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HomeMy WebLinkAboutMiscellaneous - 92 UNION STREET 4/30/2018w cl) m m Date. TOWN OF NORTH ANDOVER a � 9 ,� ' PERMIT FOR OAS IN TI LLATION ,SSACMUSE� This certifies that . ,/.�/.1 !'�;!... K?07./ 9. I.Aq / ............ has permission for gas installation .... ff ................... . in the buildings of .. AM./ ......................... at .... �`? ......... North Andover, Mass. Fee..a�.? .... Lic. No.. � .�.... . .......... ......... ,GAS INSPECTOR Check # 5881" MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date An NORTH ANDOVER, MASSACHUSETTS Building Locations � �` Permit # 5 Amount $ Z � Owner's Name ZUA 171A / � New Renovation D Replacement Plans Submitted D (Print or 4 Check one: Certificate Installing Company 1-1 Corp. ElPartner Business Telephone irm/Co. Name of Licensed Plumber or Gas Fitter /'s -z INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No ❑ If you have checked }_es, please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond 13 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 nereby certtry that all or the details and mtormation 1 nave 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Lilter 0 Plumber �)- l S P < Gas FitterlcenC e Number ElMaster Journeyman x UU z F s z w w w p F v z a E~ z z z p �- a z z z d z c H z C7 E✓ z E✓ z x c7 z �' w a z Q G] Q fl F Fr �+ V] m z z a Q j r. z x o x 3 c U W> 0 F o c SUB-BASEM ENT B A S E M ENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or 4 Check one: Certificate Installing Company 1-1 Corp. ElPartner Business Telephone irm/Co. Name of Licensed Plumber or Gas Fitter /'s -z INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No ❑ If you have checked }_es, please i icate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond 13 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 nereby certtry that all or the details and mtormation 1 nave 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Lilter 0 Plumber �)- l S P < Gas FitterlcenC e Number ElMaster Journeyman Location la U(y 10 N No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee 1'ZAZL $ TOTAL Check # f AS L i51z5 Building nspector I TOWN OF NORTH ANDOVER BUILDING DEPAR'TMEN'T PPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING. UILDING PERMIT NUMBER: DATE ISSUED: :GNATURE: C Building Commissioner for of Buildings Date 7 C) SCi'ION 1- SITE INFORMATION I 1.1 Property Address: A) r OA-) 1.2. Assessors Map and . 1 Map Numter Parcel Number: '3 � Parcel N mber 1.3 Zoning Information: ning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft i BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide. `: •Rerimred Provided ReqWred Provided Water Supply M.G LC.40. 54) -tic 0 Private 0 1.5_ Flood Zone Infomution: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System ❑ ,CTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT Owner of Record me (Print) C 6 ftj C;c -A (4 v Address for Service: 1� ELI -t-R . u-� 5� nature Telephone Owner of Record: ame Print Address for Service: iature Telephone r'rY 1N Z _ Vn1VQTAiT!`T7A1V CTi12VTV1PQ 1 action Supervisor11 0 40 AIC Y CdNs T .nsed Coni ruction Supervisor: ress /kl(7h Pr66� ' ature Telephone Not Applicable ❑ 000 License Number Expirati n Date registered Ho Contracto Improvement Not Applicable ❑ a rr "—f ��� pany Name Ic� f f S71 Registration Number l -3 'ess Expiration Date Q eture Telephone !i 1 v :r SECTION 5 - ESTIMATED CONSTRUCTION COSTS SECTION 4 - WORKERS COMPENSATION (MG.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 permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) .❑ Addition ❑ Accessory Bldg. ❑ Demolition Other ❑ Specify r Brief Description of Proposed Work: Multiplier 2 r t ----A r (b) Estimated Total Cost of I tem Estimated Cost (Dollar) to Com leted by permit applicant 1. Building 3D �© -- (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical(HVAC)Sol- 5 Fire Protection 6 Total 1+2+3+4+5 Check Number JL' 1.11V1\ /a V WfNZK AU triVKiGAl1V1V 1'V bt UVMFLE'TED WHL1V XaOWNERS A T R CONTRACTOR PLIES OR BUILDING PERMIT as Owner/Authorized Agent of subject property "<Hereby authorize to act on My behalf, i all atters elativ wo authoriz b s building permit application. 6Signature wn Date o / lo SECTION 7b OWNE AUTHORIZED AGENT DE TION I, G t eaUVJ 'i property I ,as Owner/Authorized Agent of subject Hereby declare that the statements and information on the foregoing application are true.and accurate, to the best of my knowledge and belief Signaturi of Owner/Age4J Date Town of North Andover Building Department 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax (978) 688-9542 Building Demolition Affidavit DATE kQ--,�(7-CD Q? Ut,)VQYQ 2tD2 PROPERTY LOCATION Y= ac r 3) )JI -I x}411 TELEPHONE � t10RT}� d O L CLK MIL WKR �4SSACA� NU SIGN -OFFS f SEWER AI LA EXTERMiNA OR DUMPSTER- ON/ FF STREET DIG SAFE NUMBER BLDG. INSPECTOR DATE RECD I North Andover Building Department Tel: 978-688-9545 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: S�9 C V/+ (Location of F 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 Location: k.J 1 v I (I y Ci!YNO 1`j% Was S Phone ([J -,R- SCO-4-SRO-2— F-1 CO2-SO-2— am a homeowner performing all work myself. Ef am a sole proprietor and have no one working in any capacity 0 1 am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone #: Insurance Co. Policv # Company 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 fire 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 ($1,W.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations ofVe DA for coverao verification. I do herby certify under the pains and penalties of perjury that the Print 'o b f e --:—r G,,o 4 DA/ d 0 "-Y Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact FORM WORKMAN'S COMPENSATION Phone # (Q(�3-3CoZ'�C�UZ ❑ Building Dept Ej Licensing Board ❑ Selectman's Office I] Health Department Other ' m 33 M m 0 m C CO) 10 CD rC7 Z CD O ar d d CZ O o p a� cca CD o mm CD ao O O CD C0! .p CD a O 7 LOA CA CD 0 CD CD y CD y O O CCD 0 CD 0 O W I O —• vi O Q toil C O < O H m no CD �! C o C. c m Z •a) 0=3 "S N —1 .r_ n o ao . y o g CD � O m N p !V :Ce' m 2 > > O NO O Z :s• CO'! W c CL W mCD C 0 :_ n ICID N d Q O W C. •G :� m o�: moo: o � co, N "F CD .oma• � . CD 0 =� C m d C =,O: v 0rA `s —b . V14 rri 2o= 1 z 0 :c C 4 s A d o °� o aIt Ga co p= ; o oGa n o arc '� r Z co °= aGc a- o a o. Gy r d c a^ y I O �-x. 0 0 x m I 0 c - 0;0 U-622-6=6 KO.n.V;l �1 r rs a "' -' a w¢. +• -.. low— IL k.�!.• .-•, •..'�/: Hyl, �J. • MRS � > 9 �. •`-• •, � f _ .. ,� � . \ � y• . �� . 4, 'Y� ` !�#�� � _ _ .. �..�-.�: Fes: �'li[ w `�r� 'V_ `a' �' l.. � 'j �.1 Fv'T a �.1 ft ' CSM" " oIL► •; " —r �� w s TOWN OF NORTH ANDOVTIE:R. Office of the .Building Department Community Development and Services 27 Charles Street. North Andover, Massachusetts 01845 D. Rokrt Niceita, Budding Connnis.sioner Atlantic Realty Trust Concetta M. Mikols Trustee 92 Union Street North Andover, MA 01845 September 26, 2001 Dear Mrs. Mikols: Tcicphone (97 S) WS -9545 17'K 1978] <SS -9;::12 Upon an inspection on September 21, 2001 and a complaint from the Police department and neighbors it was observed that there are several life safety, building and zoning violations on your property. The specific issues are, 1) The removal of the dangerous conditions and the dismantling of the garage requires a building permit and the debris must be removed as construction progresses. 2) The storage of multiple unregistered motor vehicles is not allowed and must be removed. 3) The placement of a temporary storage trailer requires a building permit. Please note that failure to abate zoning violations within a timely manner may be punishable by fines of up to $300. dollars per violation, and that failure to abate building code violations may be punishable by fines of up to $1000. dollars per violation. Please contact me within 72 hours of receipt of this letter so that we may begin the process to remedy the above noted violations. I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at 978-688-9545. Respectfully; Michael McGuire Local Building Inspector Michael McGuire, Local Building Inspector James Decola, Electrical Inspector James Diozzi, Gas/Plumbing Inspector Plaiwing Department 688-9535 Conservation Department 688-9530 Health Dq)artment 688.9540 7,on6g Board of Appeals 688.9541 L s IL�.3V_L7 FOR C/� DATE c TIML M Y PHONED OF (�G�� /'y�r�-(/ ❑ FAXR TURNED PHONE ❑ MoeiLe (//V/a `- YOUR CALL AREA CODE NUMBER EXTENSION PLEASE CALL MESSAGES WILL CALL AGAIN CAMETO ypa SEE YOU WANTS TO SEE YOU S N E -acza V ON.. FORM 4003 9°C/ vIV /® IU S Iq Y j,�� J(C-i2�z /� r2 o ti c,� VVI �j1 I k'aL s Tlz • 0 0 0 TOWN OF NORTH ANDOVER e' 14 OFFICE OF COMMUNITY DEVELOPMENT A" SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 NQFTF� Telephone (978) 688-9545 F? '' FAX (978) 688-9542 H n O l} C �9SSACHU��S� Atlantic Realty Trust Concetta M. Mikols Trustee 92 Union Street North Andover, MA 01845 Dear Mrs. Mikols, Please be advised that upon an inspection on February 16, 2001 it was observed that the garage located on the rear of your property has had a structural failure of the roof. This failure has affected the walls thus creating a danger to life and limb to abutting residents and properties. Please be advised that this department is hereby ordering you to install a 6 - foot chainlink fence to partition off the danger immediately. Please inform this department of your intentions on the abatement of this dangerous situation. You are being given 24 hours to abate this condition. I may be reached between the hours of 8:30 —10:00 AM and 1:00 — 2:00 PM at (978) 688-9545. Respectfully, Michael McGuire Local Building Inspector Cc file ��� � aid P'11 D Li b 0 C M CD CLWO y 0'^ O ^� V+ � lD O Li b 0 P H O N E M E M 0 TO DATE TIME Q/AM -14(oM FRO LLQ AREA CODE "J" NO. OF EXT. �. M E s s A G E SIGNED PHONED BACK CALL ALL RETURNED SEE YOWANTSUO AGAIN ALL WAS I ❑ FuRGENT TOWN OF NORTH ANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845 Atlantic Realty Trust Concetta M. Mikols Trustee 92 Union Street North Andover, MA 01845 Dear Mrs. Mikols, Telephone (978) 688-9545 FAX (978) 688-9542 Please be advised that upon an inspection on February 16, 2001 it was observed that the garage located on the rear of your property has had a structural failure of the roof. This failure has affected the walls thus creating a danger to life and limb to abutting residents and properties. Please be advised that this department is hereby ordering you to install a 6 - foot chainlink fence to partition off the danger immediately. Please inform this department of your intentions on the. abatement of this dangerous situation. You are being given 24 hours to abate this condition. I may be reached between the hours of 8:30 —10:00 AM and 1:00 — 2:00 PM at (978) 688-9545. Respectfully, Michael McGuire Local Building Inspector Cc file N2 457 Date . p1:. /1...`. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... fl U ...�:/5 ....... has permission to perform ............... plumbing in the buildings of ..................... at .............. North Andover, Mass. Fee. Lic. No..,? ........... !...... . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION R PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS G CODate Building Location 7 a C) !V I C) N si Owners Name l� PJ N/ 6 /� l �Lo IS Permit # 0 Amount of New F1 Renovation El Replacement 1:1 Plans Submitted Yes 11 No 11 (Print or type)/% n / L Check one: Installing Company Name �/� % Cc/P /< 4 C) e l� Llyn U"iy ar [I Corp. AddressP� 1 j6d X aha Partner. �� , 19 q 14 Business Telephone qr7 r— 6 Y ZZ- 3 / 3 7 ® Firm/Co Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver. L 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 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 Massachu5ts S zte Pl�u n�mg Code and Chapter 142 of the General Laws. ---- APPROVED (OFFICE USE ONLY Type of Plumbing License 3(,3 icense NumDer Master Journeyman n • a •i • (Print or type)/% n / L Check one: Installing Company Name �/� % Cc/P /< 4 C) e l� Llyn U"iy ar [I Corp. AddressP� 1 j6d X aha Partner. �� , 19 q 14 Business Telephone qr7 r— 6 Y ZZ- 3 / 3 7 ® Firm/Co Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond ❑ Certificate Insurance Waiver. L 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 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 Massachu5ts S zte Pl�u n�mg Code and Chapter 142 of the General Laws. ---- APPROVED (OFFICE USE ONLY Type of Plumbing License 3(,3 icense NumDer Master Journeyman n J V i Date .................... . NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................... .......... has permission for gas installation .... 1......... !:..�:.:.... . in the buildings of .. ..... ................................. at ..........................'.......... North Andover, Mass. Fee.......... Lic. No........... .............. .......... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer s > MASSACHUSETTS UNIFORM APPL.ICATON FOR PERMIT TO DO GAS FHMG Y f �Type or print) Date j NORTH ANDOVER, MASSACHUSETTS Building Locations Owner's Name New ❑ Renovation ❑ Replacement ❑ 14 X00V C Permit # 3.% % Amount S ,9 Plans Submitted ❑ 'Print or type) / Check one: Certificate Installing Company Name ^ S ` �e/K l� G lym b//✓f) ❑ Corp. Address Pc 6 60 2( 4'2D ,'Yl �` `� tX ti ❑ Partner. lV) K1 o c8�c 3usiness Telephone ® Firm/Co. Vame of Licensed Plumber or Gas Fitter s iJ11 k6 PZ C—Cife-40 NSURANCE COVERAGE Check one: have a current liability Insurance policy or it's substantial equivalpnt. Yes (E No ❑ f you have checked ves, please indicate the type coverage by checking the appropriate box. _iability insurance policy M Other type of indemnity ❑ Bond ❑ Dwner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the vlass. General Laws, and that my signature on this permit application waives this requirement. Check one: iienature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the )est of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in :ompliance with all pertinent provisions of the Massachusetts Stategas �ode�`apter 142 of the General Laws. Bv. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber Lity/Town ❑ Gas Fitter Licenge Numoer ❑ Master 4PPRO�'ED wFric i- usE ()Ni.v) Journeyman 13R D. FLO OR 'Print or type) / Check one: Certificate Installing Company Name ^ S ` �e/K l� G lym b//✓f) ❑ Corp. Address Pc 6 60 2( 4'2D ,'Yl �` `� tX ti ❑ Partner. lV) K1 o c8�c 3usiness Telephone ® Firm/Co. Vame of Licensed Plumber or Gas Fitter s iJ11 k6 PZ C—Cife-40 NSURANCE COVERAGE Check one: have a current liability Insurance policy or it's substantial equivalpnt. Yes (E No ❑ f you have checked ves, please indicate the type coverage by checking the appropriate box. _iability insurance policy M Other type of indemnity ❑ Bond ❑ Dwner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the vlass. General Laws, and that my signature on this permit application waives this requirement. Check one: iienature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the )est of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in :ompliance with all pertinent provisions of the Massachusetts Stategas �ode�`apter 142 of the General Laws. Bv. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber Lity/Town ❑ Gas Fitter Licenge Numoer ❑ Master 4PPRO�'ED wFric i- usE ()Ni.v) Journeyman Date /7:, No il-L 5 6 TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING 'I'SACHU This certifies that .................................. ........ has permission to perform plumbing in the buildings of '.� ..................... ...... A--' at!.:'...... . . ............... North Andover, Mass. ..... ... Fee-Z'� . . . Lic. No. ... ....... PLUMBIN- 4SPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date j 19 - Permit# Building Location l a n U f Owner's Name/ A / New ❑ -zr Renovation ❑ Replacement FEATURES L45�5Z L Type of Occupancy Plans SubAmit'T Yes 0 No ❑ ,)II I Installing Company Name ,f:vddy Elston Check one: Certificate Ptuirttiing &P featircg Cry,, _Int Address orporation 4S 72 14 "Wea gE Street « ❑ Partnership Business Telephone 97&A5,2262 ❑ Firm/Co. Name of Licensed Plumber G. ---U K� ?'- Z-." / u r' "D INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yeses No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy-0Other type of indemnity ❑ Bond ❑ OWNERS 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: OwnerXl Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Sagnature or LxensedPlumber Title Type of License: Mastery Journeyman ❑ City/Town License Number APPROVED OFFICE USE ONLY) .. a�iir_ Installing Company Name ,f:vddy Elston Check one: Certificate Ptuirttiing &P featircg Cry,, _Int Address orporation 4S 72 14 "Wea gE Street « ❑ Partnership Business Telephone 97&A5,2262 ❑ Firm/Co. Name of Licensed Plumber G. ---U K� ?'- Z-." / u r' "D INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yeses No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy-0Other type of indemnity ❑ Bond ❑ OWNERS 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: OwnerXl Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Sagnature or LxensedPlumber Title Type of License: Mastery Journeyman ❑ City/Town License Number APPROVED OFFICE USE ONLY) .. Location C1 I-) No. `� iI U k) 1 V(IJ S {- Date C1 )I C, 0 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 3a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 0 S C( oL jr III/LN (G;- - Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER:p� `` DATE ISSUED: -- I — !2 / / O C SIGNATURE: ZRA Building Commissionerfl for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: g a `''�' ° "' 57 1.2 Assessors Map and Parcel Number: U rn �/ re _ / L9 0 V I /V Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RequiredProvided Requed Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Dispos4_ al System: Public ❑ Private 0 Zone Outside Flood Zone 0 Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHW/AUTHORIZED AGENT 2.1 Owner of Record C p Y,,/C E`TT /4 M I K o L a,j 1 0Y.) S" f (P t) NameAddress for Service: c Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: &�,tJct"-' (! �G_wS T Not Applicable ❑ Licensed Unstruction Supervisor: Q O O License Number q n /'' q - ^ P %„ �/A� r Address Expiration Date Signa e e ephone 3.2 Registered Home Improvement Contractor &6,eK-T Not Applicable ❑ t.I (� 3 Compan Name 5 ` ' Registration NuInber / �7 ` Address b �S0 O Expiration Date Si natu %Tele one SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 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 permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify rief Descri tion of Proposed Work: �gJo 4c * eta (vJ I SECTION 6 - ESTIMATED CONSTRUCTION COSTS 1 Item Estimated Cost (Dollar) to be Completed by permit applicant OFF'ICIAL:USE ONLY 1. Building(a) 3Y, ® o D Building Permit Fee Multi lier 2 Electrical d�� (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 79 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AENT OR ACONTRACTOR APPLIES FOR BUILDING PERMIT as Agent of subject property Hereby authorize n 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, 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 of Owner/. Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMERS 1 ST2 ND3 SPAN DFAENSIONS OF SILLS DHAENSIONS OF POSTS DINIENSIONS 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 t r Town of North Andover o& tAa p=H q4, "a x ° O Building Department o 27 Charles Street " North Andover, Massachusetts 01845 4m (978) 688-9545 Fax (978) 688-9542 9 A°R4roorto rPa`y(5 �SSACHUS�� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in /at: a �rJ►0A s'i, cc ��✓ �/1 /AA � r Facility location � � �� Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. e ol-'Ala-w,14- & BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 000979 Birthdate: 04/21/1953 Expires: 04/21/2002 Tr. no: 20816 Restricted To: 00 ROBERT BOHONDONEY 12 HALL ST METHUEN, MA 01844 Administrator I HOME IMPROVEMENT CONTRACTOR Registration 1142338 Type 084 Expiration 08/16/01 ROBERT BOHONDONEY CONST CO A . BOHONOONEY aoMirisrRrc 12 HALL ST METHUEN NA 01844 I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations , Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: O `N C -C 7 7 i'" 1 (� Location: q >J S c City bi Vy e Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity xI am an employer ing workers' compensation for my employees working on this job. fK 6 hJ4 6 Al h - l fir- C rity IAA e 7�, V rW y lY'T --Phone#: 0' J �0 l c of MR. my -TOOL �Poli�cy# Company name: Address City Phone # C6 013b0�,010 j,91 ao 0 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 un the ains and penalties f perj ry that the i formation provided above is true and correct. Signature Date Print name -e 4 h.% ql,,O� , Y Phone Official use only do not write in this area to be completed by city or town official' []Check if immediate response is required Building Dept Contact person: Phone FORM WORKMAN'S COMPENSATION ❑ Building Dept E] Licensing Board p Selectman's Office Health Department Other Cl) m C m CD cn m r•F y CD a Z CD O CL �I CL =. a(o 10� o v CL c� � m CD O CA CD O 0 y O CO) n� O CO) d CD CCD -�v CD y CD CO) O CCD O CD C e�10O _ O �• CAO CT y _LOCO CA = :Mo m C7 fC n CL C-) m Z ?"o y' m dEL �of O y CD O �Oy 0 p O a 4c go n 0 M n , 'o a .� '�. ? IA O CK r /� m Pt =�:� CZ 'COD Sao 744 0 y er• ��j y O. d ;� Aj E�CD, O m m � CD 0 ON r� a C coo f^ 0 y to C i CL= ro: MA 0- w z �' T 9 Cri CA ro x Pin oda ro M p z ata �cn Oi 0 a r� O ^ cn al a. ON 0 c C/) m M m m Cn m CA CD c") z CD O CLPoo �► d CL .p � O o p CL cr CD O to CD CO) Co C 0 W Me d d O CA C7 0 CA Cl) CD O Polio CD CD CO) CD CO) cZ -1 _ S:c SO 10 CO3 o yc23 n� m Z o =-a ' y_I O� .► a) 0 m H '71 CDCL CL =rd CA CD .4O O ti p N O ?m m = ri O y. 0 �' ►. C y CL CC2CL:: =: Cn mW�, ? A 'D c yam. ems+. O �� H ;� V 0 H dd S. �d cn a S•c AWE N O m ems• 1„ ,.y S' � i y C cn y �; _ 3 'fus O O on �.m a:• cn G liDo: Z e o CD '-� cn a d a cn y _C CLICc CA Co cn C/)C77 z P � � Rf ')d x ?1 � ,z x r Z "Pd �- r tz z n ��� 'z 'T,EL cn C/)r 'z7 rL x CD O 0=3 0 0 c N2 27:2 0 Date ..... // . .. . ... ... ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING / I This certifies that ............. ........ .......... .. ................................. has permission to perform .......... ......................................... wiring in the building of ............ X�% .......................................... C. ........... rth Andon ........ ............... . -r, MW ... Lic. No. ................... . ... 0 L .. Fee— . . —0 YLE*cri�I�CAL INS� 16� Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer DEPARTMENTOFPUBLICSAFETY Permit No. U BOARD 0FFMEPREEEM70NREGUTATI0NN527CMR 12-00 PJAPPUCATIONFORPERW Occupancy &Fees Checked TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 /� f (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date N V CJ Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) u/ &�� Owner or Tenant A,t J M �2 Owner's Address Is this permit in conjunction with a building permit: Yes [D'No a (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service OO Amps av / � L Volts Overhead Underground No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work�GC1�eltj� No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA _4 4--1 ground Elground No. of Receptacle Outlets �No. No. of Oil Burners No. of Emergency Lighting Battery Units of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. 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 f No. of Self Contained Detection/Sounding Devices LocalMunicipal Connections Other No. of Dryers / Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No7Hydro Massage Tubs No. of Motors Total HP OTI-IrER IrAM=Caadge PtasuatYmlheragtararlt �GertaalLaws I ha%eaomatLnbfltyhur&=PbbcyrckdmgCanpktopffdmcmeaworitswxurtua#1aient YES NO IhawSUbM11tedvalidp00f0f=W1Dthe01% YES FJ NO Ifj uha%edudWYE!S pkmem i Aethet)Wcf'aotg Wby1 ydrdangthe INSURANCE 0 BOND � OTHER (Pl =Specify) WorkioStaat hq)ecfionD,*Ra4xstcd Signed urXkr, e RnaitiM FIRM NAME Lica>sre�.yi M ExpEition Date FsUn&d Valuec#E7ectrxal Work $ Fir ti Bt t- / s�Tel.Na OL-4--�, 7 Adc�s � (D D' �/I % ��a � 0 tU 1,4, ./e- Alt. Tel Na OWNER'S1?,& NCEWAMT lanawaaedittheLiarsedoes�h thec>Ssrrane eorifsst r�ia(ec�rival asreclt>iraibyMass (,a and thatmyseenthispermit rwainthisM4mi amat (Please check one) Owner M Agent ❑- ` ' \ Telephone No. PERMIT FEE l`, i, l ��/) 2 u 62 - , 'S. '\ Date..... . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. &s.�A ........... ..... ,. .e cA. has permission to perform ...... �/ ........ ....................... ... .... . ... wiring in the building of ........../ 1W�r ...... C-4...... 5t ....... ( e- 'I at ........... .CA...t .. JI..e .................................................... .. North Andover, Mass? Lic. No..A./91A .......... ECTRICAL INSPECTOR C k (4 ( 1� 6 4'. WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �\ T CO30 L7HOFMf4.W(j7' +7� Office Use only DEPARTMENfOFPUBLICSAFM Permit No. BOARDOFMEPREVEM70NREGUL4TTOASD7(3M I2-(00 � Occupancy &Fees Checked APPUCATTONFOR PERW TO MFORMaEOWCAL 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, _IkA Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) rj a U n i 0 0 S. , To the Inspector of Wires: Owater or Tenant C0 Y) C t°�A ! ko S„ Ow -per's Address Is this; permit in conjunction with a building permit: Yes,' No (Check Appropriate Box) Purpose of Building Existi ng Service Amps�Volts New S ervice qo Amps ( Q V2?0/olts Number of Feeders and Ampacity If ion and Nature of Proposed Electrical Work Utility Authorization No. 0000 Overhead Underground Overhead Underground uX NO.,. .,. TC vho . � 11 No, of Meters No. of Meters C Z �o. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground El ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. 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 Connections No. of Water Heaters KW No. of No. of —I Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OThER ]r>Stra=Coeraga Ptasttartiothem4mm-aisdNL%mdi&mGmrALaws IhmeaamettLmbfl yhu==PoticyadudingCar C vaaWcritsstialegivaiat YES NO Iha%tabngiadvaMptodofsatnetotheOffraYES 1_1 a If}cuhmdta WYFS,pleasemdic*theiWcfmcrWbyd=kngthe bCx - INSURANCEBOND ED ou'a (Ple=Speciiy) P &5iReW=ftd Expiattm Date�� Fstim*dvakxofE61ical Wait $ WotkioSta¢t RtI Ftttal Signed unda�ie Pis of , FIRMNAMEL Lknw JC �, '�f `J� -L S Lice�eNo 97> �Jr _3 Z37 Btair;essTelNa C'GI.S' C 0 AItTeLNa OWNER'S WSIJRANCEWANER,famawnethatthelitmttsedmnot theittstrartce aicsst is alegma�#astagmedbyMas xse�C,ereraliaws anddntmysig matftaspmniWphadmwaiAsdism erlot (Please check one) Owner D AgentED Telephone No. PERMIT FEE (� I R,�, R6, ��r �2 �. �_ Lf / o.s �,F� ) AA" �7 � �-/)- �:� 3 3J- Location r l- 5-t re -;L -?— No. 4/7 Date z NaR,_ TOWN OF NORTH ANDOVER .. 9 Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ mss..... �t 9 Foundation Permit Fee $ Tt-1,Af Other Permit Fee TCENILEr $ �a TOTAL $ -- Check # 3 / 3 3 ca I JJUJ 14)-c Building Inspector r � � z z t H n - -4 cn z Z Z - '�v N I� � ,. - � � � -� a •zn � z � � y � ? .�! m y Z q = z t �' : •� a � z G• e Z CA r n c z o z �I C r p jar � P 1 c G C C n Nt > y ? H N = n H n •n c O • n O n O' O t to y m H •o �i :-I !i Z 2 Z Z to n p Z T H N H r O 63 z y' a s = to = .� n o n 0 0 = 0 o 0 0 y _ X Z H .7 CA i z CA NO 1 iv Y - . - n fr n n T Ln Ti -a 7 n r � � m m m C/) 0 — y 10 co 0Z CD O ar d d CL n� O o p CD CL � cr �W =r CD O _D ao co CDD I CO) CD � n w o y d O CO2 C!• O C d CD CD CD P. y 0 H C CO ?� Ot = 0 m d� C = Z m 'o v3n o Cl) (A c2 a c) m CD Z �"o H o � °: m y m aid m O H O y -1 N CD Er m m = > > m C Om O. 0 _ .x ...r 1 0 O CL all CL c �a C/)� mmy.. cn m � n� 0 om: a O o. G 01 N . z y ==;cr / a d C CL DN �• '^ E O n mfCD A cjoCD C/)]! z J y CD V C=3 �- nm 'd r AA �. C/) corCD H = g . .�- a V �m m MA O B ~ ►z3 w � W Gw x r y � x .d 5, p � G Q a GC O z 0 a z , O TO [C4,DATE t o;� TIME AM PM p 5WOM , / , , l `` H //©!� ��Sl� / PHO Pk CELL ( ) o Cya Cdr IFAX ( ) N _ V O E-MAILADDRESS SIGNED PHONED ElCALL CALL NED C AWAW NQS TO � WILL CALL AS IN L]URGENT [:1 TOWN OF NORTH ANDOVER BUILDING DEPAR THEN T APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING [ '' �=j *."r. 4,��. } 4` P u`+ry Y �'�xN ,`�[•a"aSP L aieL-e• COY 3 Tn�'�S''+P ;., .. ... ...... ....,, .r. � , r .... .. ... .�.. .. ., r .. ... .:.:.. .. �. ..,.. BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildin ''Pate. I SECTION 1- SITE INFORMATION ' I h ' ., ' .. " Property Address:. 1.2 Assessors Map and Parcel,Number: /41.1 Map Number Parcel Number #1g 1.3 Zoning Information:: 1.4 Property Dimensions: Zoning District Pr osed Use Lot Area Fronta ' $,' '' 1.6 BUILDING SETBACKS(ft)�. ��. .. Front Yard Side Yard Rear Xdf Required Provide Reqtnr:ed= Provided Reqwred vided 1.7 Water Supply M.G.1-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ f Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT i 2.1 Owner of Record VIV4CX___.27AZop IX7$ 440^Jr 92 Si; No. �1Va�1��RA. 01M Name (Print) Address for Service: 8'z y Signature Telephone 2.2 Owner of Record: Name Print Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone 3.2 Registered Home Improvement Contractor Company Name Address Address for Service: Not Applidable ❑ - - ' ; 'y: Z , ^'I .. License Number Expiration Date Not Applicable ❑ Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (MG.L. C 152 § 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 permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work (check all aonlicable ) New Construction U I Existing Building ❑ 1Repair(s) ❑ Alterations(s) ❑ Addition ❑ Brief Description of Proposed Work - i r 0I 9401nooe i Item Estimated Cost(Dollar) Dollarto be ( 1 Com ieted b rmit a licant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (.a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number QTi(`TTn?V 7- n[1171II • rr rrr�r�.r... �..�. OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize , ° , to act on My behalf, in all matters relative to work authorizedMby this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 CONC /y, 1 �,, s Print Name (2e," 'mo),�%. l2. - /d • Oi Si lature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I ST 2 ND SPAN DIMENSIONS OF SILLS DIMENSIONS 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 Town of North Andover Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. FOR ROOFING, SIDING, INTERIOR REHABILITATION PERMITS 1) BUILDING PERMIT APPLICATION 2) DEBRI REMOVAL FORM 3) WORKERS COMP AFFIDAVIT 4) PHOTO COPY OF H.I.C. AND/OR C.S.L. LICENSES 5) COPY OF CONTRACT 6) FLOOR PLAN OF PROPOSED INTERIOR WORK FOR ADDITIONS / DECKS .DING PERMIT APPLICATION 2vI U _._ 3) MORTGAGE PLOT PLAN 4) DEBRI REMOVAL FORM 5) WORKERS COMP AFFIDAVIT 6) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 7) COPY OF CONTRACT 8) FLOOR/CROSSSECTION/ELEVATION PLAN OF PROPOSED WORK WITH SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT (if applicable) FOR NEW CONSTRUCTION (SINGLE AND. TWO FAMILY) 1.) BUILDING PERMIT APPLICATION 2) FORM U 3) GROWTH MANAGEMENT BYLAW 4) CERTIFIED PROPOSED PLOT PLAN 5) PHOTO COPY OF H.I.C. AND C.S.L. LICENSES 6) WORKERS COMP AFFIDAVIT 7) TWO SETS OF BUILDING PLANS (one to be returned) TO INCLUDE SPRINKLER PLAN AND HYDRAULIC CALCULATIONS (if applicable) 8) COPY OF CONTRACT (if applicable) 9) MASCHECK ENERGY COMPLIANCE REPORT In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the board of appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with application. Postage $ �3+ 7 Certified Fee _ d Postmark Return Receipt Fee Q Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees Apt. No.; or Certified Mail Provides: m A mailing receipt a A unique identifier for your mailpiece ■ A signature upon delivery e A record of delivery kept by the Postal Service for two years Important Reminders: m Certified Mail may ONLY be combined with First -Class Mail or Priority Mail. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ® For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted Delivery". in If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800, February 2000 (Reverse) 102595-00-M-1489 TOWN OF NORTH ANDOVER Office of the :Building Department Community Development and Services 27 Charles Street North Andover, Massachusetts 01845 D. Robert Nicelta, Building Continissioner Atlantic Realty Trust Concetta M. Mikols Trustee 92 Union Street North Andover, MA 01845 September 26, 2001 Dear Mrs. Mikols: Telephone (978) 038-9545 FAX (979) 688-9542 Upon an inspection on September 21, 2001 and a complaint from the Police department and neighbors it was observed that there are several life safety, building and zoning violations on your property. The specific issues are; 1) The removal of the dangerous conditions and the dismantling of the garage requires a building permit and the debris must be removed as construction progresses. 2) The storage of multiple unregistered motor vehicles is not allowed and must be removed. 3) The placement of a temporary storage trailer requires a building permit. Please note that failure to abate zoning violations within a timely manner may be punishable by fines of up to $300. dollars per violation, and that failure to abate building code violations may be punishable by fines of up to $1000, dollars per violation. Please contact me within 72 hours of receipt of this letter so that we may begin the process to remedy the above noted violations. I may be reached between the hours of 8:30 — 10:00 AM and 00 — 2:00 PM at 978-688-9545. Respectfully; Michael McGuire Local Building Inspector Michael McGuire, Local Building Inspector James Decola, Electrical Inspector James Diozzi, Gas/Plumbing Inspector Plannbig Deparimait 688-9535 Conscn?ation Department 688-9530 Health Dq)artmnri 688-9540 Zoning Board of Vpenis 688-9541