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Home My WebLink AboutBuilding Permit # 6/17/2015 It%0RT BUILDNG fj PERMIT TOWN OF NORTH ANDOVER IN- g *M APPLICATION FOR PLAN EXAMINATION O Permit No#: i Date Received ArEo ss�CHUS Date Issued: 1PORTANT:Applicant must complete all items on this page LOCATION 5— q,cg, Print PROPERTY OWNER i k -"4 Prinf 100 Year Structure yes n6 MA PARCEL:06�'3/f ZONING DISTRICT: Historic District y e s t-66) P*4-1 Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building R;dn-e family 0 Addition 0 Two or more family 0 Industrial [I Alteration No. of units: 11 Commercial 0 Repair, replacement [I Assessory Bldg 11 Others: A15-emolitio D Other DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: I L/ Phone: ` :7P-76,2- Address: C . c fI Ing Contractor Name: Phone: Email: Address: Supervisor's Construction License: Exp. Date: Home improvement License: Exp. Date: ARCH ITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: S- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to thiguaranty fund .....................— Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans F1 TYPE OF SEWERAGE DISPOSAL Public Sewer F1 Tanning/Massage/Body Art F1 swimming Pools El Well ❑ Tobacco Sales El Food Packaging/Sales El Private(septic tank,etc. ❑ Permanent Dumpster on Site F1 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING DEVELOPMENT Reviewed On Signature— COMMENTS CONSERVATION Reviewed on /6 Signature COMMENTS HEALTH Reviewed on nature ,5-',Z I. COMMENT TNQ ot( fll It d)jd-Ldn Lon eA --A A7,tnc� hotA-P Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes_ Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Si nat r &,age' Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street D "ron,,site. - Fy,I R E-1 -,qMps e 0 E pl, t 1—T 7 "7777 , A"",N , lf� I/,/� 'r , Located6ajw �,/, ,, ," -, 'I'll, "I 124 Main Street r0,, ,",:, I /,,I,',, 3r, ......... "w" 0// 4 oll 31 1 4 �N'11516411'/'5 "1,, p, MIA �F f '1P q!TMY9/ ;�Igh AAR"" d M, I N Ap �,V AP 0 COMMENT'S/' ' ' �' ,"",","' ""/ ,/"""""�"",/"",'',/�,�/�77,/ dtkORTH 'Town of ndover i . A pp ;Ai No. h ver, Mass, OLANE COC NIC EWICK A94A rE D P,P��,�y S U BOARD OF HEALTH Food/Kitchen PERMIT Septic System `i THIS CERTIFIES THAT 4 w{® ,,,,,, BUILDING INSPECTOR ........; t..... ........... ...... .. .. .... .... . ......................... tFou ndation has permission to erect .. .................. buildings on AN.....�..�(Ito.. ...... . ................................... Rough to be occupied as ....... .:............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final ® PERMIT EXPIRES IN 6 MO S ELECTRICAL INSPECTOR UNLESS CSTRCTIO T Rough Service ...................... .. .. ....... .. ..... .... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. R Town of North Andover "0 TH Building Department F.D 6 A. 1600 Osgood Street Bldg 20, Suite 2035 0 North Andover MA 01845 11- Tel: 978-688-9545 Fax: 978-688-9542 "1 LAKI DEMOLITION OF BUILDING AFFIDAVIT 0 c0c"1c"2W1c"_., . �SagCHU DATE OWNER'S NAME &ADDRESS LOCATION OF PROPERTY TO DEMOLISH DESCRIPTION CONTRACTOR'S NAME &ADDRESS DEPARTMENT SIGN-OFFS DEPT. OF PUBLIC WORKS -WATER: SEWER: TREE WARDEN �,_,-TOWN ENGINEER DEPT. OF CONAIJQN 4ALTH DEP I;'Ac,dwz�a SEPTICAkAi,/�&A/l (J�A,4dal_ ill l I HISTORIC COMMISSION Af U//PLANNING AJ /I-- GAS ELECTRIC TELEPHONE ES ,)TAX POLICE 7 FIRE 'EXTERMINATOR /Y DUMPSTER- ON,OFF STREET DIG SAFE NUMBER BLDG. INSPECTOR Building Demolition Affidavit nationalgrid 40 Sylvan Rd Waltham MA 02451 June 5, 2015 Walter Maribito 95 Lucy St North Andover MA 01845 RE: Service Removal for Building Demolition. Dear Walter Maribito: This letter is to confirm that, per your request, National Grid has removed the meter and the service drop at 95 Lucy St., North Andover, MA as of 6/04/15. If you have any questions or need further assistance, please feel free to contact me at (508) 357-4661. Sincerely, Shimat Kamal Order Processing Representative Customer Order Fulfillment ph # 508-357-4661 fax# 315-460-9149 Down Payment Amount CK Number Cash$ cc$ Received at Completion TE�'/�'�/NlX Amount CK Number Cash$ cc$ Mission Cust.# DATE OF INSPECTION RESIDENTIAL PEST CONTROL ONE-TIME SERVICE AGREEMENT PURCHASER PREMISES Name Name ('I.Lq',, �:J, Address c Address City City io / State zip( State Z. R Telephone Telephone Terminix Office Telephone Route Grade Same Day TERMINIX WILL PROVIDE SERVICE FOR THE PESTS CHECKED BELOW: SERVICE CHARGES FOR YOUR TERMINIX PROTECTION ARE SPECIFIED BELOW: El Indoor Tick Control El Paper Wasps Service Charge $ Plus Tax $ 1:1 Indoor Flea Control El Yellow Jackets Total Amount Due $ El Clothes Moths El House Crickets METHOD OF PAYMENT E]Black Widow Spiders El Hornets 13 Remitted with agreement-check# 0 Remit to Service Technician El Brown Recluse Spiders El 'r 0 Post Bil I ing(With Terminix Management Approval) El Visa/Master Card/Discover/AMEX/Sears El Carpet Beetles El NEffAMNS M.- NAME AS IT APPEARS ON THE CARD SPECIAL INSTRUCTIONS: Effective for a period of thirty(30)days from for the sum of$ (subtotal plus sales tax Terminix will service the identified property for the pests checked above. This agreement terminates in thirty(30)days.If additional service is requested during the thirty(30)day period,service will be performed at no additional cost to the Purchaser. This agreement does not guarantee against present orlure damage to the building or contents, nor provide for the repair or compensation thereof. This agreement does not provide for the control of subterranean lei-mites,dampwood termites, drywood termites,filngus,wood boring beetles or other pests not checked above. Upon request Terminix will provide the Purchaser with a copy of the manufacturer's specimen label of the pesticides(s)which will be used to treat the premises. NOTICE: YOU,THE PURCHASER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. THE TERMS AND CONDITIONS ON THE REVERSE SIDE, INCLUDING THE MANDATORY ARBITRATION AGREEMENT,ARE PART OF THIS AGREEMENT. In the event you have any question or complaints,you may contact a Terminj c7eseptative by calling 1-800-JIiRN41NIX(1-800-837- 464) "7 Terminix Representative Signal Date �u�iotndf'Sioature Date w"w-tenninix.coni Key#33218 Rev.2/11 RP2/11 02010 The Terminix International Company,Limited Partnership.All rights reserved. BOSTON Residential Exterior General Pest Control 84 CUMMINGS PARK Master Agreement#:8341-0187525 rENNINIXon WOBURN, MA 01801 Work Order#:13975865297 (800)837-6464 Customer Name: STEPHANIE UMAHONY Home Phone: (978)686-3332 Service Technician: BRADY,JOHN J. Date/Time In: 06/16/2015 01:33 PM Contact Name: Work Phone: (978)683-1164 Employee Number: 8341 Date/Time Out: 06/16/2015 02:10 PM Customer#: 3434209 Cell Phone: License/Cert#: 22551 Page: i Sales Agrmt#: 15043928 E-mail Address: somahonyelectric@yahoo.com Supervisor Name: ELFSTROM,BRETT D. Service Address: 95 LACY ST Supv.License/Cert#: 31350 '..... NORTH ANDOVER,MA01845 Service Type: Special '.... Billing Address: 143 LACEY STREET Customer Since: NORTH ANDOVER,MA 01845 I General Information Areas Inspected:Inside&Outside Material Usage Generation Mini Blks. Pests Targeted Post Treatment Precautions Active Chemical: DIFETHIALONE 0.0025% Mice-No Activity Noticed Do not tamper with or touch rodent traps EPA Reg#: 7173-218 Treatment: Bait Placement Applied Amount: 10.000 Each(200 gm) Equipment: Tamper-Resistant Station Areas Inspected/Treated EXTERIOR AREAS Trap-Glue--Rat Pests Targeted Post Treatment Precautions Active Chemical: NONTOXIC Mice-Activity Noticed No post-application precautions recommended. EPA Reg#: EXEMPT Norway Rat-Activity Noticed Treatment: Rodent Trap Placement Roof Rat-Activity Noticed Applied Amount: 6.000 Each Equipment: Trap--Glue Areas Inspected/Treated BASEMENT-RESIDENTIAL Comments Thank you for choosing Terming.Your business is appreciated. Summary of Charges Previous Balance: $0.00 Current Charges: $250.00 Subtotal: $250.00 Tax: $0.00 Total: $250.00 Pa ments Method of Payment:Check number 38842 $250.00 CustomerService Technician ' (� Signature. Date:06/16/2015 Signature: Date:06/16/2015 STEPHANIE O'MAHONY JOHN J.BRADY Customer payments can be made either at wvwterminlxcom or by mailing payments to:Terminix Processing Center,PO Box 742592,Cincianah,OH 45274-2592.Please include your customer number,noted above.Call 1-800-TERMIIVIX with questions or to find out about our Easy Pay options, Call 1.800.TERMINIX or visit Terminix.corn I @ 20,14 The Terminix International Company l_irnited Partnership, All Rights Reserved, 37335 BOSTON Residential Exterior General Pest Control 84 CUMMINGS PARK Master Agreement#:8341-0187518 WOBURN, MA 01801 Work Order#:13105095433 rENNISICO (800)837-6464 Customer Name: STEPHANIE O'MAHONY Nome Phone: (978)686-3332 Service Technician: BRADY,JOHN J. Date/Time In: 06/162015 12:31 PM Contact Name: Work Phone: Employee Number: 8341 Date/rime Out: 06/162015 01:26 PM Customer#: 3434209 Cell Phone: License/Cert#: 22551 Page: 1 Sales Agrmt#: 10186375 E-mail Address: somahonyelectric@yahoo.com Supervisor Name: ELFSTROM,BRETT D, Service Address: 143 LACEY STREET Frequency: Quarterly Supv.License/Cert#: 31350 '.... NORTH ANDOVER,MA 01845 Service Type: Regular '.. Billing Address: 143 LACEY STREET Customer Since: 6/14/10 ',... NORTH ANDOVER,MA 01845 '.... General Information Areas Inspected:Inside&Outside Material Usage 565 Plus XLO Formula II Pests Targeted Post Treatment Precautions Active Chemical: PYRETHRINS.5%PIPERONYL BUTOXIDE Wasps-Activity Noticed Harmful if swallowed. 1% EPA Reg#: 499-290 May cause eye,nose,throat,or skin irritation. Treatment: Contact Treatment Applied Amount: 2.000 Ounce Equipment: Aerosol Areas Inspected/Treated EXTERIOR AREAS Maxforce FC Ant Gel Bait Pests Targeted Post Treatment Precautions Active Chemical: FIPRONIL.001% Pavement Ants-Activity Noticed EPA Reg#: 432-1264 Treatment: Bait Placement Applied Amount: 2.000 Gram Equipment: Bait Gun Areas Inspected/Treated KITCHEN Termidor SC.06% Pests Targeted Post Treatment Precautions Active Chemical: FIPRONIL 0.06% Carpenter Ants-No Activity Noticed Do not allow unprotected persons,children,pets to touch/replace EPA Reg#: 7969-210 items/bedding,to contact/enter treated areas til dry. Treatment: 1 ft Up and 1 ft Out Perimeter Band Applied Amount: 4.000 Ounce Equipment: Comp.Air Sprayer Areas Inspected/Treated EXTERIOR AREAS Tri-Die Bulk Dust Pests Targeted Post Treatment Precautions Active Chemical: PYRETHRINS1%,PBO10%,SILICON GEL40° General Spiders-Activity Noticed Avoid breathing vapors,mists,or dust. EPA Reg#: 499-429 _ Treatment: Crack&Crevice Treatment Harmful if swallowed. Applied Amount: 0.200 Ounce Equipment: Hand Duster May cause eye,nose,throat,or skin irritation. Areas Inspected/Treated BASEMENT-RESIDENTIAL EXTERIOR AREAS GARAGE Comments Thank you for choosing Terminix.Your business is appreciated. Summary of Charges Previous Balance: $-324.00 Current Charges: $108.00 Subtotal: $-216.00 Tax: $0.00 Total: $-216.00 Auto Pay Exp 05/16 Customer Service Technician �qz( Signature, Unavailable Date: Signature: Date:06/16/2015 JOHN J.BRADY Customer payments can be made either at mvw.term1mv.com or by mailing payments to:Terminix Processing Center,PO Box 742592,Cincinnat;OH 45274-2592.Please include your customer number,noted above.Call 1-800-7ERMINIX with questions or to And out about our Easy Pay options. Call 1.800.'T ERMINIX or visit Terminix.corn I O 2014 The Terminix International Company Limited Partnership. All Rights Reserved.37335