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HomeMy WebLinkAboutMiscellaneous - Foster St, 193No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH MIt tkJ OF 1111agaAIVQoIIe-,<_ APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (�Z Upgrade ( ) Abandon ( ) - ❑ Complete System ❑ Individual Components /&4,b L<,¢atiP PCS V2- r Mz //Parcel #f Lot #! Installer's Name /Address / Telephone # -fl4E Fa -/F�/[�Z TRL)s� / FL&—Z- 6AAJk 5/0 RRIAA�wC / / Ownc'7,5- 5 �'V 7/L—r -�l 7/ drss�C GC !� Telephone # tf)/40s7 AANS�l F Sce64, t AIC - 166 SV/VINIE� ��nesigncrs amc 91U !/!O —373"a /_tss Telephone # Type of Building: W60L) F-kmc- Dwelling — No. of,Bedrooms ,3 Other — Type of Building No. of persons Other fixtures Lot SizQAa e.®Olt Garbage Grinder ( ) Showers ( ), Cafeteria ( ) Design Flow (min. requ' 'ed) gpd Calculated design flow gpd Design flow provide0-3/ gpd Plan: Date n 210 i Number of sheets a Revision Date Title S -y' - Description of Soil(s) Sfn A L., 5 L Soil Evaluator Form No.0 7 19 -- Name of Soil Evaluator Date of Evaluation A) DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned ees to ins the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 a fu s ce system in operation until a Certificate of Compliance has been issued by the Board of Health. Signedl Date Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑ Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( ) by: at has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No. dated . Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Date FORM 2 - DSCP FORM 1255 (REV 5/96) Board of Health DEP APPROVED FORM 5/96 H&W HOBBS & WARREN TM PUBLISHERS - BOSTON -P, mi as AW o O ci :W p sem-WWI� i Z gTAr o 4e Lr Ck y p •p ON4 CD COD CD cm CD ax m3- C C w ui e_v o a W i " o� wa R O �+1 y D CD ci 2 = CO p a. CM T : o>..o c p y C� ca co m o._.- m C. v� o o V y MEMO w `Z coQ. p C o . o c c aN .. •C C ~ S a; m$f- = R3 Fn c e� L m co • v ®R. C.3 O y cc *0„ a,_,,, Omy amara - � J O WZ w p4 v 7� C', 0 CL m U w14 w W a z V. V u2 004 d w M cin cn mi as AW o O ci :W p sem-WWI� i Z gTAr o 4e Lr Ck y p •p ON4 CD COD CD cm CD ax m3- C C w ui e_v o a W i " o� wa R O �+1 y D CD ci 2 = CO p a. CM T : o>..o c p y C� ca co m o._.- m C. v� o o V y MEMO w `Z coQ. p C o . o c c aN .. •C C ~ S a; m$f- = R3 Fn c e� L m co • v ®R. C.3 O y cc *0„ a,_,,, Omy amara - ,r N° 1 690 Date.......:........:Sp...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... ,.�.:........ ��-'..-J y has permission to perform _., :...... ...................... Wit. ��-�- ................ wiring in the building of .............. ~ ..... ........................................................ at ..l.5.?.�...... ................ . North Andover, Mass. 'Fee%/U . --... Lie. ELECTRICAL INSPECTOR 05/27/99 11:27 170.00 PAID — WHITE: Applicant CANARY: Building Dept. — PINK•. Treasurer `G�� \i . •\ TIE 00MH0NW ,4L7H0FA1 &1K4CH j ' 77S Office Use only DEPARTA&NTOFPVBLICS4= Permit No. / 0 / y BOARD OFFNEPREVEMYONRFX MTIOAN527CMR1200 Occupancy &Fees Checked � �U APPUCATION FOR PEIdAffTO PEUORM ELECTRICAL WOR 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 Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building *tility Authorization No. D Existing Service ,1Q,� Amps 0/olts Overhead/�'iJnderground 71No. of Meters New Service O Amps ovolts Overhead [:D—Underground M No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work R L W I R L S 1 7V G LL^ FA X11 L ig 41\1n u p" I E, sEle V/ C p No. of Lighting OutletsNo. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No. of Receptacle Outlets f - A U No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets Af-� �( No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and S0 ter_ r No. of Disposals No. of Heat Total Total Pumps Ton; K5:' Ltitmtirg Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Connections Other No. of Dryers / Heating Devices KW No. of Water Heaters / KVA No. of No. of ! SS g Si s Bailasis `o. Hydro Massage Tubs No. of Motors Total HP OTHER. . • .:• I`. •• '• i . a.. • :v: - • •: �.• •• - • :� • n.• as :•: � ••t• � • - • . nr.• .I• • •r r � - :• I • • in- CI• © • • - • :.:• CI► • :ro• : ar.::- 1 •• •: •• - • • :.•.._ I - •� :• ��, � I I cr.•�• �r:- • :•, :,ter.• ' • ._� ,�. _ LtoaiseNQ _ LitnseNo 3 l '� Business Tei Ng i ) q Address Z fl lG-N�ANn SL` CF}fYToIV lMl� C� ®2 AIL Td Na OWNER'S INSURANCEWANER;Iamm erlrtdheL=mdri stat >rt>metheirmrarem t si ale>rasrecgmedbyM�sadxseilsGerrraliaws and ditmysigmttsearthispemrit. wainttusrmpirarreg (Please check one) Owner ® Agent Telephone No. PERMIT FEE $ (J Location No. % Date /y Is X3093 05/17/99 14:11 TOWN OF NORTH ANDOVER Certificate of Occupancy $ _ Building/Frame Permit Fee $ 5 A Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTALS $ Building Inspector 58.00 PAID Div. Public Works 3 M A F i.. It U to F .� w i z c 0 F cn U w � \ w z x � � z x c ' w 5 � � A " x A F A � w O O W hal ,,•, •••, F O F c L C h W W a p F F MM h+•y " I Ln Z U U w w ^ n a k k O. O O O p rs. WOO c O (A O v, IA w p p H z p p O O O a XW 7 z Om m En in cn A A A 4 4 4 a O z 0 H U > ° a � � o U IS o x 'U z M z SZ a Q >\ D A Q q h p Ow �j cn UU U d Az`r % % M F i.. It U to F .� w i z c 0 F U w � \ z � � z c ' w 5 � � J F it W It U to F .� w z z ^- \\� � �\ \ � �/��� \\ .� ¥ � CD ��f +2�\ t7, 11 CD CL C2 L, C.8 U -j „ \ cc cc F— \ \ z C) _\ . � <. . APR- 6-99 TUE 3:49 PM F.I.D. No, 11.2320449 Job # —*- lvc SALES: If FOR ALL New York: SERVICEIREPAIRS 800.942.6111 PLEASE CALL Boston; 800.942.6111 800 -SEARS -31 Hartford Area: 800 -SEARS -99 Providence Area: 888 -SEARS -51 SOLD TO _a HomeCer tral- The Service Side of Sears" WINDOW CONTRACT ADDRESS- ,aA *V 4 CITY �1 �/L.! STATE4Y*ZIP OR JOB SITE ADDRESS (if different) /7' /4 ec), f 1/' —C2 ME Lie. No. DD1893 NH Lie. No. MA Lie. No. 120456 New York Dept, of Consumer Affairs Lie. No. 0730686 Nassau Lie. No. H270416000o Suffolk lie. No. 21194HI Yonkers 1397 Westchester WC0613-1­187 New Jersey Lica No. L011664 Connecticut Dept. of Consumer Affairs tic. No, 00532774 VT Lie. No. Rhode island Lie, No. 13707 DATE 4113 7 CY PHONE (Home) (417) _Y?% `04�QS PHONE= (Work) APPLIED VINYL WINDOW SYSTEMS Sold, Fumished & Installed by BII,Ray Aluminum Siding Corp. of Queens, Inc. 18 Lyman St„ Suite M1 A Sears Authorized Contractor Westborough, MA 01581 40 Elmont Rd. Elmont, NY 11003 General Description of Work a1 Above Adaress: Approx. Start Date: 014,� Type of House: Wrame E3 Masonry Approx. Completion Date: I 24. ❑ Clean up—Ali job related debris will be removed from property on completion of work 25. ❑ Insurance—Allworkmanscompensatlonandtiabiiityismaintained......•.,��.........W.�,_—�....•~��•.. 28. C]Warranty— Mailed to customer upon completion and full payment is received All Discounts Have Soon Applied, 27. ❑ $ Payments —(on non financed orders) is payable to installer on day of installation Deferred Payment. Interest WIII Accrue. 28. XI 0 All Discounts have been applied �,_.�._._._,_______.__............_.__......__._....... SPECIFICATIONS Sears approved materials will be furnished and installed to these specifications; YES NO PLEASE READ CAREFULLY: ONLY THE ITEMS CHECKED "YES" AnE INCLUDED IN YOUR ORDER, 1• ❑ Remove windows from opening where they now xiston: 2• 1 ❑ FIRST LEVEL # Openings # New Window Units 3. ❑ SECOND LEVEL # Openings # New Window Units 4• ❑ THIRD LEVEL # Openings # New Window Units 5, 6. ❑ ❑ ;if BASEMENT # Openings # New Window Units 7. ❑ OTHER # Openings # NewWlndowUnits Removal of Metal orotherunits requiring modifiedInstallation 8. ❑ #Openings #ofUnils Install new palydable Mouldings Inside Stops # of Openings Clamshell or Casing # of Openings. 9. [3Install new Master Frame # of openings —" 10. ❑ New window units to have double strength insulated gl s 7X I'totaf thickness 11. ❑ Now window units to have fusion welded sash# 12. C1New window units to have fusion welded frame # 13. ❑ % New window units to have complete Energy Package consisting of injected foam insulation, Low•E coated, Argon filled insulated glass # of units 14. )I ❑ New window units to have Cam Lock(s) at Latch Lock(s) 15. ❑ X New window units to have Obscured Glass # Half Full 19. ❑ New window units to have half (1/2) screen (full screen on casement type window) 17. tj Install PVC coated aluminum to window frames Color— #ofOpenings 18. ❑ Caulk and seal windows with 3 point system 19, ❑ Remove and dispose of existing windows 4,4116 STop-flk ' 20. ❑ Color of windows to be White --,G Timbertone Sandtone Bronze (Special Order Full Engergy Package Not Available) 21, ❑ Windows tohaveGrids Colonial Diamond IJFoll (DIA Additional info 22. ❑ Total # of Double Hungs Total # of Hoppers Total # of Casements Total # of Awnings Total # of Two Lha Sliders Total # of Three Lite Sliders Std. or Equal Total # of Dead LIte,Pictures Total # of Basement Sliders 23, ❑ ❑ Special Order Windows (In Addition to Above) 24. ❑ Clean up—Ali job related debris will be removed from property on completion of work 25. ❑ Insurance—Allworkmanscompensatlonandtiabiiityismaintained......•.,��.........W.�,_—�....•~��•.. 28. C]Warranty— Mailed to customer upon completion and full payment is received All Discounts Have Soon Applied, 27. ❑ $ Payments —(on non financed orders) is payable to installer on day of installation Deferred Payment. Interest WIII Accrue. 28. XI 0 All Discounts have been applied �,_.�._._._,_______.__............_.__......__._....... 24. C7 Clean up—Aft job related debris will be removed from property on completion of work 25. d Insurance — Allworkmanscompensatlanandliabilityismaintained 26. C3 Warranty—Mailed to customer upon completion and full payment is received All Discounts Have Soon Applied, 27. [3$ Payments —(On non financed orders) is payable to installer on day of installation _J Deferred Payment, Interest Will Accrue. 28. X 0 All Discounts have been applied Cash Sale Total $ 06 Lessa it 33% $� Cash Balance $ ZLa0 Other Payment (if any) O CASH XIFINANCED $ 6 r does not include interest alance on Substantial Completion $ It financed, balance payable in &K, _ monthly installments of approximately $ per month, payable by 'Owner" to contractor, but If financed by Owner then Owner will pay said amount to the lending institution plus such interest and Credit service charge of said lending Institution payable directly to the lending institution loaning such monies to 'Owner' and will execute a Retail Installment obligation and any documents required by such lending institution in connegti9n with said loan. 29. i°]( C7 Additional (nformatio : x O 00�'ft a0, Work Not to be done 'CON'rRACTOR IS NOT RESPONSIBI.E FOR ANY EXISTING SECURITY SYSTEMS. PLEASE REMOVE ALL SHADES, VERTICALS, SLINW CURTAINS, DRAPES OR WINDOW MOUNTED AIR CONDITIONERS, PRIOR TO THE INSTALLATION OF YOUR NEW WINDOWS. INSTALLEFlS ARE NQT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS. NOTICE: If financed, any holder or NIB Consumer Credit Contract ra aublea to all dairne and delonsos which the dobtor could assert against tho seller of goods or services obleined oursuaht hereto or with the proceeds hereof. Recovery by the debtor shad not exceed amounts p4id by the debtor hereunder. "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLICATE ORIGINAL OF THIS AGREEMENT AND TO BE THE AUTHORIZED AGENT OF ALL "OWNERS" OF THIS PROPERTY UPON WHICH THE WORK OR THE MATERIALS ARE TO BE SUPPLIED. NOTICE TO THE HOME OWNER(S), GUARANTOR(S), LESSEE(S), CO-SIGNER(S). Contractor, at the expense of owner, shall procure all permits required by law as follows: 1. Owners who secure their own permits will be excluded from the guaranty fund provisions of MSL Chapter 142A. 2. Any person who shall have co-signed, guaranteed or signed any credit application or note relating to this agreement hereby accepts to be bound by this agreement. 3. Owner(s) represents that the contents on the back of this agree- ment Is a true part hereof and has been read and accepted by Owner. 4. ALL INSTALLATION LABOR GUARANTEED 1 (ONE) YEAH. Print V C��t� Signature Salesman's Name tJ CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRANTY PROBLEM. SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT AND -OWNER" REPRESENTS THAT NONE HAVE BEEN MADE TO OR RELIED UPON BY -OWNER", YOU ARE ENTITLED TO A COMPLETELY FILLED IN DUPLICATE ORIG. INAL OF THIS AGREEMENT. "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRtl BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ON ALL ORDERS CANCELLED AFTER THE RECI- SION PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45% ADMINISTRATIVE AND RE; -STOCKING FEE, THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED FROM IN AN ESCROW ACCOUNT AT CHASE MANHATTAN BANK #106-1-062089, WITHIN FIVE BUSINESS DAYS OF ITS RECEIPT. Date Do not sign this agreement before you read it or If It contains any blank space or if it does not contain everything agreed upon. ^ d r ,� Salesman's q 4 V--- - License No. �Oo Signature SEE REVERSE SIDE FOR ADDITIONAL YERIMS AND CON kt / ?,3 FaS1er N�L Inn •,t NATIONAL CERTIFIED TESTING LABORATORIES FIVE LEIGH DRIVE YORK. PENNSYLVAMA 17402 - TELEPHONE (717) 846-1200 A.UER U L PERFORMANCE SlY09MY REPORT FAX (717) 7674100 ACCU-WELD • September 18, 1996 REPORT NO. NCTL-110-5586-3S TEST SPECIMEN.Accu-Weld's Model "501/601" Tilt Double Hung Vinyl Prime Window measuring 48" wide by 59-718" high overall. Both sash were exterior glazed using sealed insulating glass with an adhesive foam tape back -bedding and a snap -in single leaf dual durometer glazing bead. The overall insulating glass thickness was 718" consisting of two (2) lites of double strength annealed glass and one space created by a desiccant matrix steel spacer system. A pyrolytic type low emissivity coating was applied to glazing surface No. 3. PROCEDURE; Condensation Resistance Factor (CRF) and Thermal Transmittance (UYalue) were determined in accordance with AAMA 1503.1 - 1988 and ASTM C23"9 under the following conditions. . 1. 15 mph dynamic wind at specimen exterior. 2. 0.0 in H2O Static Pressure Drop Across Specimen, TEST RESULTS; 1. Air Infiltration @ 0.112" H2O (15 mph): 2. Average warm side ambient temperature: S. Average cold side ambient temperature. 4. Average frame temperature (FT): 5. Average glass temperature (GT).- 6. GT):6. Condensation Resistance Factor of Specimen (CRF): 7, Thermal transmittance due to conduction @ 15 mph exterior wind velocity.• 8. Thermal transmittance due to conduction with zero exterior wind (calculated): 9. Thermal transmittance due to in fzltratwn @ 15 mph velocity pressure: 10. Effective thermal transmittance due to air infiltration (7j14) - AAMA 0.14 CFMIFT 67.8 F 18.0 F 46.9 F 46.3 F 57 �0.391RRIFI-9JOF 0.33 BTUMIFT210F 0.18 BTUIMIFT214F 0.05 BIFT21°F Reference should be made to Thermal Performance Test Report Number NCTL-110-5586-3 for complete specimen description and test data NATIONAL CERTIFIED TESTLVGLABORATORIES .4t A. MARC A. CRAME'R MACUew Technician PROFESSIONALS IN THE SCIENCE OF TESTING 71CC 07 ct7:91.1. GUW-HOV 0:11 (a3M 86.91-'034 D O b Y- O z n rA cd �¢ W x w G�U v x o E > cn a 9z O U z � C m T v U ro w 94 O �j m A. � d w O W U w W 04 c9i ii O U w a m 7 C4 cs x z w A ►- wo c L m O z V, O "I O CO au Ico cm C y Q � C La �E m m co cm co co G O CD m O CL om < y C C CquC 5 CD CD CD C. V COD ccC � C _cc CL CO) c� 0 c ci c �. N y r O y:mca A D Ea o a E E o 0 tm m c :ate mm v, m 3 C c � m CO) C A Y: •� dca co� -.E' 1i �LL33" lopZ .�. co a o nnV,. ' O W C S%cc .CJ .cm � ca v m . V� a m C11:2 O :a S CA cc m H �Om 0 �- r � a. = O CO au Ico cm C y Q � C La �E m m co cm co co G O CD m O CL om < y C C CquC 5 CD CD CD C. V COD ccC � C _cc CL CO) Location/ Z-3 I-C-SY-er S Ido. / % c;� Date , MOATh TOWN OF NORTH ANDOVER 09 Certificate of Occupancy $ 000 Building/Frame Permit Fee $ .1 Foundation Permit Fee $ swcNus� Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ % B --- Z Building Inspector 3 3 05/27/99 14:54 78.00 PAID Div. Public Works p a C t w v d M g SL � w FSI W Z m F A F Z .q. U U U O U v A U C O O a F a Z u Z Z Z Z F� F zO C C C w w w Fay C O w z Z Z v � S z U �► ¢ W O O s c� F C -- a z a Z z z z l eW W x z L v z z d a a C O o F w z U Z U z U z 'nAl cn cn p a C t FORM U - LOT RELEASE FORM INSTRUCTIONS: 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/or landowner from compliance with any applicable or requirements. *****************************APPLICAt4T f+LLS OUT THIS SE C�� APPLICANT �e ©�N^� PHONE a LOCATION: Assessor's Map Number�� SUBDIVISION PARCEL LOT (S) STREET ST. NUMBERI 't3 ***********************OFFICIAL USE COMMENDATIONS OF TOWN AGENTS: I'�a 1� A-� , 2O° VV, �I /CONSERVATION ADMINISTRAT R DATE APPROVED I Q DATE REJECTED COMMENTS LI-) N TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH / - y SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED_ PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT L,4�//v FIRE DEPARTMENT RECEIVED BY BUILDMdG INSPE-CT0R DATE - Revised 9197 jm 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 / 9W - 22 is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: (Location of Facility) / r O� �L ignature of Permit Applicant S, / Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector M cz D J ti EW qkb,4,Cc 4 a m c3 A :L o o V cn 4C ma! M m o z v�uO� m = E G7 m S N �z � L.m ` a _cc _� N O co cc W ca E U y o cm 0� ~� � o a � W ►-� am oco :coo cm doa _ mt 3 o CO2U. O � �, C r •� � •N dt W = O W .E v v cm .y O %) 06 0 W m O � 06 cc 101, y l O LLI 0 U) uj U) CC W W Cc U) v 94 ux w, Ow A 94 O a � wO a � E.., z w A x V) v C7 cn v 0 C/) D J ti EW qkb,4,Cc 4 a m c3 A :L o o V cn 4C ma! M m o z v�uO� m = E G7 m S N �z � L.m ` a _cc _� N O co cc W ca E U y o cm 0� ~� � o a � W ►-� am oco :coo cm doa _ mt 3 o CO2U. O � �, C r •� � •N dt W = O W .E v v cm .y O %) 06 0 W m O � 06 cc 101, y l O LLI 0 U) uj U) CC W W Cc U) CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number—/'7C), c%C Date THIS CERTIFIES THA r THE BUILDING LOCATED ON MAY BE OCCUPIED AS 31wq � Gly � 5 /�a &'�IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ,,OPT” CERTIFICATE ISSUED TO p ADDRESS / 73 �'s,CM„ScBuilding Inspector » T, ......,.,.-...,�.^.w.�.v..........a„-,........._-�e....�.,.w.......tirs,.,e��....,.....,��,....u..w,w...»..,_a..,...��......__,w......_..�__�...............e.,_..._._.. ....M _...,._ ..»..._._.�..d.___..�„.Y.......a..._..,_.._...`..___'"_'—__..�...�.....�..:=-s CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number—/'7C), c%C Date THIS CERTIFIES THA r THE BUILDING LOCATED ON MAY BE OCCUPIED AS 31wq � Gly � 5 /�a &'�IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ,,OPT” CERTIFICATE ISSUED TO p ADDRESS / 73 �'s,CM„ScBuilding Inspector 4 of V cc®o U \ li w cm a N CC, C w W _ a �` ;.�. N m W if _. ...cc o t7=�. C O C42CO2 •� x Q -z. cn q® u CO) a z d � A W t 40 ` y d w �� U W C7 t� a o (U o a w° C/)w° Tl:� a; P2 a w ,, a w+ � v a c cG° w o w' cn � of �• V cc®o o c n cm N CC, C y C C _ 00. mom••. 3 ti m H N m W if _. ...cc o t7=�. C �• V cc®o o n cm y C C _ 00. mom••. 3 ti m H N m W CCD o t7=�. C O C42CO2 •� C .s O �+ m •y Q uj q® CO) ®� O$ N •� � A-- t 40 ` y d w ILA _c CL is CD co co O CL cm< 03 ♦r 0 •cc V o CO co pCLp� YO / C LLI U) U) Ir LU W crW VJ Date. N12 4066 °�NO °T H1�o TOWN OF NORTH ANDOVER c: * tl °� PERMIT FOR PLUMBING' • off+ + i - .. ,SSACMUS� < e .f This certifies that . .. . has permission to perform . ........ ~` 3 plumbing in the buildings ......................... at. .. .?--.:.... , North Andover, Mass. Fete .. . Lic. No....... .. .. ....pG P6UMBING INSP6 TO .f 07/09/99 12:44 70.00 PAID WHITE: Applicant CANARY:. Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date �7 0q Building Location I `I 5ttA+ Owners Name G E'_0 r` E )=rrw✓/ Permit # VV toG Amount Type of Occupancy _ New Renovation ® Replacement ® Plans Submitted Yes ® No FIXTURES (Print or type) Check one: Installing Company NameMYWE9�]Ey CBam_ i ❑ Corp. Address ��� ll.�f//�/ &I`rt�G'"J�i. _ ,/k1 ? C3%V S'El Partner Certificate Business Telephone 177T-6181-7- jy j i Firm/Co. Name of Licensed Plumber: Insurance Coverage: 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 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 Massachusetts State Plumbing C d Chapter L42 of General Laws. By:igna or Licenseaum er C- Type of Plumbing License Title -714 City/Town icense MummGer — Master Journeyman APPROVED (OFFICE USE ONLY • .r • i • mom (Print or type) Check one: Installing Company NameMYWE9�]Ey CBam_ i ❑ Corp. Address ��� ll.�f//�/ &I`rt�G'"J�i. _ ,/k1 ? C3%V S'El Partner Certificate Business Telephone 177T-6181-7- jy j i Firm/Co. Name of Licensed Plumber: Insurance Coverage: 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 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 Massachusetts State Plumbing C d Chapter L42 of General Laws. By:igna or Licenseaum er C- Type of Plumbing License Title -714 City/Town icense MummGer — Master Journeyman APPROVED (OFFICE USE ONLY Location No. -'%� Date / Check # TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 13891 � . Building pector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Bu��ommissionern o of 'Buildings Date lo— f D -e SECTION 1- SIT ORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning Diaric-t Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) Public 0 Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1Owner Record ame (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed /Construction Supervisor: Not Applicable ❑ �u / % r' a-alD�U f�7 Licensed Construction Supervisor: C S 06 7/ ` —� / License Number Addre Expirati to Signature Telephone 3.2 Registered Home Improment Contractor Not Applicable ❑ Company Nam C/ /1, C Registration Number Address Expirat� Date G Signature Tele hone 1 l-fr� r ;E G) SECTION 4 - WORKERS COMPENSATION (NLG.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 .......❑ 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: c— l% SECTION 6 - ESTIMATED CONSTRUCTION COSTSI Item Estimated Cost (Dollar) to be Completed b permit a licant 5 '��%IIt'FICIALUSE'UN3Y� ,4� s 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbinE Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 !lam 0-.' Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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/AU HORIZED 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 of - r P t Name Si attrre of Owner A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE U CN C } V U) Z n E 3 N Q7 J LL 3 a VWQ V) O z z d co00 — Q O O 2 d o = > LL Q.' W a x U_ x UJ O co Ue Z o Q U 9 N o O $ —' J m U-) QD N ~ d pp X z W c a zo ¢ LL U) Q Z U} CO (D 0 U U o o w LL �\ a r. .. J Z Q O d O: a0+ m Q � m .a E r a Q n I\ Z W J m pOF C-) 4 Z CO 0 > ' Q a �<o ., a 0 r ...<, ' N U CN C } O p c W J w n E 3 N N T5 0 J LL 3 a VWQ V) O z z d co00 — Q w 2 d o = > LL Q.' W a x U_ x . -MAY-1-IG-00 TUE 11:27 P1tOMM Ek Lvan s Tnter•riatlanal 10 Peninsula Blvd. Lynbrook, NY 11563-2•164 EVANS INTERNATIONAL INC 510596-2001 110n; Rcr er~t Scide Ext; 104 In��rnr:D BRG. The Bil-Flay Group, etal. 40 Elmont Road Elmont, NY 11003 FAX NO, 5165962001 P. 02 PATE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW COMP ................ MP .............. ANTES AFFORDING COVIERAGE cDANV A m1 ral� •�i1s Co ... A .............•.........................I....................... . ......................... i COMPANY American Home 13 > ................................. . COMPANY RL ns c .................................................................................. ... .... .............................. i COMPANY - D '1113 IS TO CERTIFY 11i14T THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN 155UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD Ir4DICk'1'40, No1'WI)'Hs1-ANDiNe ANY IRP;0IREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERT IMQ4%TE MAY ISLE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERBAS, EXCLUSIONS ARID CONDITIONS OF SUCH POL1CJES. LIM4TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...•........................................... ........._............,................................... . .................. . 1"0YYPL" OF GNBUMLApPL'E POLICY AIUMBER 0-54- ; POLICY EFFECTIVE i POLICY EXPIRATION : Llbllt'S . ... ,... - - - ..._ PATE Lmmm lYT) DATE (fAMIDDYYY) mIiNLILALLLAUILITY :GENERALAOCHE•CATE S 2,000,000 X COIAMEIiCIAL+7Cl•It]TAL LJADILlTV ... c PRODUCT AC S 1 , 000, 000. ,.. CLAIMS MADE i X OCCUR A ''" ' A00ACO2651 :05/14/2000 05/14/2001: .................5-COMPIOP ' ...................................... PERSONAL I AOV INJURY . S •.• ............ •• 11000.000 OWNERS S CONTldACTOKS PMtOT ; EACH OCCURRENCE % ..... 1,000,00(i FIRE DAMAGE (Anyone nre) S ......... „ 50, 0Or} MED EXP (Any one person) S Q AUTCWCj31ELIA0ILITY�y ANY AUTO COMBINCD SINGLG LIMIT S ALLOWNED ALMOS :........................................:..................... . . BODILYINJURY SCHEDULED (ParDersan) IURGD AUI'P5 i................................ .. ....................... BODILY INJURY i NON-OWNEDAUrU3 PROPERTY DAMAGE .E GARAGE LUidILTrV---- AUTO ONLY - EA ACCur:NT S -- - --' '• ! I ANY AUTO . OTHER TWAN AVI0 ONLY:.. °!aif!:`c9:i::::::i�'•f�:w.€ ''2j,- E EACH Acr,Irg;NT: S .,_.._...... • i AGGREGATES aYtCL1 l3 LFADHJTY •0' EACH OCCURRENCE — S 510 OO OOO C UM(lRl:R_LAFORM RXL 0252717 05/14/2000 i 0314/2001 AGGREGATE S SrOOO,OOO — -� �OiwI:R hAN UM8Ft4LLA FORM .............. I .. . S WJRKkR3 0C*APCWZATICNi TATC."� °��<.. P.WPLUYra'L6' LIABILITY .........TORY ,•.,.,•:TORYLIM(TS,_,•. .. ER :t.;!1.:'�'7tfi'':::�'r?':`�•ri FiWC6520150 05 14 I /ZOOO OS/Z4IZOOZ ELEACH�CCIDENT s 500,000 T<lF.Pr20PRll IUM x INCL: . PAR INU4,lXIUTIVE : .................... �pSFA5=- POLICY ; f "000 OFTiCLku ARC, EXCL' - _ . .LIMIR .................. EL 018EASE - EA EMPLOYEE ? i ..... .O , 500 000 uTilu'R �•- f. s+.l IIl�lrl 11d OF ITEMS Mery Contractors ror Home Improvements )rl,ers Ce+Mpen:sat:ion: in NY,CA,CT,MA,NC,NH,PA, & RI SHOULD ANY OF THE ABOYE DESCRIBED POLICICS GE CANC-EI L EO BEFORE 711rE PXPIRATION DATE THEREOF, THE I NG COMPANY WILL ENDEAVOR To MAIL lO WRRTEN NOTICQ T E CERTIFK ATE HOLDER NAraFO 70'rHC I Fi^T, >SRG • The Bi BUT FAILURE O MAIL SUCH NOT SNAIL IM1� M NO o0IAGATKIN OR LIAGILJTY 1 -Ray Group l 40 El mon'C Road OF KIND E POMP ns -s AOE'NTS OR REPRCSENTATIVES. FI nKini. , NY 11003 AUTH RES•BNTA?TYVE f s - fa0 z ►i x w O Q x 0 Q: ryr o O w e U) u a v cn O zO-W z Q -Cd "O O w -C O u Cto .-C U c° G w � H U w a4 � p a c C w' o W U W i -i W OD Z p 04 u - v cn �° C w O a r Z r V � p a: cv C w W a w A a w v p CO 2 , U) o O cn O co O co L O O O Z � O y D � Ico Om C H :2 C coo CL) .E m co 04) = O � O co L _O O Off. �Q CO2 C CD CIOC C.3 J .O .CL 0.1... 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