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Home My WebLink AboutMiscellaneous - 98 ADAMS AVENUE 4/30/2018I North Andover Board ,of Assessors Public Access E ,►ORTp i • s • • +Lgtivn..r�t� ssk�sa Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 North Andover Board of Assessors MWF%. Record Card Parcel ID :210/045.F-0008-0000.0 FY:2013 Community: North Andover SKETCH Click on Sketch to Enlarge PHOTO Click on Photo to Enlarge Location: 98 ADAMS AVENUE Owner Name: CONNORS, STEPHEN, R. CONNORS, JESSICA, A. Owner Address: 98 ADAMS STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5 - 5 Land Area: 0.31 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1500 sgft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 366,000 339,100 Building Value: 198,200 166,600 Land Value: 167,800 172,500 Market Land Value: 167,800 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=2252989&town=NandoverPubAcc 3/19/2013 H 00 R co LO fA _ w U cho tN- I 00' ., 1 JJ U")00 OO m, M 3°° NNS. r N Nt U 00 ,�tO oo�UL)� ¢!N� �Q w O in z N its bito m X CO LL iri � � w","LL . � UtnLL E ELws 1 Z3 `m,mU cl m�ui a W n U — U V' U) Z w- );c U F - OW is lO. 0. 0.2 to 6) C p N CO n F- �2wU c I''2 O 2z �Z�m� IL I O o } c UQ o LL a: NCO Z� X01 co m W L2� moi 73 Z O -012 f0 Q, C w of af:- _ =gym Jv� Q � jmm N Q Z�U) w" 0 O CD N Cfld 0 CMO N Cfl M M M Q N ri r O. co 01 GU m 0IQ O Ip ' E o w w U maU Z U p m.0 a o 00 P Z0 U Q ULU O � U Mt W r o of 0. aQ rosQ� o IL (OO m�T mii� O m O O N�. 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LNO1 d:Q 0 1: CT CO, cc ¢!N� �Q Em E Cmj•>O Z' 'mUUo vices mLLm UYoo:�o �:mcn000� O O CA Z O O hlnUU' O in L 0 0) Q ui W Cd N LL = f0 N dLL r LL Z r_ U-cLL CO o`oU °o LL w '0}` N cl o c 0 .� N- O 4 U U ��Q�H wy-0O'C.o Z W COMrrOF-F eT (� W x X CO LL iri � � w","LL . � UtnLL E ELws 1 Z3 `m,mU 000m`°mCia:0`o C�C7`m FO-MLLMw n cw MM< aU) Z! Lq UOr.�. E L L : � m+- 0' ni;� �U 0)0. Q ai .Q car Co >,�cvam CA c CL 0i>> �°w2LL 1:LL C) 2 U H w Y co h N LL cr V) mus gm U. V4 E� `vi N cw N r O r Date a TOWN OF NORTH OVER .o PERMIT FOR UMBING i o ■J �1.c •, n o . X49 This certifies that 1.) ............(`.' . . has permission to perform . h.G� �.1.. t! A... plumbing in the buildings of .. 1� . 5 A ........ at . ? !�-..CJ n ....... I ....... , North Andover, Mass. Fee 30 ..... Lic. No..11o.l-4- ...........................\8 PLUMBING INSPECTOR Check # d� 7579 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,?/�! 72 AWAoIAE/1 Mass. Date MA3 10 2407 Permit # Building Location q &6yu AV6, Owner's Name STepH 0) Co^woQS It Type of Occupancy New ❑ Renovation ❑ Replacement; Plans Submitted: Yes ❑ Nd`'-�, FIXTURES Stark & Cronk Plumbing & Heating, Inc. `'''C0ur IC. Ler[Irlcate Installing Company Name ^ Corporation 2486C w Address 308 Main Street, Groveland, MA 01834 ❑Partnership ❑ Firm/Co. _ Business Telephone 978-372-6981 Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes g No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 9 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 (ore eyed) i above plication are true and accurate to the best of my knowledge and that all plumbing work and installations erfo d ermit issued for this application will be in compliance with all pertinent provisions of the Massachus a Plu a and Chapter 142 of the General Laws. By Title Signature of Licensed Plumber City/Town Type of License: Master 0 APPROVED (OFFICE USE ONLY) License Number 11027 Journeyman ❑ • u . . i - ■ u i Stark & Cronk Plumbing & Heating, Inc. `'''C0ur IC. Ler[Irlcate Installing Company Name ^ Corporation 2486C w Address 308 Main Street, Groveland, MA 01834 ❑Partnership ❑ Firm/Co. _ Business Telephone 978-372-6981 Name of Licensed Plumber INSURANCE COVERAGE: I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes g No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 9 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 (ore eyed) i above plication are true and accurate to the best of my knowledge and that all plumbing work and installations erfo d ermit issued for this application will be in compliance with all pertinent provisions of the Massachus a Plu a and Chapter 142 of the General Laws. By Title Signature of Licensed Plumber City/Town Type of License: Master 0 APPROVED (OFFICE USE ONLY) License Number 11027 Journeyman ❑ 4 Date ..... 7 TOWN OF NORTH ANDOVER PERMIT FOR WIRING F. This certifies that ................................ has permission to perform -Z .... ......... . ................................. wiring in the building of .... ..................... at .............. q....S ...................... North Andover, Mass. ? 0, .? ...... Fee.... Lic. No....12-B A, ............. Check # 69L+2 I Z O w w U LL LL O U) z O F- C) w CL co z co 0 w c� O Cr CL CC O O z C L o < W F CD C w C w C LL < CA w 2 U w Y CO z O U w 0- U) z_ J I Q z LL cD z 0 J_ D m LL O LU CL co w Q z w w m D J a 0 LU H z H LU Of F— LU a a 0 w a U) 0 z m J CL DIF�II Vl'OFPUBiJCS.IFBIY t No. �9 F0 2„,nry & Fen Ctledwd •�— "PUCAHONFOR PERW TSO PERFORM EI CIit rM WORK AmwaK To sE Pt7tPORMtiD 1M AM0RDANC WM1 TM MAMACHUM P1.F:(. MXAL cow. 527 c mit 12:00 / (PLEASE PRINT IN INK OR TYPE ALL UM MATION) D Townmof North Atdovet To the inspector of Wires: The undersifned apphea for a permit to perform the electrical work described below. S� Location (Street dt Number) Q S S r C) 3/ Y Owner or Tenant J e ss t C A Ponnor 5 Owner's Addrw SA”, E Is thin permit in conjunction with a building pmft Yea(M No � (Cbeck App vpriift ftx) Purpose of Building %�S l�2e1 c . �' Utility Authorization No. Existing Service /D��, AmW: O��rVolta OvedladUaderpouod No. of Meters / New Service 100 Ampsj/.� Volts Overhead Underground No. of Meters Number of Feeders and Ampaciry Location and Nature of Proposed Electrical Work OCA rC� ✓i C y G Na of LWW% Outlets No. of Hat Tubs Na d Teadsao.a TOW KVA Na Of 1114ft R ZIUM Swlmminj Poor Move Na d QU Bameea Hebw rl asarsatwa N0. of Fina rmy U0ft ROMY Unita KVA Na of Recepncb Oudna Na of Swimb Ondw . Na efOa PJm Na of DeNctim and Iddalus Davim NO. of SoandioS Dwica Na of self coatwoul Lacd �. COmecdam No. d Zone. p Ocher Na of lamps No. of Air Codd. � Told Toon Na of Dispook No, of Hut TOW TOW PUMP TOW KW No. of Dishwaahm Space Area Heathy m i . KW Na: of Dryms Hereby Darioaa KW�� No. of Wats Heater KW Na d Na d Sion WWII Na Hydm Massaas Toho Na of Moms TOW 0 hL.a►neCbleslpe numiDdierecfiesrt ' dM■mdsrtr G:oa iLm jhwaamrtlW*hamxibi9'irick d,VClom. - - 0 ---s&*dzdd piAw yo p m Q 1tanes>trriaedvaidpt0ffdseeee1Dfs0the YM p>EyouhwedieddYBS�pi�aeidcalehtypcdaneVbi' deeddrM LJ MfiaNd [V BOND p afflM p re* WaicbStat H MNAM V, Fsim*dva1zdB mWW*S Rqzskd Ra* Fdld . pEk=N4 I N gym° ) ijamteNo �°�v �07 t� 9'W &iske TdNnIV g7 g'q A1t'IRNa ��/—S�/� 7�fi9 OWDWSRGURANMWAIVHktanmmtmtfsc;omc feiamoo oriti„t �,; � �, selarairLagra ardaettr y*pAaeonfe�a 611116 M (Please cbeck one) Owner Apot a Telephone No. ?MtW' Fi3S S Smv o� F /5-oC. 9-1,7—e,6 P/Z-� D'of o -z- e-- No 3 I �' % Date........... x.'.........�..... J `° "a TOWN OF NORTH ANDOVER a - s OL A PERMIT FOR WIRING This certifies that .......... :........:..: .................................................................... has permission to perform ...........:..:................................................................ i wiring in the building of .................. ::.. ' ..:................. . North Andover, Mass. Fee... ............. Lic. No..........................................:'................................ ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer -� THECO]WOIVWE4L7HOFAf4U4CHUSE--JIS Utrice Use only DEPARTA1EA 0FPUBLIC&4FE1'Y Permit No. _ % Z - BOARD OFMEPREVEW0NREGUL4170ASR7CMR12:(XI Occupancy & Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELECTRICAL 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) Dat/ �Z� 0 f Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & umber) q Owner or Tenant c^S Owner's Address Is this permit in conjunction with a building permit: Y453 -No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead o Underground No. of Meters New Service Amps / Volts Overhead 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 _ground ground M No. of Receptacle Outlets /' �T li --FF -- No. of Oil Burners No. of Emergency Lighting Battery Units of Switch Outlets I. 4 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 Pampa Tons KW htitiating 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 ID Connections a No. of Water Heaters KW No. of No. of Signs Bailasis NrpHydro Massage Tubs No. of Motors Total HP OT' MR Luu-attceCaaag>~ Arrsuat>ttQthetegt7itanatsusel�Ga�a-alLaws Iha%caarau>kliabt7dyhst m=Pbbcyetci&gCal k*OpmomComaWcritsmb6tddc4&Wat YES Cn NO Iha%esu&niMdvanddplcdbf§=1otheOffmYES U NO j7 If} utmeduJWYES,Pleaseak6e@tetWofw=Wbydtdzgthe fflmT1NSUMCEE BOND a WHIM (Ptea9eSpscify) EViationDate E t n-dedVabedE]acltical Wak $ WakiDStatt hnpaclimD&RapcsWd Final Signedutxkr rPdmk6ofptijtay, FIRM NAME UW=Na l�oatsee ✓� / LiaseNoU �� j r TeLNa 66 _ 7 TeLNV `� 7 OWNFR'SMURANCEWAIVMfamawat dAtheLimx9edoe i$teinsuar-ammWaitsabbr>tWcWhatatastacg WbyMmm&tt %Cat ALmNs aad�atrlrysig[ta#tsernths pt�epp�atialwai� this telttad. (Please check one) Owner Agent f Telephone No. PERMIT FEE $ Location "' -� to s No. 3 / Date NO�Th TOWN OF NORTH ANDOVER N : 9 + Certificate of Occupancy $ �'� s'•; ° • M. Mus Eta' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ _ TOTAL $ �S Check # Building Inspector I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 'IWSedil" for t)#i`1< id ase 0j# ' ' BUILDING PERMIT NUMBER: ? C DATE ISSUED: �a f _ a oo SIGNATURE: 1411 C Building Commissioner/I for of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number if( /l1 /1F `gym S n v� 1.3 Zoning Information: Zoning District Proposed Use 1.4 Properly Dimensions: Lot Area (sf) Frontage I 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Reqttired Provided Required Provided 1.7 Water Supply M.G.L.C.40. § 54) 1.5. Public 0 Private p Zone Flood Zone Information: Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service JA 0o S6t�.,e Telephone 2.2 Owner of Record: Name Print SECTIGN 3 - CONSTRUCTION SERVICES j 3.1 Licensed Construction Supervisor: Licensed Construction Supe sor: A—'ddress Signature Telephone Address for Service: Not Applicable ❑ X29:?,? License Number Expiration Date 3.2 Registered Home Improvement Contractor I Not Applicable ❑ 11 diz4d Registration mber MA "14 - Expiration Date i SECTION.4 - WORKERS COMPENSATION MG.L C 152 S 25c(6) W 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 build'g permit. Signed affidavit Attached Yes ....... No ....... 0 SECTION 5 Description of Proposed Work checkalI applicable) New Construction ❑ Existing,Building ❑ Repair(s) ' ❑ Altera,ons(s) ,• Addition 0. f Accessory Bldg. ❑ Demolition l.' 0 Other r 0 ,Specify . -Brief Description -of Proposed Work: C� 12- LJ SECTION 6 - ESTIMATED CONSTRUCTION COSTS... x - ,.-• •.-. .... _.. - .... .• Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed bypermit applicant I . Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical I -NAC 5 Fire Protection r 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGE2N,T� OR CONTRACTOR APPLIES FOR BUILDING PERMIT . , as Owner/Authorized Agent of subject property Hereby authorize jl V-�� to act on f; in all matters rel t? to work authorized by flus butlding penrrit application. 4�,t Sof Owner Date 'S CTION 7b OWNER/AUTHORIZED AGENT DECLARATION I,_,e22,f it 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 P' me. a - Si r ure of Owner/Agent Date Date � Isis NO. OF STORIES SIZE BASEIv1ENT OR SLAB SIZE OF FLOOR TIMBERS 1 s 2 ND 3 SPAN DIMENSIONS OF SILLS - DMENSIONS 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 � � I r b 1 1 The Commonwealth of Massachusetts Department of Industrial Accidents VNCe oflllyesogaoons 600 Washington Street Boston, Mass.. 02111 Workers' Compensation Insurance Affidavit name: location: �,P �� Age - C, city V / E.Gf'/�1��l/!ld Iii phone ❑ l am a homeowner performing all work myself. w 1 ! din an employer r wor►cerC co** paysataon for ray employees working on this job. El I am a sole proprietor, general contractor, or homeowner (circle one) and Have. hired the contractors listed below who have the following workers' compensation polices: mP ..................................ii Failure to secure coverage as required under Section 25A .of MGL.152..can lead to the imposition of crhdnd 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 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the OIHce of investigations of the DIA for coverage vertacation. I do hereby certify un4r the pains and penalties of perjury that the information provided above is truce and correct Signature Date Print name Phone #1 official use only do not write in this area to be completed by city or town official city or town- permitAicense # OBuilding Department 0 check if immediate response is required El Licensing Board OSelectnen s Office 0Health Department contact person: phone #; OOther V y 4 I i Y 9 i i � w O p R ;� y (- LO` 7 O N yc ll v o> of U 0 - co O a Z o o O ILI H X = uirr v C! O y rn / J m U) a z o a -m U q u t to � V ;�/f<• �c;rrz.rrt;iusu.��•l� t,. llu:;:,cr�,i�t.F,1'fa BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 062938 Birthdate: 03/27/1966 Expires: 03/27/2002 Tr. no: 1118 Construcnon - c,r Restfi&.vd To: 00 MARK J ONEILL_/ 30 APPLEGATE LN READING, MA 01867 Administrator e UD cu a CA n► u aG a w � V u v cn O z ►~-� C ro b o w -a o rz G :c U c w a � U W � a a C o rz G w � O W Z � �..i W -[ otv rz u cn w p H w � [ c a: w w Q�r v m Z . cn v Q -Nd o cn UJ Z 0- c o m c ' o � C L O N 9I O V V I cp !O A j m C O m gym, C CJ oc� t �= CD 2 V v :m3 N ♦+ c m N _� N C y: S:cvL m y CD cc Of p s ^I m oo vi o C3. Z o c o c F-- o. = co m 03 IV gyp-. to r ~ m t CL= W C Z �O ; m N O V Of �Q = W ` y = O 4-a m ::No 0 I c Date. ........... i Ni 4.%65 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 4.4 - This certifies that ...... -. ................................. has permission to perform ....... .................... . i, plumbing in the buildings of ...... .... - /................. at .l ..... "''�: -� , North Andover, Mass. Fee . `r, Lic. No..'-.,'. . . . . . . ....... �� '? ✓?. !.:..... . rj p PLUMBING INSPECTOR Check # , ✓ WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASS A .NUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 PLUMBING (Print or Type) Mass... oatc1l,�lT zV Permit # Bull. locat_lono; . . —�M //Q"" �,/J Owner's Namee h -No - / Type of Occupancy New 0 Renovation G�' Repiacemer.t O Plans Submitted''Y se O No ❑ FIXTURES Installing Compiny Name i�/i.� ya<i y //QRS/) %e �/Check.one: Certificate Address r �r/,�;�,o r Sf ' Q Corporatlon Partnership J Business Telcphone O Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: _ I have a current ility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No r If you have checked yM. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy C Other type of Indemnity .0 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. Gen Laws, and that my signature on'thls permit application waives this requirement. • Check one: Owner O. Agent ❑ Signature of Owner or Owner's A9enl I hereby certify that all of the details and information I have submitted (or ente(ed) h above application we 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 %ith all Pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 of the General La By Title aty/Town Type of Ucense: Master Journeyman 0 I ONL License Number RM = NONE iiiiiiiiiauiiiiiunii Installing Compiny Name i�/i.� ya<i y //QRS/) %e �/Check.one: Certificate Address r �r/,�;�,o r Sf ' Q Corporatlon Partnership J Business Telcphone O Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: _ I have a current ility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No r If you have checked yM. please Indicate the type coverage by checking the appropriate box. A liability Insurance policy C Other type of Indemnity .0 Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. Gen Laws, and that my signature on'thls permit application waives this requirement. • Check one: Owner O. Agent ❑ Signature of Owner or Owner's A9enl I hereby certify that all of the details and information I have submitted (or ente(ed) h above application we 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 %ith all Pertinent provisions of the Massachusetts State Plumbing a and Chapter 142 of the General La By Title aty/Town Type of Ucense: Master Journeyman 0 I ONL License Number Location �q� No. / Date � TOWN OF NORTH ANDOVER 0 A Certificate of Occupancy $ s�CMus Building/Frame Permit Fee $ Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ Check #_� a I -� 01, — -5r:1), - �-�--,-- Building Inspector SIGNATURE; C �. Building Commissioner/IETLaor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: � /7�1 ✓�'► 1 S i_ 1.2 Assessors Map and Parcel Number Number: Parcel Number C/Map � � M /I d tJ E/L Signature Telephone 1.3 Zoning Information: Zoning District Proposed Use 2.2 Owner of Record: 1.4 Property Dimensions: Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft SECTION 3 - CONSTRUCTION SERVICES Front Yard Side Yard Rear Yard Required I I Provide Required Provided Required License Number Provided Address /')-J J�: 7—/ --Pt, N , ry ,g f S % C w3 y s 1.7 Water Supply M.G.1-C.40. § 54) Public 0 Private ❑ 1.5. Flood 7one Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System 0 NVU 11UN 2 - PKOPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record r- Name (Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3. tensed Constructio rvisor: Not Applicable ❑ Ltcen nstruction upervi License Number ; r Address /')-J J�: 7—/ --Pt, N , ry ,g f S % C w3 y s Expiration ' Date Signature Telephone Z^.� ozn=z� 4 3.2 egistered Home Impro ment Contractor Not Applicable ❑ / &-/ ?,A V-7 'f` V cj (`14 r Z OO' � i 'r� G C U :Z K C_ Company Name Registration Number Address Y t./ S f Expiratio4 Date i ria a Telephone M f W SECTION 4 - WORKERS COMPENSATION (NLG.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 rmit.Si ned affidavit Attached Yes ...... _❑ No ....... ❑ SECTIONS Description of Proposed Work check all applicable) New Construction ❑ 1 Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ 1 Addition ❑ Accessory Bldg. ❑ I Demolition ❑ I Other ❑ Specify Brief Description of Proposed Work: ,-1 L L Tle e /ZeOF S�-{�KGc,Ic 1 SECTION b - RCTTMATVD rnNfiTnTTrTTnN me rC Item Estimated Cost (Dollar) to be Com leted by permit applicant OFFI SSE ONLY " 1. Building d00 • o (a) Bmlding Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (e> X (b) ---- l 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number -aav11 is wvvilqx,n [iV 1i1v1l1GEi11V1`l 1V 1SD, f;V1YlYLr,1L'1) WtiL1V OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 42r9yyl ? N 0 u S'! _ -.T—A— as Own �uthorizAgentsubject property Hereby authorize i�9Y .'� A yr1 O K '.-I to act on My b f, in al rs relativ to work authorized by this building permit application. i Si 1latur 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 of Owner/ Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS 1sT 2 303 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 O �SL10,6'7 11� 061/V O Building Department o _Z4 27 Charles Street North Andover, Massachusetts 01845 (978) 688-9545 Fax.(978) 688-9542 °p4 ACHU 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 c11, s150a. The debris will be disposed of in /at: Z Facility location Sign re ofAppl" t Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 4 Oz O a 0 � v � o E a p U 0 A o w° rL v U Cd w a O U w C7 a w w O 114 w W a°G u 05 z ca z w w a a w o z v Q o c� o m c :;c o C H O_ C V V O. C O O � :t Oca � y L•+ E a� aC CD o V m : N o G E y A m 2 m�CL y _m o rCOD y O O G•Em •v Q QCu .rm CD yCD ii► cG c N 'fl . p• C t m cu «: coo c ® j° N m C C CD k�• 0 H m w F- m L W c O bw Cy. •� y ds .A C Z ui �E 5-o o m ca w � COO) Ce m� O coo o O_ �• 0 �, a C40) O MAE L C O co cam M: CO3 0 Ca .Q y C O cc C. CO) L O v C. COD C O CM C O C o32 W W t.. 0 U) U) crw W W CO „�r...y.�rm. .ti 1-.'�,.:_” :i��iR,:w-, ",.. 4. y.._ ...�_A..-.-—^.—..-c«.=--y...-.n..-..-• r RAYMOND E. DAMP800SSE, A. AND SONS ROOFING CO., INC. BOX 431 LAWRENCE P.O. MA. CONSTRUCTION LAWRENCE, MA 01842 SUPERVISOR. LIC. #046636 TEL: 683-4588 HOMEIMPROVEMENT 3 REG. #101862 ROOFING - SIDING - INSULATION Date �! ; ✓ ' t i From: / �(/�!o h/;•/.� "? A (Nemeb Y (Addraee) T0: IATYOR E. DAMPROBSSE, A. AM SONS ROOM CO., INC., BOX 431 LAWRENCE P.O., LAWRENCE, MASSACHUSETTS 01642 1 (we) hereby authorize the Contractor to furnish all materials and labor necessary to install, construct and place the Improvements described below in -on building located at No. - 9 Street, / City /I/ r-3 "" ' '` State i in accordance with the following specifications: -A 4- WA C'"a Ftp All of the above work to be dorie in a good and workman -like manner. i All men and equipment insured. Premises to be left clean upon completion of work, ,,o"r :F E For the total sum of dollars. Entire Sum to be paid Immediately upon completion In accordance with plan as shown below. % TOTAL CASH SELLING PRICE .....:.... S Cfc •- DOWN PAYMENT IN CASH ............. ® DEFERRED BALANCE )f C) Q UPON COMPLETION ....... (J The undersigned agrees to keep property mentioned in this agreement properly insured against loss by fire including the Contractor's interest therein. This.agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the parties hereto, there being.no covenants, promises or agreements, written or oral except as herein set forth. It is the intention of the parties hereto that this contract shall be binding upon their respective heirs, executors, administrators, successors and assigns. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. The owner further agrees that in event of cancellation of this contract after acceptance by the contractor and before the work is commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his reasonable control. We, the undersigned, certify that we are the sole owners of the property herein described on which said work or repairs are to be performed. IN WITNESS WHEREOF, the undersigned has (have) hereunto set his (their) hand(s) and seal(s) the day and year written above. Accepted By Husband RAYMOND E. DAMPHOUSSE, JR. AND SONS fe RO G CO., INC. M dress ISIp ure and Tif l ol.011iciai (If different I— above) N2 2 4 Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that .................. ................ ........................................... has permission to perform .............................................................................. �, CU wiring in the building of?!;p ...... .............. :—**—**--** %;> at .... ................. . North Andover, Mass. Fee ,.;kZ ..... 1...... Lic. ..... ELECTRICAL INspEcrOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i K CITY OF, BOSTONv' ' &g INSPECTIONAL S�ERVICES'DEPARTMENT Office Use Only N ? < ••, Permit No 1010;MASSACHUSETTS AV AUE, BOSTON, MA'02118 63 'A300 ,�, �.•' • a ; �'*� Occupancy & Fed Checked -, Y+,i�EIIlltutDtttltf:F[�# Df°.��Cl�ue;•(leave bfank� r 5j yi %#artment.'of Pub(ii'Stlfetq` I Ward L r BOARD OF, FIRE PREVENTION. REGULATIONS 527 CMR 12.00'. Area IP'; £ y. "' .t •'' � ; • `'^ Edi � i'� ." «' +►"' � '+;Fr. fN 4 !�4 l lAPPLICATION FOR 'PERMIT`T0°,PERF4'RM `ELECTRt ALy1IVORK °a + - +.fi r y k {...�r •5£. e , : AILwork 'to: be performed•in accordance•with the'Massachusetts Electncat Code '527 CMR -1 2. Y a ,+ (PLEASE PRINT IN INK OR TYPE ALL INFO MgiION) Crt 'or Town o•f !�� /� J` 7 �.' /t% oyf e e ro it h y ,Q + , ` To the tnsp to df,tWires „.,' a' r M �1 { ;The undersigned applies for; a permit to perform they.electricat work described below Location (Street "& Number) i✓ Floor��j+#ri " Owner or Tenant « t�0`s✓� a�Z,i "' ` Tel ivo "` ` t P, fi .'? r Owner's Address -,r. I �+ , . » k . �. • ,s r.>",<4t.. Is this,permit in, conjunction with a building permit Yes ❑ No {Check Appropriate BOx}� t Purpose of Building ,IN Authorization No ro Existing Service Amps I Volts Overhead Undgrnd : ❑ i No 4ofwMetle s X Ai ; `New Syrutce Amps 1 Volts. ` Overhead ❑ Undgrnd ❑ No tof Meters r 5 T Number of Feeders and Almpacity • .i b fid..,: a ocation and Nature of Proposed Electrical 'Work 4 �; r �w t• �i « 'No of Pghting',Outlets :' �No. No.<of Hot Tubs ' �` " f • `t'Otal No, of Transformers a XVA No of Lightii5g Fixtures Swimming'Poot ` Above' In- i—�'.' ❑ , rf - l a` «,,f: ,t; %, grnd. grnd. 1_1 Generators v�! , tNA t ' No.;ot Emergency Lighting , +No,rof Receptacle Outlets. •'• No.`of Oif Burners Battery'Units`- a No. of,Switch Outlets ` No. of Gas Burners' ' FIRE'ALARMS4` No. of Zonesr r ^ No: of Defection and t f by No of.Ranges "' No: of Air Cond. �onsl Initiating Devices NO. Of Disposals, No. of Heat .'Total Total Pumps Tons . KW No:`of Sounding Devices x No. of Self'Contained .` f'` ' i _ r No. of Dishwashers Space/Area Heating ,, ', KW DetectioNSqunding Devioss Local' lMpnicipal? ao Other ❑a No: of; Dryers: , Heating Devices KW s Cgnin in , . No. :of 140. of Low• Voltage No of Water Heaters KW Signs Ballasts • ; wiring p i e"4 Hydro Massage Tubs No, of Motorsf 'Total HP , Vii" Q 7�_. ice• y'�R'�':,'. E � 4 < ni i ili4 ;i rf �+ h ;OTHER: 'SAS it ��' , .. _ � � Y4.?�^i r• -i ,. ;. ' INSURANCE'COVERAGE: Pursuant toahe requirements of Massachusettsf +oral Lewis 1 have a current Liability Insurano9 POlicyjnclud j +� `q rng Corn ed operations zoverage or, its. substantial equivalent. YES . �j O Ct 1 havec.submitted valid prooftof sary a to tiie Office C� 4 , YES . NO. " 0 : If. you; have checked YES, please indicate •the, type'of cc wage byC checking the appropriate box r '�' tr' INSURANCE.'❑• BOND ❑ OTHER ❑ (Please.Specify) �`' i, �' ' ' . 1 • �•, s(Expiration'Date) `) n Estimated Value of Electrical Wo r $' L�� '{ ft 0y^ ` r ;Work to.Start '' Inspection Date'R ' p equested. Rough Final t"Signed under. Pe altie .of P jury: � _ +' s �i;. # � •tit FIRM_NAME '; 4 LIC" NO.. Licensee Q- r) Signature �'1<. S V� 1/Ns Tel Not ;Address' L (/ t. AIt.Tet No 1+ OWNERS INSURANCE WAIVER: I am aware that the: Licensee `tloes not have the insurance -coverage or its substantial equivalent as re.,, . quin; by Massachusetts General Laws, and that.my.signeture on thispermit application this requirement ,Owner + Agent (Please check one) t' i •t Telephone No PERMIT FEE! } ' (Signature of Owner or Agent) 3 'Notify Inspector for rough and/or final inspection. Permit must be obtained before commencing any, and all work in compliance with G.L.C. 1414 all applies- ble laws & ordinances is required and understood. X6796