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No. / Date ,:•� ��Z
TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
'�s��•�.;5 t� Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee
TOTAL
Check # ///
15397
Building Inspector//
TONM OF -NC
BUIT� DIN61
3UII MING PERMIT NUMBER: 9
yG r/ DA'T$ MD
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IGNATURE:
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B '1 n o of Buildings Date
ECTION i- SITE INFORMATION
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1..1, Property Address:
1.2 Assessors Map and Parcel Number:
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.MV Number Parcel Number
1.3 Zoning information:1.4
property Dimensions yy
ning DiArid Use
int Arrg Froma
5 BUILDING SETBACKS tit
Front Yard Sde,Yaiz�
%Rehr Yard
Required Provide ProvidedRequired
Provided
weer Supply MGIC.40. 34) 1 s Flood zono if�on.
INN 0 Pf1Vaf0 � 0 � ._..�._ Outside Flood Zone ❑ '. �
118 Sep'ga&o D�Osal sys,�a.
MriniCipal' ❑ ,? "IN
a
;MON 2 ��2O�'ER`TY O vvlvE iA�THOItIZED AO1�iT
site Disoosat s�GBrit t7'. .
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Owner of Record 5`
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M69 (Prof) Address -for Service
nature Telephone: ,. i
Owner of Record:
me Print Address for Service:
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ratura Telephone
❑TION 3 - CONSTRUCTION SERVICES
90
Licensed Construction Supervisor.
Not Applicable ❑
nsed Construction. Supervisor.
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License Number
res$
Flo
Mn
. Date
atureExpiration
Telephone
�.
tegistered Home Improvement Contractor
Not Applicable ❑
pany Name
'ess
Registration Number
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MUM
Expiration Date
Kure Tele hone
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SECTION 4 - WORKERS COMPRNSATtnN txt h t in eV c
propertyas 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
Print Name j
Signature of Owner/Agent Date
NO..OF STORIES. 5 SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TMMERS lsr 2NuRD
AT
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHININEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
i
Workers Compensation Insurance affidavit must. be completed and:.submitted with this application :Failure to provide this
in the denial of the issuance of the buildin it affidavit will result
Si ned affidavit Attached Yes .....'..0 .. No.......0
SECTION.5 Descri tion ofPro .:'sedMorkcheckaltsiIteable
Nev Construction ❑ Existing Building ❑ Repar(s) 0. ;Alteiations(s)1 D Addttlon a
ell
Accessory Bldg, ❑ Demolition "`• , ❑ Other ❑ Specify
• t
Brief Description of Proposed Work-
ork:•SECTION
.,SECTION6 - ESTIMATED CONSTRUCTION COSTS
tem Estimated Cost (Dollar) to be
Comvleted by Permit applicant.
A. Building (a) BuiliiingPermit Fee -
2 Electrical
(b) d Total Cost :of .
-. .. ' _.,. = . :• : Cgnstrugtion
3 Plumbing-
Building Permit'fee,
x (b)4
Mechanical AC
.5 Fire iYoteotion Lts�' dv:
6 Total 1+2+3+4+5 Oos`o • •'E3 Check NurnUer . ° _' .a
SkMON la OWNER AUTHO TION 'TO BE COWLE li wing
9VaRS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMT
as Owner/Authorized Agent of subject property
Hereby authorize
' � _ _ ao act on
My'behalf, in all matters relative to work authorized by this!building permit application.
Signature of Owner Date I
RFCTTnN 1h AWMV1D/ATTgWrVnT711}T ♦�n,..m 1
propertyas 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
Print Name j
Signature of Owner/Agent Date
NO..OF STORIES. 5 SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TMMERS lsr 2NuRD
AT
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
MATERIAL OF CHININEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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PROPOSAL
lKlac-�//Z-� I
PROPOSAL NO.
/Y� / F/7-
SHEET NO.
the above work to be performed in accordance with the drawings and
PROPOSAL SUBMITTED TO:
WORK TO BE PERFORMED AT DATE�7S
NAM E tZ7
ADDRESS
/
ADDRESS
CITY, STATE
Any alterations or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge
Respectfully submitted
CITY,STATT�E%
DATE OF PLANS
PHONE NO.
ARCHITECT
vve neredy propose to furnish the materials and perform the labor necessary for the completion of
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the above work to be performed in accordance with the drawings and
submitted for above wor
and completed in a substantial womanlike manner for the sum of:: %`��irc1�''�
yecp,,4,s
Dollars (
s to be as follow
�
Any alterations or deviation from above specifications involving extra costs
will be executed only upon written order, and will become an extra charge
Respectfully submitted
over andabove the estimate. All agreements contingent upon strikes,
accidents, or delays beyond our control.
P
—
Note - This proposal may be withdrawn by us if not accepted within_) days.
ACCEPTANCE. OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorizedo do a ork S specif' Payments will
be made as outlined above.
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SIGNATURE
/ �� Z.-
DATE �T�! L/
SIGNATURE
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4013
Date....
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
SS CHUS
This certifies that ......... .........
.... ... ... .. ....... ... . .... ... ....... .
has permission to perform.............. 7 ....... ***"******'*'**'*** .........
wiring in the building of ...... .... / ......................................
... .. ... ... ... ....
at 1.� ....... ...... P! ..................... ......... / ...... 7 orth Andover, S.
Fie ... Lic. No....'�.6737e ......... . .. . .......... ..................
.......... Z � �
-X2 > ELECTRICAL INSPECTOR
Check #
CommonwsallA o` ll%adjachuJ416
1JsParinuni o`,.7�irs �srvicsa
BOARD OF FIRE PREVENTION REGULATIONS
Offic,(aPUsc my q
�
Permit No:
Occupancy and Fee Checked
Rev. 11/991 leave blank)
APPLICATION FOR PERMIT TO PERI=ORM'ELECTRICAL WORK
. All work to be performed in accordance with the Massachusetts Gluctrical Code (NIEC), 5.27 CAIR 12.00
((PLEASE PRINT IN INK OR TYPE TILL INFORM,.-I770N) Date: ele�Jo I_
City or Town of: /V o KT #.Ar✓wv4-2 To the Inspector of Wires:
By this application the undersigned giyes.notice ofhis•orher-intention to perform the electrical work described below.
Location (Street & Number)' h --I) ( o
Owner or Tenant R t°7 v 14A R -t Telephone No.
Owner's Address S6(YT\E
Is this permit In conjunction with n building permit? Yes ❑ No- ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps .Volts Overhead Undgrd ❑ No. of Meters
New Service Amps / Yults OverbFad ❑ Und rd
g ❑ No. of Meters:.
Number of Feeders and Ampacity
Location and Nature.of Proposed Electrical Work:
r
Comp letion o(the ollowin table n8ay be wahrd by the hm cctor oilylres.
No. of Recessed Fixtures
No. of ccii: Susp. (Paddle) Fats
No. of Total
Transformers KVA
No. of Lighting Outicls
No. of blot Tubs
Generators XVA
No. of Lighting Fixtures
Above ti-
S►vlmntbtg Pohl rnd. rnd.
o. o mergency g n ng
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS No. of Zones
oeecon an
o. Initiating Devices
No. of Switches
No. of Gas Burners
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
eaTotals
umber
ons
No. of Sell-Contaed
Det ction/Alertln 11Devices
No. of Dishwashers
Space/Area Heating KW
Local (] oun a cion tcip❑ Other
Conn
No. of Dryers
Heating Appliances KW
Security ystcros:
No. of Devices or Equivalent
No. of Water
Heaters K1Y
o. o t o. o
Sl„ns Ballasts
Data Wirlugg:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of 1tlolors Total FiP
Telecommunications ring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of ;Vires.
INSURANCE COVERAGE: Unless Nvaived by the oNvncr, no permit for the performance of electrical work hay issue unless
(lie licensee provides proof of liability insurai>.cc including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof ofsame to the permit issuing office.
CHECK ONE: INSURANCE [ BOND 0' OTHER ❑ (Specify:)1_tV AQ?iCe-nive-eX 4 (d _ / 2 13 % b 2—
G� (Expiration ate)
Estimated Value of Electrical Work: l W r (When required by municipal policy.)
Work to Start: lmspecliou to be requested ht accordance with MEC Rule 10, and upon completion.
I certify, under the pains acrd penalties of perjur , thin/ the hifornration ott this application Is trite acrd complete.
FI101 NAME: .Tb NN t;, (,Kk t c L c4pj A Cc, LIC. NO.:
Liccuscc: �bS�Pff , 7'izEa 3�4j' Sign:iture� a, LIC. NO.:
(If applicable, enter ..ereurpt - in the licerr_te number line) Bus. Tel. No.:
Address: Alt. Tel. No.:
OIVNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally
required by law. 13)- my signature below, 1 hereby waive this requirement. 1 am the (check onc) ❑ owner .❑ ow aces aecm.
Otirucr/A;cnl PI -RANT FEE: S
Si;nature Telephone No. .
ROUGH FINAL
86 South Bradford Street
North Andover, MA 01845
Mr. William J. Sullivan
Chairman
Board of Appeals
Town of North Andover
North Andover, MA 01845
Dear Mr. Sullivan:
Please be advised that we are very much in support of the building plans of Joanne and
Ronald Cuscia for 69 South Bradford Street. We have lived at 86 South Bradford Street
for fourteen years and have found the existing property to be an unsightly, attractive
nuisance to children and stray animals. We are delighted that the existing structures will
be destroyed. We were under the impression that the barn is existing illegally and was
supposed to be taken down by the previous owner(s.)
Let it go on record that we are behind this variance 100%.
Sincerely,
�>
Karen J. Urquhart
Brian A. Urquhart