Telephone(978)688-95454 Building Commissioner Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: 3 JOB LOCATION: Number Street Address Map/Lot HOMEOWNER Chrr-S Mv1',0k y dWAW97$_ zs-c3-g,02R C/7 8'--6z/-S69,� Name 1 Home Phone Work Phone PRESENT MAILING ADDRESS /U'141ya'oye l a/s, Ir City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings to two units or less and to allow such homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor). State Building (Code Section 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. with State Building Code and other The undersigned homeowner assumes responsibility for compliances t the g Applicable codes,by-laws,rules and regulations. "homeowner"certifies that he/she understands the Town of North Andover Building hom g Department The undersigned ores and requirements and that he/she will comply with said procedures and minimum inspection proved eq p y requirements. HOMEOWNERS SIGNATURE f APPROVAL OF BUILDING OFFICIAL 131).1Rll OF APPEALS 6980541 CO)NSFRVATION 098'9530 11YA ;TH 6SX-9540 PLANNIM3 699-9535 i APPROXIMATE EDGE OF POND ry0 tel. POND off in '?cWOSED ry�o' �. 10'x12' DEC: iv `` INGROUND , �� (A POOL 1 PROPOSED 12'x12' SiiN ;ZOOM TO BE BUILT ON / 17XISTING DECK E2ISTY DWEWNI \ #16 ZONING DATA REQUIRED SETBACKS '\ FRONT = 30' SIDE = 30' -9 REAR = 30' PROPOS tp�tw OF 'hof ED BUl s LQING PERMIT PLAN 16 CARLTON LANE � GREGORY 4cy� L NORTH ANDOVER, MA. BOWDEN H #x610 PREPARED FOR: -Its EDWARD EDWARD MCINERY, TRUSTEE OF GF REALTY TRUST DATE: NOVEMBER 23, 1999 SCALE: 1' = 40' Northpoint A Waley �5"ertrlces 1849 mater St'i�eet XaverA94 JU 0183O /978J-972-0895 \ R=25.00' L=28.81' t i C� u 0 0 kk �2 '\°o. JOB NO: 2884 • .r of NoRTy' � 00 1855 k < t•� tt7r+ RJ 1�y 1855 • ' �►yss4CHll9f• TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NOTICE OF DECISION Date . . .November.l9.9. 19.73. . . . . . . Petition No..2.4" . . . . . . . . . . . . . . . Date of Hearing. .12 i.x•973 P-ichardi 1v4onur Petitionof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Premises affected . .16 Carleton :.me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Referring to the above petition for a variation from the requirements of the . . . . . . . . . . . . . . . . . North An ov oar ��n�.-��; �;�•����' Sea. €�.3. �: .fia�il� 2 .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . so as to permit '%-' ,f'af-t ,A) kilt: side lot Une. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After a public hearing given on the above date, the Board of Appeals voted to . .91RAMF. . . . . the Variancea Sig . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . for the construction of the above work, based upon the following conditions: Signed Dr. Bzgene A. 'Beliveau! Acting. Ghairman . . . . . . . . . . . . . . . . . 4ais,�7.a.am Pd. Sa].. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -41:ired & r-'riss .at Saq.i Associate Member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . James D. Xdb1e# Jr.g Associate I�Wi oui- . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . Board of Appeals ti `rAvaa7"v:z�e �nJ• I TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS November 19, 1973 John J. Lyons, Town Clerk Richard Noonan Town Office Building 16 Carleton Lane North Andover, Mass. Petition No. 24-173 Dear Sir: A public hearing was held by the Board of Appeals on November 12 1973 upon application of Richard Noonan who requested a variation of Sec. .3 and Table 2 of the Zoning By-Law so as to permit an existing dwell closer than 30 feet to the side lot line; located at the west side of Carleton Lane; approx. 200 feet from the corner of Raleigh Tavern Lane and known as 16 Carleton Lane. The following members were present and voting: Dr. Eugene A. Beliveau, Acting Chair- man; William N. Salemme, Louis DiFruscio, Alfred E. Frizelle, Esq., Associate Member and James D. Noble, Jr., Associate Member. The hearing was advertisod in the Lawrence Eaglo.-Tribune on October 27 and November 39 1973. All abutters were duly notified by regular mail. Atty. Frank J. Pitocchelli, of Mothuen, represonted the petitioner. He explained that the Noonan purchased the hone last year and upon having tho property purveyed, found that the garage was located approximatoly ten feet from the side lot line. The dwelling in the adjacent lot is located approximately 50 feet from the lot line thereby leaving 60 feet between dwellings which would be within tho intent of the By-law since the setback requirements for an Rr-2 area are 30 feet. It would be a great expense to the petitioner to rase the garage and remove it in order to comply. The same builder built both homes. He feels there may have been a problem in locating the house for the septic system. Building Inspector Foster explained that many lots in this development were changed around by the developer and that when he inspected the building it was in the winter and covered with snow so that the stone bounds could not be located. There were no abutters present and there was no opposition. Atty. Frizelle made a motion to GRANT the variance; Mr. Salemme seconded the motion and the vote was unanimous. The Board found that there would be a hardship and expense if the garage were razed; that the intent of the By-law was met in that there are at least 60 feet between buildingo. Very truly yours, BOARD OF APPEALS Dr. Eugone A. Belivoau, Acting Chairman AD THE COMMONWEALTH OF MASSACHUSETTS !+ 264 NORTH AMVM ............................................................................................................. CITY oR T0VM BOARD OF APPEALS November14,E ....19 73 ....•------------------ ---•-•-----••--•.... NOTICE OF VARIANCE Conditional or Limited Variance or Special Permit (General Laws Chapter 40A,Section 18 as amended) Notice is hereby given that a Conditional or Limited Variance or Special Permit has been granted To......Richard Noonan ......... .. .......... .. .• .- - -• -- - -.._....._............_..----- ...._.... ---- - - - ..._._ Owner or Petitioner Address...___lb_.Carleton Lane •--------------------------------------------------------------------------------------------------------------- City or Town--•----North Andover -Mass. -- - -- --------------------------------•------------------•-----------------------.---.--------•--- 16 Carleton Lane •- - - - - --------------------------------------------- -----------•----------------------------------------------------- - Identity Land Affected ...............•-•-------•----.•.--••---------••--•--_----•----•-----------•---•---------•----__........••----------.....------•---•-----•--••----.---• North Andover by the Town of------------------------------------------------------------------------------Board of Appeals affecting the rights of the owner with respect to the use of remises on. g P P - - - -- -- _ 16 Carleton Lane North Andover Mass. ..•..................•-----....----•-------...----.....--••--••---•-- .. _..._................-•--•-•••--_._... Street City or Town the record title standing in the name of ------Richard & Kathleen Noonan4-..x1=b4=1.-&-.W de------------------------------------------•- 16 Carleton Lane, North Andover, Massachusetts whose address is ---- - r.Td---------------•---•------------------to;;.......... Street City or Towd State by a deed duly recorded in the----- orth Essex County Registry of Deeds in Book 12Q9_. - Page...2-----------T -------------- -------------------------------•-•--- rtI cate Ao-----------------•------------•--.Uook ................Page--------------- The decision of said Board is on file with the papers in Decision or Case No...�:17�------- in the office of the Town Clerk---------_-•North Andover, Mass. Certified this_-1 Wday of..............November..................lg 73 Board of Appea ... = > ._Act ing lChairman B ar • f Appeals I ------------ Clerk Board of Appeals (1 '' °-6- t- ---� w• ---- s ss--------------'9CiTlC1[-ZiT1LI___._--_..'_____________________IIIlIlUICS _...1Yt. a and ...,, „a ;th the R 'star-ef Deeds in .1, County of .................................. .•--------------------••--------•.......•--•--......------......•......._... -Rugiatur of Bee Notice to be recorded by Land Owner. FORM 1094 M0888 & WARREN. INC.. REVISED CHAPTER 212.1.ez APPROXIMATE HEIGHT OF EXISTING BUILDING i / \ co MAXIMUM RIDGE HEIGHT OF / I \ f PROPOSED NEW ADDITION / "' / \ ENLARGED ROOM o I I it -H NEW DECK OD +� i ± 12' I I ,i N I I L_ EXISTING SUN ROO ENCLOSE EXISTING +_ 12' o N I i PORCH FOR NEWI ®�' —® 'a EXISTING co I I MUD ROOM I EXISTING DECK +� POOL DECK � II I II I I I L—L — — - - - - - - -�1 r J - - - - - - - -= - - - - - - - J TRANSVERSE SECTION AT PROPOSED NEW ADDITION SCALE: 1/8" = 1 '-0" MARCH 3, 2003 MURPHY RESIDENCE, 16 CARLTON LANE, NORTH ANDOVER, MA a r. - 29 NORTH MAIN STREET, IPSWICH, MA TEL: 978-356-0467 FAX:978-356-1024 �nMA 0 i j7 _ . X03 l � 7-k Cot4 a ` � -- Jo, 9 � cr looUisT --� 1 � 1 � 1 I SI I 1 7� J New g kNde� �jh�t�M e►N ) o a i 1 � � 1 ! I D 6,45e-Me AJ o 11 lid �F�sQ rrteN� No Ck",5 s ��PiS 1'Yt�r�h.Y IL 4 ,� V v � 1 t BeamChek v2004 licensed to:David Mehlin Reg#4151-64920 MURPHY RESIDENCE N.ANDOVER, MA FAM. ROOM BEAM Date: 3/22/05 Selection (3) 1-3/4x 9-1/4 1.9E TJ Microllam®LVL Conditions Min Bearing Area R1=4.2 int R2=4.2 int Data Beam Span 10.0 ft Beam Wt per ft 12.48 # Reaction 1 TL 3750# Reaction 2 TL 3750# Bm Wt Included 125# Maximum V 3750# Max Moment 13593'# Max V(Reduced) 3432# TL Max Defl L/240 TL Actual Defl L/306 Attributes Section (in') Shear(ins) TL Defl (in) Actual 74.87 48.56 0.39 Critical 60.56 17.75 0.50 Status OK OK OK Ratio 81% 37% 78% Fb(psi) Fv(psi) E (psi x mil) Fc-L(psi) Values Base Values 2600 290 1.8 900 Base Adjusted 2694 290 1.8 900 Adiustments CF Size Factor 1.036 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 0.0000 Rb=0.00 Le=0.00 Ft Kbe=0.0 Loads Uniform TL: 400 =A Point TL Distance B=3375 5.0 Uniform Load A Pt loads: 0 R1 =3750 R2=3750 SPAN = 10 FT Uniform and partial uniform loads are lbs per lineal ft. Notes BEAM CARRIES POST FROM STRUCTURAL RIDGE BEAM, SHOWN AS POINT LOAD OF 3,375 LB. BeamChek v2004 licensed to:David Mehlin Reg#4151-64920 MURPHY RESIDENCE N.ANDOVER, MA FAM..ROOM BEAM_ Date: 3/22/05 Selection r-(3)1-3/4x 9-1/4 1.9E TJ MicrollamO LVL Conditions Min Bearing Area R1=4.2 int R2=4.2 int Data Beam Span 10.0 ft Beam Wt per ft 12.48# Reaction 1 TL 3750# Reaction 2 TL 3750# Bm Wt Included 125# Maximum V 3750# Max Moment 13593'# Max V(Reduced) 3432# TL Max Defl L/240 TL Actual Defl L/306 Attributes Section (W) Shear(int) TL Defl(in) Actual 74.87 48.56 0.39 Critical 60.56 17.75 0.50 Status OK OK OK Ratio 81% 37% 78% Fb(psi) Fv(psi) E(psi x mil) Fc-L(psi) Values Base Values 2600 290 1.8 900 Base Adjusted 2694 290 1.8 900 Adiustments CF Size Factor 1.036 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 CI Stability 0.0000 Rb=0.00 Le=0.00 Ft Kbe=0.0 Loads Uniform TL: 400 =A Point TL Distance B=3375 5.0 Uniform Load A Pt loads: Q Q R1 =3750 R2=3750 SPAN= 10 FT Uniform and partial uniform loads are lbs per lineal ft. Notes BEAM CARRIES POST FROM STRUCTURAL RIDGE BEAM, SHOWN AS POINT LOAD OF 3,375 LB. BeamChek v2004 licensed to:David Mehlin Reg#4151-64920 MURPHY RESIDENCE. N.ANDOVER RIDGE BEAM Date: 3/16/05 Selection (3) 1-3/4x 11-1/4 1.9E TJ Microllam®LVL Conditions Min Bearing Area R1=4.2 int R2=4.2 int Data Beam Span 18.0 ft Beam Wt per ft 15.18 # Reaction 1 TL 3737# Reaction 2 TL 3737# Bm Wt Included 273 # Maximum V 3737# Max Moment 16815'# Max V(Reduced)_ 3347# TL Max Defl L/240 TL Actual Defl L/247 I Attributes Section (in') Shear(int) TL Defl (in) _ Actual 110.74 59.06 0.87 Critical 76.93 17.31 0.90 Status OK OK OK Ratio 69% 29% 97% Fb(psi) Fv(psi) E (psi x mil) Fc (psi) Values Base Values 2600 290 1.8 900 Base Adjusted 2623 290 1.8 900 _ Adiustments CF Size Factor 1.009 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 0.0000 Rb= 0.00 Le = 0.00 Ft Kbe=0.0 Loads Uniform TL: 400 =A Uniform Load A R1 = 3737 R2 = 3737 SPAN = 18 FT Uniform and partial uniform loads are lbs per lineal ft. Notes NOTE: RIDGE DESIGNED AS STRUCTURAL BEAM TO ELIMINATE REQUIREMENT FOR COLLAR TIES BeamChek v2004 licensed to:David Mehlin Reg#4151-64920 MURPHY RESIDENCE, N.ANDOVER RIDGE BEAM Date: 3/16/05 Selection (3) 1-3/4x 11-1/4 1.9E TJ Microllam®LVL Conditions Min Bearing Area R1=4.2 in' R2=4.2 int Data Beam Span 18.0 ft Beam Wt per ft 15.18 # Reaction 1 TL 3737# Reaction 2 TL 3737# Bm Wt Included 273 # Maximum V 3737# Max Moment 16815'# Max V(Reduced) 3347# TL Max Defi L/240 TL Actual Defi L/247 Attributes Section (in') Shear(int) TL Defi (in) i1 Actual 110.74 59.06 0.87 Critical 76.93 17.31 0.90 Status OK OK OK Ratio 69% 29% 97% Fb(psi) Fv(psi) E(psi x mil) Fc-L(psi) Values Base Values 2600 290 1.8 900 Base Adjusted 2623 290 1.8 900 Adiustments CF Size Factor 1.009 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 0.0000 Rb=0.00 Le = 0.00 Ft Kbe =0.0 Loads Uniform TL: 400 =A Uniform Load A R1 =3737 R2 = 3737 SPAN = 18 FT Uniform and partial uniform loads are lbs per lineal ft. Notes NOTE: RIDGE DESIGNED AS STRUCTURAL BEAM TO ELIMINATE REQUIREMENT FOR COLLAR TIES P ssvaa,d Jr'a I 77ctV1�trn r - ; ' Pxodo�� I pna +r4 Dian i .�,cv�,od QN7 maN ' i �,, aM1Srv�da�',Moc7 ��SOdcud I V 4f. i i, ♦ i i 1 1 1 1 A 11 r , XAORTH Tomm O - 4 L Over No. S-8 ,� �� •.. C% I _ A E dover, Mass., �•/`� —000$_ A_ COCMICMEWICK 7,9 AoRAreo PPS` BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS ��, /� BUILDING INSPECTOR CERTIFIES THAT............................ ........ ................... ............ ................................................. Foundation has permission to erect. .......... buildings on.../4.......�a ....fv!.........A/4„0,"11� Roust, to be occupied as �! /� ��� SV N h w/M d �i�x ASO.N......... ............................ ................................................. ......... ..... ......InI�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 r lating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /07/4 // PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. trough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRU S T �49 Rough ........ .................. ..... ....... ..................... Service B DSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. JF7SEE REVERSE SIDE Smoke Det.