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North Andover Board of Assessors Public Access
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North Arldover Board of: Assessors.,
SCroperty Record Card
Parcel ID :210/098.A-0120-0000.0 FY:2012 Community: North Andover
SKETCH
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71
PHOTO
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him
Location: 71 PEACH TREE LANE
Owner Name: KING, ANNE E.
Owner Address: 71 PEACH TREE LANE
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood: 9 - 9 Land Area: 0.29 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 3686 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 738,800 738,800
Building Value: 536,300 536,300
Land Value: 202,500 202,500
Market Land Value: 202,500
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkId=1893852&town=NandoverPubAcc 5/18/2012
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Date..................................
'6
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .................................. .......... ....................
has permission to perform—'-------: .................... .........................................
wiring in thebuilding of .... �. ........... A ........................................
... ....... ...........
at.2 .. . ................ . . ................ . North Andover, Mass.
2
Fee ..e.� . ........ Lic. Nd?............. .......... .....................
ELEcrRlcAL IN6ECTOR
Check# -0
7561
�56
a
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No.�/
Occupancy and Fee Checked
r BOARD OF FIRE PREVENTION REGULATIONS [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: K ?,-- 0-"
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 y erC kJr(-e e
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit? Yes
Purpose of Building i e\ f'S,�-�-
Existing Service *W Amps c -Q/ 0 6 Volts Overhead
Telephone No.
No ❑ (Check Appropriate Box)
Utility Authorization No.
❑ Undgrd
No. of Meters 11
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity 3 1,5 w �- O—L,0 f
Location and Nature of Proposed Electrical Work:y V"r e+-5 q ,-j L:T-s awn i34 ^^
rmmnh Linn n£tho .,, . I— L_..i__ 1---
No. of Recessed Luminaires
No, of Ceil.=Susp. (Paddle)' Fans
111"y V6 Wulvuu by ine Inspector o vvtres.
No. of Total
-
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑
o. o mergency Eighting
rnd. rnd.
Battery Units
No. of Receptacle Outlets `a
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
-'No.
of Detection and
InitiatingDevices
No. of Ranges
No. of Air Cond. TonTots
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Number
.... ....... .__
Tons
.. .. _._...
KW
No. of Self- ontained
Totals:
__.
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No.
No. of WaterKW
No. of No. of
of Devices or Equivalent
Heaters
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
?6j,3 Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: / (When required by municipal policy.)
Work to Start:, p- 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 the pains andpenalties of perjury, that the information on this application is true and complete. _
FIRM NAME: 3 4f ) ec_ r, c LIC. NO.: (9 2
Licensee: aare3 arcsVI Signature LIC. NO.:o?jya:371)
(If applicable, enter "exempt" in the license ^number line.) Bus. Tel. No.:3a��d 5773
Address: o� ��\/, Sc7✓\ O��t? rte; c,sfZ /l.% 14 03as-�-f Alt. Tel. No.:
*Per M.G.L c. 147, s. 57-61, 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. $ yV
g_q_D7 SM,cd
i,Y
c,I
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
U11
Boston, MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
DO ant Information
Name (Business(Organization/Individual):_
Address:
AtQrj
City/State/Zip: r)"l r' /'�Yt Ari-, a 305N Phone.#: 7 3
Are you an em to erY Ch k
p y ec the appropriate box:
1. ❑ lam
a employer with
4. ❑ I am a general contractor and I
Aftloyees (full and/or part-time).*
have hired the sub -contractors
2• I am a sole proprietor or partner-
listed on the attached sheet.
ship and have no employees
These sub -contractors have
working for me in any capacity.
employees and have workers'
[No workers' comp. insurance
comp. insurance.#
required.]
3. ❑ I am a homeowner doing
5. ❑ We are a corporation and its
officers
all work
have exercised their
myself. [No workers' comp.
right of exemption per MGL
insurance required.] t
C. 152, § 1(4), and we have no
employees. [No workers'
COMP. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers'
t Homeowners wh -.1L
Type of project (required):.
6. El New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10-C]Electricalrepairs or additions
11.❑ Plumbing repairs or additions
12.[] Roof repairs
13.❑ Other
o e rrnt this amdav:t indicating they are doing all work and then hire outside contractors
that mus submit new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have
employees. If the subcontractors have to
emp yees, they must provide their workern' comp. policy number.
•• »•• "..r—Yur Inas is provr4tng workers' compensation insurance for my employees Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address:
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 ofine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of as STOP WORK ORDER and of fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insuTgnce coverage verificati.r
Ido hereby certify der a ins and penalties of perjury that the information provided above is true and correct
Si tore:
Phone #: —
Official use only. Do not write in this area, to be completed y city or town oJJlclaL
City or Town:
Issuing Authority (circle one); Permit/License #
L Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6.Other
_.._. _ p or
Contact Person:
Phone #: I
1 4
Date ...... ....-
...
,,OPT#,
TOWN OF NORTH ANDOVER
0 PERMIT FOR PLUMBING
..........
This certifies that . . . ///?t7 - . . . -. . . . . ... . - .
:has permission to perform .....................
plumbing in the buildings of ... .................
at ................. North Andover, Mass.
Fe -e -42d- -1-C) Lic. No ...... (V - �75 ... 14 - A,//"e`7........... .
PLUMBING INSPECTOR
Check #
7440.
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
_Date 2 C%
Building LocationAM-J�CIC Owners Name
Permit i#
Amount
Tvoe of Occunancv
le,
New Renovation ��� Replacement Plans Submitted Yes No El
FIXTURES
(Print or type)
Installing Coalpany Name
Address///)Il ��k 7—
Name of Licensed Plumber.
Insurance Coverage: Indicate the type
Liability insurance policy M\1-
Z
Z5Ucr-7K23
insurance coverage by checki
Other type of indemnity
Check one: Certificate
Corp.
11 Partner.'
5 O-FGum/Co.
e appropriate box:
] Bond ❑
Insuranft%iver I the and igned, have been made aware that the licensee of this application does not have any one of the above
dw"surince
gnatUre Owner Agent
I hereby certify that all of the details and information I have submitt (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installati s ed under ermit Issued for this application will be in
compliance with all pertinent provisions of the Massachus Plum ' g e d ptemr 14 erel Laws.
By: igna o censea riumnpl,
T
Title e of Plumbing Licc9e
2x
APPROPROVED (OFFICE USE ONLY
Cit icense Numoer Master Joumeyman ❑
i'
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Building Permit Number 123 (&�st 1_3.2004) Date: 12/05/05
THIS CERTIFIES THAT
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Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
'bo
APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION
ADDRESS
LOT NUMBER -1 SUBDNISION fi6C►`ly �x 6yt
DATE REQUEST FILED Ia I I OS
DATE READY FOR INSPECTION
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF TBE,STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
ROUTING
D.P.W_ — WATER METER ;1S`f I I DATE
D.P.W_ MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
ya� W =�M'
SIGNATURE / DPW AUTHORIZATION
Z_e_.
Town of North Andover
Building Department
27 Charles Street
North Andover, Massachusetts 01845
(978) 688-9545 Fax (978) 688-9542
'bo
APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION
ADDRESS
LOT NUMBER -1 SUBDNISION fi6C►`ly �x 6yt
DATE REQUEST FILED Ia I I OS
DATE READY FOR INSPECTION
TEN (10) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED
ALL WORK AND SIGN-OFF'S MUST BE COMPLETED WITHIN THIS TIME
FRAME. A RE -INSPECTION FEE OF TWENTY-FIVE ($25.) DOLLARS WILL BE
CHARGED IF TBE,STRUCTURE DOES NOT MEET ALL APPLICABLE CODES.
SIGNATURE
ROUTING
D.P.W_ — WATER METER ;1S`f I I DATE
D.P.W_ MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED
PRIOR TO THE INSPECTION REQUEST DATE.
ya� W =�M'
SIGNATURE / DPW AUTHORIZATION
Peachtre
I�
December 2, 2005
Mr. Gerald A. Brown, Inspector of Buildings
Building Department
Town of North Andover
400 Osgood Street
North Andover, MA 01845
Dear Mr. Brown:
We are requesting a Certificate of Occupancy inspection for 71 Peachtree Lane (Lot 9) at
Peachtree Farm on Monday, December 5, 2005. Please let me know if you have any
questions or if you would like to schedule a time to walkthrough the house. Thank you
for your attention to this matter.
Sincerely,
�4 �
Brian Darcy .
Project Manager
Peachtree Development, LLC
Peachtree Development, LLC
P.O. Box 907 • North Andover, MA 01845 • 978.327.6540 Fax/ 978.327.6544 • www.Peachtreefarm.net