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Home My WebLink AboutMiscellaneous - 71 WILLOW RIDGE ROAD 4/30/20181 0 o S T o o 0 l 9 8 Date.I..z.:-.ZK—z.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... 00A.,.I.Te ....L .......... Z - has permission to perform ....... 15,v,.v W. 4A ...................................... wiring in the building of ....... ....................................................... at ....71.k' ... 71.klk�Z44.,nu ... ............... rth Andover, Mays.Fee..d..Q..�.... Lic. No..IkAFM ............. �! t� � � r. It E I 7 Check # a Id dl I cn om4� Mcdb ^oo C b q U O U �j O .ya a � o 0.o,0 o C', o N � 4J R,q.da oma'-, .Fqq: C o a 4J •,�. N � .�- .L y P. FO. .� w cge � � A o b M O fV m 4oi,,� 5 ° a� t -f � U b - . O •1 qp, 4 O X- a..O a O m q 'U �•V o p m o b q q p +d W .0 •bo 0 0O 45 o g O o o •� o U °'a j 4�. ca � X4,1 O m pti+0. O y U . l O 'O rn G R'0� l: U cda.'a�+, N�Oo s 44 00 ir w �� a N • -O W O o >, o °00 r+ H dpl 0 N 0o °ppq� ❑'a N d W o 0�O 0 q p 0 = N CE b 0 N o g a y Q U {r 00 .5 q O N vi o� A�.ly b N 0 f7. ; s N O } d0 W o N O A-, P M O O cH O N 1.0 N �O v�oq �'o+ o o �i a � ' i by 0, ba q m O •� � � Vi yyN N y O 4.a U H m'X v 0 0 J d Commonwealth of Massachusetts official use Only t" 2r Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.11/99] 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 INFORIIIATIOII9 Date: -J a /a W //() City or Town of: ,l)Q r`� A-nJvye r 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) �IAI I ( M 11)132, ; �a qC R r�� k. ,4 n, -n ny�e✓' Owner or Tenant' r ' Telephone No. q 7-g.q, 7sz 3aaq Owner's Address r7 i 1AIi 11AIA �1,.� �nn .� . A),,, b, A,-,,JAt O. AA7+ Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building' -j e S i Ae 0 �-; IA ( Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. of Meters No. of Meters Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool rod. Above ❑ - rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number 1 Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of -Devices or Equivalent No. o Water KW Heaters o. of No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail tf destre,� or as required by the Inspector of Wires. 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:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: G o rbc- L l e c�`�` `r c l L t— C LIC. NO.: Licensee: 1-"06 a r-+ -T C.ov-,-f-e,Jj r. Signature LIC. NO.: j tag 9gA (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.•9T9-37a-(,93/ Address: 7,Z G r� ter, i w,-, r4v�c n e- , 40iV cr-k t l)) W O (F 3 a Alt. Tel. No.:971f' ,373-l� 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 PERMIT FEE. $ Signature Telephone No. s Libert INSURANCE September 24, 2013 Town of North Andover Atm: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 71 Willow Ridge Rd, North Andover, Ma 01845 Policy Number: H3S21872273540 Underwriting Company: LM General Insurance Company Claim Number: 027715687-0001 Date of Loss: 8/15/2013 Atm: Town/City Official Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, � 9, or Mass. General Laws, Ch. 111, § 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address, policy number, claim number, and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 4082 Date ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... d .Gt A...rX.....1........`..�.. • C has permission to perform ........ f .... z.1..c r:.. ..1 ......................................... wiring in the building of ....... I"....................... .................................. %... ............... Uw ... ... .1.'......................... Orth A4:"n. over 'ss. /fir �j�' Fee... S..:C/�i. Lic. Ng1f.......7v..............L.................... # ELECTRICAL INSPECTOR Check # The Commonwealth of Massachusetts Office Use Only c� Department of Public Safety Permit # Board of Fire Prevention Regulations 527 CMR 12:00 Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date September 16, 2002 City or Town of No. Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 71 Willow Ridge Road Owner or Tenant Kevin Flinn Owner's Address Same Is this permit in conjunction with a building permit: Yes FX I No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead Undgrd =No. of Meters i New Service Amps Volts Overhead Undgrd =No. of Meters Num4er of Feeders and Ampacity Location and Nature of Proposed Electrical Work Kitchen Addition /Remodel No. of Lighting Outlets No. of Hot Tubs No. of Transformers No. of Lighting Fixtures 27 Swimming Pool Generators No. of Receptacle Outlets 13 No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switches 15 No. of Gas Burners FIRE ALARMS No. of Ranges 1 No. of Air Cond. Tons No. of Detection No. of Disposals I No. of Heat Pumps kw No. of Sounding No. of Dishwashers I Space / Area Heating kw No. of Self Contained No. of Dryers I Heating Devices kw Local No. of Water Heaters lNo. of Signs Municipal No -of Hydro Massage Tubs No. of Motors Low Voltage Wiring Other: (1) sub panel, (1) micro /hood INSURANCE COVERAGE: Pursuant to requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES I NO I have submitted valid proof of the same to this office YES 1 AX i NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND OTHER (please specify) 2/2/03 Estimated Value of Electrical Work (Expiration Date) Work to Start September 15, 2002 Inspection Date Requested: Rough 16 -Sep Signed under penalties of perjury: Final Upon Request FIRM NAME Dumais Electric LIC. NO. 12170A Licensee Mark A. Dumais Signature] Q. ��7 LIC. NO. 26665E Address 8 Newport Street Bus. Tel. No. 978-683-9438 Methuen, MA 01844 Alt. Tel No. 978-685-4553 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (please check one) Telephone No. Permit Fee �S'_ -y6, (Signature of Owner or Agent) Location %1 t No. o TOWN OF NORTH ANDOVER i Certificate of Occupancy $ Building/Frame Permit Fee $ ,. ssACHUSt Foundation Permit Fee $ AAl Other Permit Fee $ TOTAL $ Check # /I 1 5 6 6 1 Building Inspec TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 1.1 Property Address: 1.2 Assessors Map and Parcel Map Number Number: Paicel 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required% Provide- Required Provided R red Provided 1.7 Water Supply M.G.L.Ce4Q, , !Public ❑ Private [I° 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal . ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT X2.1 Owner of Record K! cJ/ it . ��/� I�/ ��✓� bLJ /7,i di.Y IQ .t Name (Print) Address for Service : 7 Signature Telephoof 7 G > C 5 2.2 Owner of Record: Name Print Address for Service: 1 -;t Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Ltjy Licensed Construction Supervisor: �� /� License Number a .45 Address �{ Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ & fie. *w4 Ab L;. Company Name 5 —2 b 6 a ((� Registration Number ORO Address//%% l / .!'.l , b D —5— � Exp�baate Si nature Telephone .0 M X ic z 0 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ 1 y Repair(s) ❑ Alterations(s). � ❑ 4 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction mai �d d 3 Plumbing Building Permit fee (a) x (b) f �3, 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 a D 0 0 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 Herebv 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 I, to Ir ��rw `T �o�j� r 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 c- %/I`//I &n Pr Na Signaturef ofOwwner/A t MOM NO. OF STORIES Date SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 ` 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIIMENSIONS 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 ►-UHM U - LOT RELEASE FORM INSTRUCTIONS: This form is .used to verify :hat of necessary approvals/permits fror Boards and Departments having jurisdiction have been obtained. This does not reliev( the applicant and/or landowner from compliance with any applicable or requirements. ********�************* APPLICANT FILLS OUT THIS SECTION APPLICANT KfOW11) %/�. ��Py�- Lj rl//l� PHONE ly (D� S LOCATION: Assessor's Map Number PARCEL SUBDIVISION j LOT (S) STREET W I r � ST. NUMBER _?y USE VATION COMMENTS TOWN PLANNER COMMENTS OF TOWN AGENTS: DATE APPROVI DATE REJECTED DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED- SEPTIC EJECTEDSE TIC INSPECTOR -HEALTH DATE APPROVED 6 U 01— DATE ZDATE REJECTED COMMENTS -1--5 PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTO Revised 9\97 jm TE /40,4/' �: �a394Z C.:Jd 4Ci�=� This mortgage Inspection we prepared in accordw certification to: with the Technical Standards for Kortgags Loan �1�L Insp+oCions as adopted by the Massachusetts board A« w�.�TF�7 .ZiLJG. �rrrr ?' Reglstration of profeselonal tnginsers and Land NOTEt This mortgage inspection was Dreperad t8 OF Ash �P,� Surveyors iso AOt cos, for mortgage purposes only and �� I further state that in my professional opinion tl t:eei(lcally not to be relied upon as a lend or property JAMES J. the structures shown oonfora wits dimensional setback lin• survey. building loa•tion and offset* iS the local toning horizontal shown are specifically for Boning determination ABELY requirements at the ties of construction crolre N.O.L. CH. 40-A 7 only and not eo b• used to establish property �, ex•spt under provisions of ase. linos. The land shown hereon !a based on reforenced information noted and say be subjgct NQ 2$5 0 is not in a Flood Hetard. to further takings and easements. Northern Pi.property/HoUse 7.Proparty/Rous• is in a flood Hstard Aram. Assocletea, Inc, accepts no responsibility for ),Information is insufficient to determine damagom resulting from Paid r+lianes by anyo its assigns n rlood maser&. flood Hatard determined t os test sd• ai fly other than the said aortgagee and its mortgage financin V Insurance sets Map Pan* I connection with proposed ` _ " The Commonwealth of Massaohusetts Department of Industrial Accidents Office or'Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Print Name: Location: C#Y Phone (� U am a homeowner performing all work myself. �1 am a sole proprietor and have no one: working in any capacity am an employer providing workers' compensation for my employees working on this job. company name: ode, 41qeI / 0 3c�P� C' D,�, e ✓vr. Address 52 6-- G+_ty: Phone* - 57/eY r►✓ C;t�q--Vv Comnanv name: Address city: Phone # Failure to secure coverage as requlred under qeCtion 25A or MGL 152 can lead tri the imposition of criminal penal ies.of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do herby certify under the pains and penaXies of perjury that the information pmvk*d above is true and correct Print Print name Lc%� ll,►m t -U Sji'e Phone #S2 Official use only do not write in this area to be completed by city or town official' E] Building Dept (--]Check if immediate response is requred Building Dept 0 Licensing Board EJ Selectman's Office Contact person: Phone #: F-1 lealth Department ❑ Other VORKMAN'S Come NSATION North Andover Building Department Tel: 978-688_954 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be . disposed of in a properly licensed solid. waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) r Signature of permit Applicant i ova Date NOTE: Demolition permit from tlje Town of North Andover must be obtained for this project through the Office of the Building Inspector MECcheck Compliance Report 1995 MEC MECcheck Software Version 3.3 Release 1b Data filename: C:\Program Files\Check\MECcheck\FLINN.cck TITLE: FLINN CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: Single Family DATE: 05/23/02 DATE OF PLANS: 5/22/02 PROJECT INFORMATION: KEVIN DARLENE FLINN 71 WILLOW RIDGE ROAD NO ANDOVER MA. COMPANY INFORMATION: COTE AND FOSTER CONTRACTING 20 AEGEAN DRIVE UNIT 15 METHUEN MA. 01844 11 COMPLIANCE: Passes .Maximum UA = 98 Your Home = 97 1.0% Better Than Code Permit Number Checked By/Date Gross Glazing Area or Cavity Cont. or Door Perimeter R -Value R -Value U -Factor UA Ceiling 1: Cathedral Ceiling (no attic) 396 0.0 38.0 10 Wall l: Wood Frame, 16" o.c. 616 0.0 13.0 51 Window 1: Vinyl Frame, Double Pane with Low -E 50 0.330 17 Door 1: Glass 39 0.310 12 Floor 1: All -Wood Joist/Truss, Over Unconditioned Space 288 0.0 38.0 7 COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 1995 MEC requirements in MECcheck Version 3.3 Release lb and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. Builder/DesignefZLZZ _1e j pae. Date 5-- a3—oa MECcheck Inspection Checklist 1995 MEC MECcheck Software Version 3.3 Release lb DATE: 05/23/02 TITLE: FLINN Bldg. Dept. Use I Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling (no attic), R-38.0 continuous insulation Comments: Above -Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c., R-13.0 continuous insulation Comments: Windows: [ ] 1. Window 1: Vinyl Frame, Double Pane with Low -E, U -factor: 0.330 For windows without labeled U -factors, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Doors: [ ] 1. Door l: Glass, U -factor: 0.310 # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments: Floors: [ ] 1. Floor 1: All -Wood Joist/Truss, Over Unconditioned Space, R-38.0 continuous insulation Comments: Air Leakage: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be Type IC rated and installed with no penetrations, or Type IC or non -IC rated installed inside an appropriate air -tight assembly with a 0.5" clearance from combustible materials and 3" clearance from insulation. Vapor Retarder: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values and glazing U -factors must be clearly marked on the building plans or specifications. Duct Insulation: Ducts in unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-6.5. Duct Construction: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure -sensitive tape may be used for fibrous ducts. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided Circulating Hot Water Systems: Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a. cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 °F or chilled fluids below 55 °F must be insulated to the I levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low .Pressure/Temperature Insulation Thickness in Inches by Pipe Sizes Heated Water Non -Circulating Runouts Circulating Mains and Runouts Temperature ( F) Up to V Up to 1.25" 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2" Runouts 1" and Less 1.25" to 2" 2.5" to 4" Heating Systems Low .Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) r -,ADDITIONAL ATTACHMENT /-- Borrower FLINN Property Addross 71 WILLOW RIDGE ROAD City NORTH ANDOVER County ESSEX state MA Zip Code 01645 L,mder MORTGAGE SELECT ecA L 1316 1, S2- L A --!! , N.c ru Cr � f Cele D a �&d 1 -3 �0 Day Ona Forms for Arkdows, 1995 - 1 S00-GET-DAYI :)7 IG Town of North Andover Office of the Health Department o Community Development and Services Division � t 27 Charles Street j. .� �...�..` North Andover, Massachusetts 01845 =SsAru115E% Sandra Starr Health Director May 29, 2002 Mr. Michael and Mrs. Darlene Flinn 71 Willow Ridge Road North Andover, MA 01845 Re: Application for an addition and deck to an existing home Dear Mr. and Mrs. Flinn: Telephone (978) 688-9540 Fax (978) 688-9542 Your application for an addition and deck at 71 Willow Ridge Road has been reviewed by the Health Department. The application was denied on May 29, 2002 for the following reasons: I. X Missing information 2. X Passing Title 5 inspection of septic system may be required 3. Location of structure not acceptable To address the problem(s): p (� If #I is checked, pl a supe Y a. loor plan of the existing dwelhng and the proposed addition; b. Certified plot plan showing house, septic system and proposed project in scale. If #2 is checked: (�qv l 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 --- t J� �C� b. Tie-in to municipal sewer. If #3 is checked: a. The proposed project may cover part of the system and cannot be determined without a certified plot plan showing the locations of the system and the addition. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, 1. ri J. LaGrasse, Health Inspector cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 .-.ADDITIONAL ATTAC14MFNT /-- Borrower FLINN Property Address 71 WILLOW RIDGE ROAD (qty NORTH ANDOVER CoimtY ESSEX S61te MA Zip Code 01645 Lander MORTGAGE SELECT I�.ei A blila2 3L 52, ' � L d �z ti.Kj rs- Z � f 13,,,E 4, V.o w+ E B£ D 3<0 47 1(0 Day One Forms for Windows, 1995 - 1 S00-GET-DAYI AC KLEIN APPRAISAL ASSOCIATES Z l 'd 9L0 'ON 31VSNV01 NHV WdW Z zW l 'ftN Date. ,f :.1. l TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...":'.r....C.G.' �.!.`..�......... . has permission to perform .. f.r..r...... .!O' J r' t .................... plumbing in the buildings of Y..`.'.. f. .................. . at ... ?. �... {. (�. .. �. �..� .S. '-? ...... North Andover, Mass. Fee.';C .. Lic. No..../.G ....... ��- � �.-...... . 1' UMBING INSPECTOR Check # T' S ►' 5350 YG MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT"TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS G --z Date Building Location? ��avowners Name Permt #�� —O Type of Occupancy / Amount /L Ic ,� New Renovation 011/ Replacement 1:1 Plans Submitted Yes No ❑ FIXTURES (Print or )�j C❑heck one: Certificate Installing e oLp. Address Partner. G usiness Te ep o e Firm/Co. Name of Licensed Plumber: AN I IlWeOL�L Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent ri I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the MassQ usetts, ate Pl ode and Chapter 1p of the General Laws. By:g a ure o 177censed riumoer Title i)ipe of Plumbing License U City/Town icense NumDer Master Journeyman ❑ APPROVED (OFFICE USE ONLY Cf) m m m 0 m _ CO) 10 CD Cl)z O O CL r d d CD tZ _. D � CD p Q Q CD O Q o _ to CD 0 CO) -p C7� G O C CO) Cl) CD 0 _ r� CD v cD y� CD CO) � c?mac m x O —• co) Q N 0.0 C m y �m n m Cl) o CO) 0 CL m O� ._►M .d.�CD H T CD CL nod = y CD --Io m y p O IE m m mcl a > > N m ^ toO 7 W � col)iR rrn 0. nod i `� o CL C2 CD :t (� o c-�-o n m m3 CD lb y �y m`dCD y Zt m Cl C� `CD a c m (n = CD cn p� • z a�_er V C Q � • o = A y 0 0 c a oo RL 9 rz ° fD o W z ]' °= o GQ C) � w x o o . 0rD o � N o O.. x O y 0 0 c