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HomeMy WebLinkAboutMiscellaneous - 75 PUTNAM ROAD 4/30/20186/24/2016 20600 This is an e -permit. To learn more, scan this barcode or visitnorthandoverma.viewpointcloud.com/#/records/20600 OF NOl;Ty TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that Marc Buvair has permission for gas installation Replace Cook Stove in the buildings of PARKER. CHRISTOPHER. S. at 75 PUTNAM ROAD , North Andover, Mass. Lic. No. 23540 Date: June 24, 2016 is MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK MA DATE! 1� PERMIT# _�. JOBSITE ADDRESS OWNER'S NAME OWNER ADDRESS i _.. _ .. TEL %7 y_ a.3 a a3� �. FAX E , e � . TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL CLEARLY NEW. RENOVATION:71— REPLACEMENT: -� ! PLANS SUBMITTED: YES1 N1 APPLIANCES Z FLOORS— BSM 1 2 3 4 5 6 T 8 9 10 11 12 13 14 BOILER BOOSTER _ CONVERSION BURNER _ COOK STOVE DIRECT VENT HEATER DRYER - FIREPLACE - FRYOLATOR FURNACE GENERATOR - GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN _ POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER - UNVENTED ROOM HEATER WATER HEATER OTHER! ETI INSURANCE COVERAGE I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES �' ` NO ! ¢, 1 IF YOU CHECKED YES, PLEASE INDICATE,THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY s OTHER TYPE INDEMNITY 1 BOND OWNER'S INSURANCE WAIVER: I ani aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER k... AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and 'information I have submitted or entered regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFIITER NAME p� �� L"aR LICENSE # �4 3 Sy a SIGNATURE MP O- MGF i � JP I JGF F I LPGI i CORPORAITON '# _ a PARTNERSHIP # ? LLC # v{ COMPANY NAME! ADDRESS b_.__ .� yLl%� Ind p1� CITY STATE W, ZIP 01Dfog 3 --;TEL °..5 tD'K . Lt�1 FAX i a CELL! fEMAIL�ryA(iC /� _a ! The Commonwealth of Massachusetts Deparbnent of Indusd ial Accidents Office oflnvesiVations I Congress Siree4 Suite 100 Boston, MA 02114-2017 www.muss gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aanlieant Information Please Print Lesibly Name (Business/organizatioallndividual): C, i Address: L' AF I ``Y10'd Lw1-1F: WX -Q A RA Phone #• —044o Are you an employer? Check the appropriate boA 1. ❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub -contractors 2. (1I am a sole proprietor or partner- listed on the attached sheet ship and have no employees —I hese subcontractors have working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance3 required.] 3. ❑ I am a homeowner doing all work 5. ❑ We are a corporation and its officers 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 reouired.l 2-1ILt6 Type of project (required): 6. ❑ New constriction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.0 Electrical repairs or additions II -El Plumbing repairs or additions 12.❑ Roof repairs 13.❑ Oiirer_��i •Any applicant that checks box #1 most also fill out the section below showing their workers' compensation policy information. ' t Homeowners who submit thic affidavit indicating they are doing all work and then hire outside coaftntm must submit c new afydavit indicating such. tContracWs that cheat this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their. workers' comp. policy number. I am an &Vloyer that is providing workers' compensation insurance for my employees: below is the policy and job site information. _ Insurance Company Name: Policy # or Self -ins. Lic. #:_ fkdi� Expiration Date:- Job Site Address: V1 �� fy -fit' ary �-Ut CiryAtate/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 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 up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct lr -� LI L L 0,9kial use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone #: Date..5�Z .1.1 .................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that..................... . ^ +� P--� `�' ,� e ` vr�5. � 0. has permission for gas installation ............................. .......... ...................... in the buildings of at ........................................... il.... c` '........................................... North Andover, Mass. Fee..........3o.—........ Lic. No..� �....... Check # I ��i 9323 �. �'................................................. GASINSPECTOR - MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Andover MA DATE 5/2212014 D PERMIT #— JOBSITE ADDRESS 75 Putnam Rd OWNER'S NAMES GOWNER ADDRESS I Same TEL-- -IFAXI TYPE OR OCCUPANCY TYPE COMMERCIAL[] EDUCATIONALE] RESIDENTIAL❑ PRINT CLEARLY NEW: RENOVATION: El REPLACEMENT: ❑ PLANS SUBMITTED: YES❑ NO[] APPLIANCES -1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER RpOF TOP UNIT TEST 'NIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHERas Mete _ Re lace 1 Gr x HF INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO 1 IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE INDEMNITY ® BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER [j AGENT F-1SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued forEiiiE iance with all Pertinent provisiqp of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Joseph Marino SIGNA RE MP MGF ❑ JP ® JGF ® LPGI ® CORPORATION �#P®# LLC ®# COMPANY NAME: RH White Construction Co ADDRESS 141 Central St CITY Auburn STATE=ZIPI01501 TEL (508) 832-3295 FAX 508-926-4347 JCELLI 508-832-4614 EMAILJMarino@RHWhite.com V) w F O z z 0 F U w P, d z w 0 ❑ Z O H El w � ~ W O w O F au LU z N w j Z w a a W d U) o a a a � U J F a a a � � w x w I-- w rA W F O z o � U W a C7 x C7 O 1, Jo R nip ;(%�i; 'ui: #>'L�Ilar� ,4,'�tN;ii.•,:..r :., t;I !I"- a,}'�y;'p - , • '!`1 • IIM'.",'t l: •!1: ! i .I r :�ij•. '�' I: '•f jr;"i j: r�!,1 i • ��r,,�s::y, i't1:. ;1i �', ,.. !/r�ytct;:,�%' �,� 1 rJ �� Z. LB • : a: U) V) 13 n • � i* : , 1 t' • lid" r;r• i�::; v; .tt�i`4i1. .i :J9it�,. .'.'.mfr. �2i`':', � :%; .•'yl �1a,,[},•;„taai�L�:1`i::J'�i'_Q11i1:•!,'.'�!Ijli�'ii�"r• • ��` 'u 'c! •u ! i •Si`� 5 h t%3�: ' 11:':n • ;��;i.., � i,,G '-t'•i�':`•a:'arfay.�tr:�it;,,;;�.;:,:Oa�?, ��.�'•.,. .C.7.;�` �j' . ;�e 'il(';ili.. :,,, • t,l,. �i:-7ri<i .�+:iE.!. �y r. i�[i1•i' . ,;e :'i„ :r,}y .�•,:sn c:-s'c1�i.'tr, ;r7:rf.;.tF4iFi.r, ' �:,i,l {l�j r \ . CERTIFICATE OF LIABILITY INSURANCE Page 1 of x 08129i2o 31 THIS CERTtICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CEl$T1PICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the Policy(ies)must be endorsed. If SU 13ROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does notconferrights to the ceftificate holder in Ileu Of such endorsement(s), Willia Of Massachusetts, =ne. c/o 26 contory Blvd. P. 0. Box 305191 NaAhville, TN 37230-5191 R. H. White Construction Company, Inc. 41 Central Street P. Q. Box 257 Auburn, MA 01501. NA100 INSURERA:The ebarter Oak riro Insuraneg Company 256y5-001 INSURERS: Trava],arE; property Casualty "—-- oP Am 25674-00.3 INSURERC:Nati0na1 Union Firs Insuranca Company o£ 19445-001 INSURERD;Travelers =ndamnxty Company 25658-DO1 INSURER F.; -- —•-•• A,wlww�m,AVA0/*UU REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE: POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN Is SUBJECT 70 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE Or INSURANCE OO, 'SU8 POLICY EPP POLICY f J(P A LIMITS GENEIZALLIA6ILITY VTC2000 977X9948-13 9/7%2013 9/1/2014 EAChIOCCURRFNnF POLICY NUMBER 2 n nnn IMERCIAL GENERAL LIABI I.ITY CLAIMS -MADE OCCUR PER; B AUTOMOBILE LIABILITY X ANYAUTO ALI. OWNED SCHEDULED AUTO$ AUTOS X HIREOAUTOS X NON -OWNED AUTOS X Cox Ded X Cv11 Ded C UMBRELLA LIAR $ OCCUR EXCESS LIAR CLAIMS -MADE DED I V. IRETENTIONS =0,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY D ANY PROPRIPTOWARTNFRl6XECUTNE11 N(A OFFICERIMEMBER EXCLUDED? fMandefogfn NH) i u� Sat;K110cl77luN OF QP'.RATIONS below ,M Evidence of InmuraAce 977K955A-3.3 19/1/2013 9/1/2014 BE8766140 19/1/207.3 19/1/2014 VTRRUB 8205A1a5-13 9/1/203.3 9/1/2014 VTC2XuB 920 WIA-13 9/7,/2013 9/1/3014 Acord 101.AddlfanplRemarks3chQdula,I mmoreepeca MED EXP (Arn one 2.000,000 BODILY INJURY(Perperaon) Is BODILY INJURY(Peraccidont) 6 c•L•kAGHACCIDENT .2 i 1,000/000 El.DIWASt-EAEMPI:pYEE S 1,000,000 El.DISEASr- POUCYLIMIT $ 1,000,000 SHOULD ANY OF TWE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEDREPREaENTATNE C*11:4197604 Tp1:1694012 Cert.:2026768o ©1988-2010ACORD CORPORATION. All rights reserved. CORD 25 (2010105) The ACORD name and logo are registered marks of ACORD r 25'0 Date........ /.................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...'..........% . ' .. -.`":................................ " has permission to perform ....................................................... swiring in the building of...........:...................................................................... at .�J' ....... .................................... , North Andover, Mass. Fee .................. Lic. No. GELECTRICAL INSPECTOR Check #-21'L- % WHITE: Applicant CANARY: Building Dept. PINK: Treasurer caw—` lhEr- LU1V1Y4dU11VWP- L 1" UP MUINE1 IN _ _ — uttice uLLe om DEPARTA1EW0FPUBLICrS4FM Permit No. V 1 ) BOARD OF ME PREVEMONREGUATIONS527C/tm n2 oD 7 Occupancy & Fees Checked QU UVPPUCATION FOR PERMU TO PERFORM EL,ECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date � � a ; Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street d Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes �Z No ® (Check Appropriate Box) Purpose of Building %� L y Utility Authorization No. 5.1 Existing Service Amps/ Volts Overhead Underground ® No. of Meters New Service Amps ele(!7 24wolts OverheadQg3 Underground No. of Meters` Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total kVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound No. of Receptacle Outlets No. of.Oil Burners No. of Emergency Lighting Battery Units No. orswitch Outlets _ No. of Gas Burners FERE ALARMS No. of Zones N;t of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW a Connections ® No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTJ ]ER OWN MAP I �r • ' � .1 Itl � I•ry• S •v ►:►tet �� _� �i� Expttatton l..fcaG / . Estirt�d ValuecfEiecUicat Wodc $ p-� LNa Lioensee r� ��G/l �� aFFC,C �'� �'��'^ risrS� OWNER'S INSURANCE W AftTeiNa ANFR; Ian $tectceoo�t�e:�riva}e�aste�¢edb5' (,�adl Laws and thatmymonthispamit,t otsHmiwsthis mWyanat (Please check one) Owner® Agent ® l!1V • /, Telephone No. PERMIT FEEL � V Date.,. . No /,& 5 3 "1 TOWN OF NORTH ANDOVER 0 I. Z PERMIT FOR PLUMBING This certifies that ............'.................. has permission to perform 4), ......................... plumbing in the. buildings of ............................... at ............. North Andover, Mass. Fee.; Lic. No. .......... PLUMBING I&IS�iC T70R G/ Check # � . WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location Of L. 7 PERMIT TO DO PLUMBING Date I / Y-0 `^' Permit # -/S3 Amount New ff Renovation 1:1 Replacement 1:1 Plans Submitted Yes ❑ No ❑ KA UU' • F'3MMMWMMMMMMMMMMMMMMMMM■ (Print or type) �ry � ` Check oneCertificate InstallingCompanyName Cop Address Partner. .-'v Business Telephone Finn/Co. Name of Licensed Plumber: \ rulu y- rl 1 /6 "Pt, Insurance Coverase: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Er Other type of indemnity ❑ Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee ofthis application does not have any one of the above threeinsurance Signature Owner I hereby certify that all of the details and information esu best of my knowledge and that all plumbing work d instal i compliance with all pertinent provisions of the Atsac By e o icy F1 Agent ted (or entered) in above application are true and accurate to the performed under it Iss for this application will be in lu> C �h , � othe General Laws. Type of Plumbing License Title /J, 3'R 6 City/Town License Number Master Journeyman ❑ APPROVED (OFFICE USE ONLY J 5 5 I Date ..... ........ ` ...... . NORTH TOWN OF NORTH ANDOVER 0 `•� ee OL p PERMIT FOR GAS INSTALLATION This certifies that . :�.,..'.�........'.!��!`.................... has permission for gas installation ............... in the buildings of .....f �.. t . ,� ............................. at .. .. . ! :. �!�7 : ` ........... , North Andover, Mass. Fee. . .. Lic. No..4) .........: .?_:.... 7 J GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Y MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING Type or print) Date NORTH ANQOVER, MASSACHUSETTS Building Locations Owner's Name New El"" Renovation ❑ Replacement ❑ Permit # J ^� Amount S Plans Submitted ❑ (Print or type) Name (/ 1 D&U2 ness Name of Licensed Plumber or Gas Fitter t j.f Check one: Certificate Installing Company /� ❑ Corp. Z, ❑ Partner ❑ Firm/Co. INSURANC)< COVERAGE Check one: I have a current liability Insurance policy it's substantial equivalpnt. Yes ❑ No ❑ If you haveec!ced yes, please indi e the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: 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 nas ed under Permit Issued For this application will be in compliance with all pertinent provisions of the Massachusetts Statede andhgpler 142_qf the Ger�ral Laws. By: Title City/Town .A-PPR0V.ED (oFi7u- USE ONLY) :gnature of Licensed Plumber Or Gas Fitter Plumber - 3 IF0 ❑itter :cense : umoer Master r7 Journeyman C (Print or type) Name (/ 1 D&U2 ness Name of Licensed Plumber or Gas Fitter t j.f Check one: Certificate Installing Company /� ❑ Corp. Z, ❑ Partner ❑ Firm/Co. INSURANC)< COVERAGE Check one: I have a current liability Insurance policy it's substantial equivalpnt. Yes ❑ No ❑ If you haveec!ced yes, please indi e the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: 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 nas ed under Permit Issued For this application will be in compliance with all pertinent provisions of the Massachusetts Statede andhgpler 142_qf the Ger�ral Laws. By: Title City/Town .A-PPR0V.ED (oFi7u- USE ONLY) :gnature of Licensed Plumber Or Gas Fitter Plumber - 3 IF0 ❑itter :cense : umoer Master r7 Journeyman Town of North Andover .4 tiORTH q Building Department ottt�eO 27 Charles Street o North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 O •a• COLNI(H. WKN 1' Q°R,r.., PPay.ty APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS 75� PoLn o- h, 2 A LOT NUMBER UBDIVISION DATE REQUEST FILED 9, oZ. O d o DATE READY FOR INSPECTION e2 L7�- FIVE (5) 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 THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. SIGNATURE A*4 yv OFFICIAL USE ONLY ************************************************************************ ROUTING CONSERVATION C DATE 2d PLANNING ` ! DATE D.P.W. -WATER METER DLA I- A) DATE /0 - ��- D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. 6v� 9. SIGNA / PW AUTHORIZATION SPL�ti A jg V Location � No. 6aa Date L TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ` � k' (- 4.'- - / 0 r Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATf2 OR DEMOLISH A ONE OR TWO FAMILY DWELLING ; t S•, :. $Rx 5 .£; 1l .:w Pttv%3 _:a^a-s*Ys i,"'' "'�Rv'7 %. � 5 BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/inspector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: VV 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 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 R 'red Provide Required —+ Provided ReWred Provided 1.7 Water Supply M.G.I-C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 7- Nan6 Print) Address for Service: Signatu,J a/ Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: �ob-Pr+:Ntq ;S LicenS�Construction Supervisor: ` l � Is— � � n /t � � Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone M M X Z O M , SECTION 4 - WORKERS COMPENSA`fION (M.G.L C 152 S 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 buildin it. Signed affidavit Attached Yes ...... No ....... ❑ SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) _ ❑ r Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: dog - SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant Oit'F>(CL, USE QNLY 1. Building / d i (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost ofr-- Construction 3 PlumbingBuilding Permit fee (e) X (n) i- a� �r---- 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, , as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Name Signature of Owner/Agent Date f SIZE Is== NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1sr 2ND 3 RD SPAN DMIENSIONS OF SILLS DIIv1ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE A M W ;a "I r- 0 0 w m ;v m m Zi z w Z M C >0 ZO 06 0 cW c G)--� 02, I Z , C M o 0 z I6 la mefN Jfci� Cl- tz-(00 FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT L- L 0 /2,0PHONE �I P ^66 3-1„OU ASSESSORS MAP NUMBER hl A( LOT NUMBER SUBDIVISION LOT NUMBER STREET -I�1 J (�� x-12 P STREET NUMBER l OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS 1 . ■ ...a� ...... ■ ■............................................ �............ ■ r yY , e11v^✓ DATE APPROVED CJZ� CONSERVATION ADMINIS TOR �j DATE REJECTED CJ IL TOWN PLANNER COMMENTS ' FOOD INSPECTOR - HEALTH SEPTIC INSPECTOR — HEALTH COMMENTS PUBLIC WORKS — SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED DATE APPROVED FIRE DEPARTMENT DATE REJECTED CON *RENTS RECEIVED BY BUILDING INSPECTOR 7 J fl f; CFF.PJTNj�V ROAD T�F'iCA'iIOP�� ! 1� i ,'nL�'r�REi) I''tJh R L I CORP 20' _ „CP Y 10, 200 SE1610E-S. INC -3u DRIVE 4 ii y { M a V - o c, O � r nt J fl f; CFF.PJTNj�V ROAD T�F'iCA'iIOP�� ! 1� i ,'nL�'r�REi) I''tJh R L I CORP 20' _ „CP Y 10, 200 SE1610E-S. INC -3u DRIVE 4 ii y m m U) Cl) m S- d CO) Cl) 10 0 n Z y CL �• _ � O d _• y '.� CD o p CD O a) CD CD 0 CD C CD co) CL O y CD i � v CA O 1 Z CD � oCD 0CD O d 2 O - •NOQ y 4 EL y O O 5* a a o n G Ho 0.� m Z '� ?-C ca _I o .••► .d-► m LA - 0042 T m nod y CD O O CO) g O m m : a O O A om O•O •-► ii O1 p H• c)Cc) CD c • IL f,CD 1 O m V z H aCD �� ,^ o W a ►� H O , A =r )3E m O :� N � Q m 1 ' cu CA lb �mtJ*b o `O n O .� O Z moo: C„ O Vol o 3 C/) r ` CD CD Ir 2 C-) O ca C m =a C C/) o Ix �j 0° � Sr " wGO "G Ga b C/) ?� n b ro o x 0 W, . , ti 0 c CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 46-8 Date /0 _a THIS CERTIFIES THAT THE BUILDING LOCATED ON / �� PO l� MAY BE OCCUPIED ASGNI e 11 r'� IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. rj R0®I'V\ S 62'la 134+� I a Si a II UludV r ", "T ; A,o CERTIFICATE ISSUED TO CC) Jo p ADDRESS _ �j G U /L) k( ��s"`""s� Building Inspector ..\(U..\ z am m c D cv � o =o m M lb p C M N 0 ID -1 J1 r p p CM ti u c c. w. E L 4 G N N CD 3 F/J CD m � N o A := C CO) y A N c 0 w rn w° U w ° a rz° m ° wC/) cn z am s v m co O E O z O CA y .E CLL CD C O CD 0 to coCL 0 y O t0 C y In O tt5 d y C O QM C O C cc m y C W9r I-- LQ M m c D cv � o =o m M lb p C M N 0 ID -1 J1 r p p CM ti u c c. w. E L 4 G N N CD 3 F/J CD m � N o A := C CO) y A N c 0 E� c cm m CD O t+ ti CO3 Z A p o o Cp Q CA = .o o 2 ® a.Z,..o N r� CO) ca = .,. m cc W C .L. 45 L6 •y p = Z = j .. m N ME 93 O ®a� o, 9 go o o= G = F- cc 0 s j-,Cw s v m co O E O z O CA y .E CLL CD C O CD 0 to coCL 0 y O t0 C y In O tt5 d y C O QM C O C cc m y C W9r I-- LQ M L6cation f i + No. / Date TOWN OF NORTH ANDOVER OF,- • �L 9 Certificate of Occupancy $ Building/Frame Permit Fee $ sACMuSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J 3776-J7 " Building Inspecm! TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY D BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: /L// /// CC..0— �"�'� twilcung commissifor of SECTION 1- SITE INFORMATION 1.1 Property Address:: Date 1.2 Assessors Map and Parcel Number: -DO Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed UseLot Area s Fronta e ft 1.6 BURDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required t Provided Required Provided 1.7 Water Supply M.G.L.C.40. % 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ Zone Outside Flood Zone Municipal On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) y/n! ) Address for Service: 97 WlO f L.1 Uwner of Record: Name Print a, na,urc fele hone SECTION 3 - CONSTRUCTION SERVICES 3.1Licensed Construction Supervisor: RLW 1_ Licensed Construction Supervisor: y-6- & s �,,y P� 11�, Address? Signature Telephone 3.2 Registered Home Improvement Contractor Company Name Address Signature Address for Service: Not Applicable ❑ r 0 J d O `, 9 License Number -as -,j/)n,l Expiration Date Not Applicable ❑ Registration Num Expiration Date , APR Q 2000 � 45 SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 6 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 rmit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work(check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: - 'WQl Il N SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL SE; ONLY , ' 1. Building (a) Building Permit Fee Multiplier �Q 2 Electrical (b) Estimated Total Cost of Construction 6 3 ao • 3 Plumbing Building Permit fee (a) X (b) �O O 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATI TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Name Signature of Owner/A ent Date 1111 mill 311113011 NO. OF STORIES SIZE 3 BASEMENT OR SLAB e SIZE OF FLOOR TIMBERS iST A lo 2 a 3 SPAN 1390ENSIONS OF SILLS DIMENSIONS OF POSTS is DIMENSIONS OF GIRDERS '"X / • " HEIGHT OF FOUNDATION ` THICKNESS to Ir SIZE OF FOOTING 164r' X �. MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �. m'I�iI3:�i0i>��'��ltl�l3�' BUILDING PERMIT NUMBER: DATE ISSUED: / D n SIGNATURE: C Building Commissi r/IEEpector of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Lo 14 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required I Provide Required I Provided Required Provided 1.7 Water Supply M.G.L.C.40. % 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public Private ❑ 1 Zone Outside Flood Zone Municipal On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1O' \ L Co a &,n �1� ���i� o�) C�-1.) I PV., C Name (Print) Address for Service A A ..��y 2.2 Owner of Record: Name Print 1 SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: TNh1����, ` S Licensed Construction Supervisor: yam- &.s 1�0,y Kw Address r��??�� �'l►-er.T-��,,.,.>e.so �- 7 % �� 1010 � r� Signature Telephone 3.2 Registered Home Improvement Contractor Company Name Address Address for Service: Not Applicable ❑ License Number l0 C� �- () 2v Expiration Date Not Applicable ❑ Registration Expiration Date r APR A 2000 FORM U - LOT RELEASE FORM IIySTRUC T IONS: 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/cr landowner from compliance with any applicable or requirements. "AFFLICANT FILLS OUT THIS SECT10Nt" APFLIC,^,NT Cn K 10 PHONE -Q7 �3 (,006 LOCATION: AsSess&s Map Nurnber PARCE? SUEDIVISICN LCT (S) STREET P()4,1UA tn �p) ST. NUMEER * ' ' ,*A** OFFICIAL USE ONLY"* --k- `- tx t*tt I REG9MN1ENDATI[0NS RF TOWN AGENTS: N e.W �A o w\� .e- ' -� CONERVATION ADMINISTRATOR COMMENTS ii 6 Vv 'ems CU -U T0WN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED I; ._. DATE APPROVED DATE REJECTED DATE APPROVED- + DATE REJECTED IK 1 111 APR Q 2000 DATE APPROVED J R DATE REJECTED Q3 ILDING DEPARiMENTI PUELIC WORKS-SEWERIWATER CONNECTIONS DRIVEWAY PERPAIT ,L 3—_3(—DD FIFE DEPARTMENT RECEiVED EY EUILDiNG ;NSPECTCRDATE Revised im g^ �l Looney & Grossman LLP Attorneys at Law Maria Galvagna Mesinger Voicemail: Ext -520 Email: mm'-e-singer@lgllp.com November 12, 1999 Mr. D. Robert Nicetta Building Commissioner Town of North Andover 27 Charles Street North Andover, Massachusetts 01845 Re: Putnam Road (Deed/Legal 04751 0292) Wentworth Avenue (Deed/Legal 04751 0292) Dear Mr. Nicetta: r J 101 Arch $tree Boston, Mases�a trsetts 02110-1112 Telephopj"(61.7) 951-2800 Telecpf�ier (617) 951-2819 w�w.lgllp.com This letter confirms the conversation that you had with my mother, Carmelina F. Galvagna, that the above captioned property is "grandfathered", and will not require variances in order to obtain building permits. We greatly appreciate the time and effort that you took in investigating this matter. cc: Carmelina F. Galvagna L:\mgm\I tr\fredrickson. doc Very truly yours, Maria Galvagn esinger 53. 25' N M ASSESSORS MAP #21 PARCEL # 33 9,690 SQ. FT. f 827045,000 20 "E NOTE: Property lines taken from existing plans of record. This property is located in the R-4 zoning district. DRAWN BY: B.C.O jr & R.C.T. 25' R = 320.58' 46 71' b co 4 owl y ti PROPOSED DWELLING LOCATION LOT 6 PUTNAM ROAD NORTH ANDOVER, MA 01845 PREPARED FOR: )Z.L.I CORP SCALE: 1" = 20 MARCH 23, 2000 W ENGLAND ENGLAND ENGINEERING SERVICES, INC 60 BEECHWOOD DRIVE NORTH ANDOVER, MA 01845 E 5 (978) 686-1768 Y" 4 Growth Management Bylaw Exemption Statement Town of North Andover 8uiiding Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.5 of the Town of,Ncrth Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested 'below. Name of Applicant on Euilding Permit (below) Address of Property fcr Pen -,it (below) R L. --r eC'2 1-6+11 1 - Map and Parcel: N h___,/_ 4, � Purpcse of Application (check below) p h A&110 V Phone Number of Applicant: /� q t. (, „m- r -ZSin le 9 Family _ Two Family I the undersigned applicant for the above property attest that the attached building permit ;or which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any parry to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subjectto review by the Building Department and is only bf daily accepted when the Building Permit ig issued. Based an section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement. restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law, provided that no additional residential unit is created. The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 9.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals, whe conditions of 8.7.6.care met andlor represents Dwelling units for senior residents, where occupanre all of the restricted to senior persons through a properly executed and recorded deed restriction running wdh of the units is tc7 he tend. Far purposes of this Section "senior' shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40% permanent reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable aces and permanently designated as open space and/or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a trail of land existing and not held by a Developer in common ownership with an adjacent parcel an the effective date of this Section 8.7 shall receive a one-time exemption from the P!anned Growth Rate and Development Scheduling provisions far the purpose of construc ing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this E(E41PTiON. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item whith does not comply, whether done to my knowledge or not, is grounds for refusal by the Buildin`\g Department to issue a Building Permit. n "iignature at owner or Authonzed Agent who signed the Attached 8widing Permit Oate This form must be attached to the Building Permit upon application for such permit. APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. Application by the undersigned is hereby made to connect with the town sewer main in ��G�Z1ly� Street; subject to the rules and regulations of the Division of Public Works. The premises are known as No. U C V7�^ il-1 /L OG - Street or subdivision lot no. Owner Address play Contractor Address /Applicant's Signature PERMIT TO CONNECT WITH SEWER �M'AIN The Division of Public Works hereby grants permission to `-- ` to make a connection with the sewer main at /' 1'k 1'1 a'vq subject to the rules and regulations of the Division of Public Works Inspected by Date See back for rules and regulations /11 Street D' isionof Publics Works J v it NO 962 APPLICATION FOR WATER SERVICE CONNECTION r f tow North Andover, Mass. Application by the undersigned is hereby made to connect with the town water main in subject to the rules and regulations of the Division of Public Works. The premises are known as No. V -1t Street or subdivision lot no. &G Owner Address 61�Z( Contractor Address pplicant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to j\ to make a connection with the water main at Street subject to the rules and regulations of the Division of Public Works. o rd of Public Works By Inspected by Date See back for rules and regulations The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone F-1 am a homeowner performing all work myself. F -1I am a sole proprietor and have no one working in any capacity 0 I am an employer providing workers' compensation for my employees working on this job. (.t.J C -90� /I? C - Comoanv name: Address City: Phone #: Insurance Co. Policy # 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 $1,500.00 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 penalties of perjury that the information provided above is true and correct. Signature bate-4/---/- Print ate4/..-/r- Print name All-,+ ( "T�l 1-, s Phone # 4Z2 - 6 0-06^ Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone A ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION IV BUILDING DEPARM =2 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be dmposed of in a property licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of a Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector a TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone (508) 685-0950 Fax(508)688-9573 DRIVEWAY PERMIT Date: -� 1 - DO LOCA7 T7 ION: ` 5 BUILDER: phone: OWNER: z_ Cello phone: The North Andover Superintendent of Highway Utilities & Operations MUST be notified of the grade and set -back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. ■ Remarks: Approval: nj -i < Z Ln m O ° aj o EE C:- � W Z mcna '*0 Q � H F, } fD C -(D 0 =rr*l 13 .� N 0 0 CL fD (D m0 3 c 0 c 3 a 0 r- tG ? H 0 m 0 A n M 3 H 0 m(D O (D 0 --i 1 3 m cr S, x > Q'0 6'. � 11 1 n 0 0 0 d m a 3. Ca O nC Ln O Oc�c - C 7 , m O N :E .`_ o E < _� E a. a a * * TOtiti cr tn Q) zcli �LO 69 rol 0) mn m m 0 a 07 /rte► Q M \V o O (U z C Fm OCD c ; `, * a� OID p m� ® O y m �. C CD rC � � W ~ rrDCD te+ 9 M IS S:? � w pGQ M O m W 'c7 w 0' �" r, cW IV t'0 U) r) C n In Q %C '+ O PTIO x y n MCD C.) Z y �. CL Cl) >Z 5' y m m v CD mCCD CL Q _ m " CD CD o p m CD 3 c CZ cv CD' CO) O cCD v CA O 1 CD Z O o CD 0 o C CD 0 O Z O_ 0 S._ co O c _ to CO to O N O O. N NO c? -C a m =_ 7 CA a cr C4 CA m � N m d C g� ' 54 N _i ._+mg Rm N T co O...� O. T —loot' o CA C,50D CD o a C2 Z!5. n o� CL O CD O O N �\ O C-3-0 CL CD w y : �m C � 1 NO H Q: _ m m a a :V . V . � N : - • o� CDo bico: ? W ate.: c o (n 0 Cron �, p ~ rrDCD te+ 9 w OC � w pGQ M O r O cn p W 'c7 w 0' �" r, cW IV t'0 U) r) C n In Q %C '+ O PTIO x rA v 0 )MM3 0 0 c Fj w A o W u �2 $ cn a U) ° w z z a o x U m c w W o P x a o W U w Ch w x O z oc r::w z w a C cc C/) v ° nw c z am O C m C ev E a CD , m �0 N ro Ec 11 = 1' v: O w$ cm `' m C � . :mm D cL m 3 = N \V■ � m � O E m m o � N m m o,c= m m or V N O O 2 0--w cm m�: y d C C = m m G IV _ COOD W C Ate= H .N 0= O C Z .� v D v .c O _ O m V� CL 0 -0 O� = eyv.0�y� O �- _ .0 a=m F. O w P-4 a r' CA y .CD L CL CD C O CD 0 M CL y O V .Q H O cc .0 C. y L O 4-0 c.i CD C. y C GD QM C O .0 c� cc m 0 CD D O L O C' CL cm< � C P , y.q O z s - H C C LLJ 0 U) Lli (n ErW W crW U) eocati& No. -IS8 Date 17-11-00 NaRT� TOWN OF NORTH ANDOVER Qf t�o ,1,y . 0L 9 ' Certificate of Occupancy $ sACMUs <� Building/Frame Permit Fee 179 /y/ $ Foundation Permit Fee $ Other Permit Fee $ �7 TOTAL $ Check # 31- 70 Building Inspector 07/1.1/00 07:.1.3 FAX JUL 11 '00 06: Z7 _ P -a7 FNo. Delta Radius rc _e t Chord th Len Chord Bearina C1 08'20'50" 320:58 46.71 46.67 S3743'50"E , N,2?" `74. gB. ASSESSORS MAS' iur21, PA'E C'EL # 33 9,524 SQ. FT. t 0.219 AC,. I { c a a r i - 30.00 r i r i - 30.00 I 18.70' E STING ' 24' .p $5' W F'Ui77NDATzON a d � c' C a Vv eCO CA w _j C1 53.13' 541°54'20'E . t I certify that the offsets shown comply with the zoning bylaws of the Town of North Andover, MA when built. Offsets shown are for use of the building ins ector only and such use is for the determination of zonin ity or non Conformity when c nstructeg-`�°c'� ti 4hr�"'�3 �^ FOUNDATiOAi CERTiFICATION ►-�� LAT 6 PUTNAM ROAD ttbtt�i NORTH ANDOVER, MAS 01845 �0 NOTE=:'F�, PREPARED FOR: R.L I CORP Property lines taken c Las existing plans of record. SCALE: 1" 20' JULY 10, 200O This property is locc�tedr in NEW ENGLAND ENGLAND .ENGINEERING the R-4 zoning district. lkB SERVICES, INC PLx #365CDRAW9 . S.B. 64 BEECHWOOD DRIVE C KED E3.C.0 jr & J.E.F BY: NORTH ANDOVER, MA 01845 (978) 686-1768 i 11 0 Y 41. z I 3 U d ONco N 0) cC7 CD orl CD L L� O 1 �}- = a � 00 p � 3 00X CD a) W O i CLcn co No ._1 t!_ • V A (Yl _l U- cel 11 0 Y 41. z I 3 301 3" - Approx. Building Height (88" studs) 4" ��-8" (+/-) I I -I" T-8 1/2"--�}�oil T-8 1/2" 10" (SS" stud) I I (88" stud) Y A E O is Lo �CC s Y A 1 1 1 1 1 1 1 I I 1 I I 1 1 I 1 1 I 1 I I 1 1 I I I I 1 I I I I I I f"1 I 1 1 I I 1 1 I I I I I 1 I I I I I 1 I I I 1 1 I 1 I I I I I I I I I / I / I / J d NSJ m T - co •i � � � � cYl Lo o ® - o r- O W N wn�0 w00 D ,►. .•, , Ui 1 171 rnN Q 0 p p M 1 LD 6_ 1 Q U- 6 •_� U31 I Lei °i -,(b in 0Oca Ir N ( N N a c (a O� 0 #NN �iJ 1i � -� -�, Cil � � I -0 VF x x � O 02scp 6�e0 ' ' ► 1 1 M 0 M I f - I 1 11811 1 _ 411011 I ti (a E 03 O �pCCOLu 12'Ou M 1210'1 2 x 6 exterior wall construction basement only Bottom of frost wall footing; 41 011 below grade (min) ------------ F -------------- I- ---------- ---- r --- --------------T, i 1 _L — ---------- — —— 4----- -------- -__-_ Q'T_ 9'Ou x i'O'�Overhead door 9 0 x l 0 Overhead door � r •i ' 1 t Q i 1 -6 1--- --- , I 1 I 1 l ''► l ' 0 1 1 cb ► 1 I I I P - T- �' Q 1 ►'► 1 I I 1 1 1 1 1 I I_ I_ il._ L ,►. .•, , Ui 1 1 � 1 .,• 1 1 .►. 1 1 1 U31 I 1 O� 0 #NN �iJ 1i � -� -�, Cil � � I -0 VF x x � O 02scp t 1 ' ' ► 1 1 (1 Q. M 1 1 � 1 --- --- i(p N x 1 Q E Q � p► iv (p ► x cc , I I �' — '� iii. 1i � � d (11 -' � 4 1 ► ' ► 1 1 C4- 4-2'811 t 1 (gyp t-► =M TI 1 I 0m� I'3" 1 M -+ 1 ►' 1 sL U-0 0 C O 2, O U*�n►SL , r I -1 Ir Q Tj IN 9 I U- sio Zr I _ 1 0� �e0 N I ---------------------- 1 CA _ ► 1 � � I = I 1= x 1 -I I 1 cb ► 1 I I I P - T- �' Q 1 ►'► 1 I I 1 1 1 1 1 2181 1 I 21811 I 510" 1 11811 I 21011 12'0" 1 12'011 24'0'1 N4- _ N N Ul W �w A- W O W O w O I I_ I_ il._ L ,►. .•, , Ui 1 1 � 1 .,• 1 1 1 U31 1 ► 1 -0 VF x x � O 02scp N x 1 Q =(l 0 I ►. 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' (-/+) 8- L ��t n (spn}s }y�31aH F3uipling •xojddb - n88) „E ,Oc l C4 tt QfL V O Oaj CL OO o� 'Uux0 p� �ci ,Q X q)1J (. (�� I\� Ucv t i N E3} <[ cv QC > 1 . 4 4 4 c 6 O � J2O �o o L u�� m Qj (Ll LQj- = O O ~ LL LL m cv (� U cn `t x JN ..v:—,v 1 U � U Q O L =3 U � `° T � U OQJ O 1 4 U_ O O X � u lL Mrs=� m O � — O Ii, i i i (pn}s 88) 911 i n iI' i ' Ol n Z/1 8-� L O n n „Z/1 8-� L �(� nI-1. ' (-/+) 8- L ��t n (spn}s }y�31aH F3uipling •xojddb - n88) „E ,Oc L u U� W d � X O � S O x x co 'A' N CD d � O O --► i i i O O � i O lm� S cc F O 3 ca L u (P m d � X O i � O x x co 'A' N CD � n '---- O O --► i i i O O � i O U38 I/ WW riser ( max. ) ` � n � n E3i (0(0 S -, (0 t�s '7 m 1. r-, e% n ini ll/.1 _ nl eII 10. G m 7 o R, G, In" N \ 1 X n ^"u N tV X O i O O x x co 'A' N CD � n '---- Q N O Q rr i i i N � i S cc F O 1. r-, e% n ini ll/.1 _ nl eII 10. 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