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HomeMy WebLinkAboutMiscellaneous - 105 Second Street 0 Cry 0 0 Date.5 -. . ..G ..... .. Of NORTH 141 o? TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 5 S^CMUSEt4 This certifies that . . el: .%/,e �� . l? .j. . . . . . . . . . . . has permission for gas installation . . //./7. . . . . . . . . . . . . . . . . . . in the buildings of . . . l. .'./!4 !!`. . . . . . . . . . . . . . . . . . . . . . . . . . . at �l . . . .S :. . . �!. . . . . . . . ., North Andover, Mass. Fee./.>. . . . Lic. No.. . .. . . . . . . . . . . . . . r . .w., . . . . . . GAS INSPECTOR Check# /)/ 35 '_ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ?�� (Print or T pe) Maass. Date Permit # S^ 2- Building Building Location_ `dS dc-69A1p S! Owner's Name_ r) f Type ,.00ff'O'c�cupanc .. New ❑ Renovation ❑ Replacement_ ✓' Plans Submitted: Yes[] No ❑ N Y W W. N N U z Q N N OC N a o N = W W rt Oa h J N m S n z a u h a Crz z o f- w 4 ¢ O m of h W W O a c h y N d V W = oc z h N O. W W z N W a a h f' Y tl h z .,r r z r. W W tl 0 > W j-- v J N a z a w a s h r y m z o z cc o ��yn = qc O tl U. � 3 c tl � V ¢ y e a F- O SUB—BSMT. BASEMENT= �~ !ST FLOOR 2ND FLOOR 3110 FLOOR 4TH FLOOR STH FLOOR Q 6TH FLOOR 7TH FLOOR r STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET XJ Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone .687-:1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No O If you have checked, res. please indicate the type coverage by checking the appropriate box. A liability Insurance policy X( Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and aaxr�gte to the best of my knowledge and that all plumbing work and Installations performed under the permit issu f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. .' (j i Typq of license: Title Plumber Signature of Licensed Plumber or Gas Gasfitter City/Town Master License Number 8697 9Journeyman O IC S_ONL BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO-DO GASFITTING NAME TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED . DATE GA13INSPECTOR Location No. `/ Date NQRT�y TOWN OF NORTH ANDOVER F � 9 Certificate of Occupancy $ CMUS t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL • Check # % `AS Building Inspector 1544- 5 A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 0/�' DATE ISSUED: /11"44441 i SIGNATURE: Building Commissioner/1for of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O es aA46 /ay Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record 40 /DV q 6 0 A) 21uo s7' Name(Print) Address for Service: Signature Telephone 2.2 Owner of Reco d: n t Address for Service: w -Wyds 4 0-L_ �. dl7.f-L M SYgnature 11 tTele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number Mn Address D Expiration Date •Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name vz; M Registration Number r Address // /_ / �,l r / G, Expiration Date 6 6 ^z Si na a V Telephone Y' J Y G 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 permit. —Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Iding ❑ Repair(s) ❑ Alterations(s) 664 ddition ❑ 41, 30 Accessory Bldg. ❑ Demolition ❑ Speci L Brief Description of Proposed Work: - /PV 5 I!r kiy 4& toe11r<A-e �xccoPT SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL'USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee UUO• 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 .rt SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ( L ' 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 nI e rG Print a Si ure of vner ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TE\MERS 1 ST 2ND 3RD ` SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DlIvE,NSIONS 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 Andover 0 No. 61 9 4 'J` T 0 t- LA dover, Mass., COCHICH WIC \, ff ATED S BOARD OF HEALTH Food/Kitchen PERMIT T . Septic System A BUILDING INSPECTOR THIS CERTIFIES THAT... ....................ti .. .................01 00 ....................... .... ...... Foundation has permission to erect......................................... buildings on/Af ......... ......... ....................rl�L................. Rough to be occupied as... t ............. .......... ........................................................................................................................... Chimney provided that the person accepting t rmit shall in every respect conform to the terms of the application on file in ,tc,ep " j i Final provisions 5 this office, and to the provisions of odes 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 PERMU EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIO S S ELECTRICAL INSPECTOR Rough .............................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det.- IMA -26-21002 03:30P FROM: TO:15084855121 P:2/2 t -I F.I;p.No.11-21?.t>Q49 ME Lia las-DD/0pi SEAM MH LhL No. Job M 1 If MA Lk.No.120456 t + ! I $ALES: FOR ALL �.j �p 1� New York Dept.of COnsunNr u l 1 lom`Centl Qd Ansins Lia.No.oraeaea New York: SEER'VICEMEPAIRS T hn Ser*m Side of Soars Nom Lie.No.1,127a41r0000 i 800-942.6111 PLEASE CALL Sulfah'Lle.No.21194M Boston: BBB-245.7284 190 Cedar HIII lioad Yonkers 1307 i 000-SEARS-31 Marlboro,MA 01732 Westchester W00613446r ' Hartford Area: ; New Josey Lie.No.LAtleee �-SURS-BB SIDING CONTRACT O°nkeatketDept.01Con$vltW Affairs Us.No.ogaamA; PrOVidRr168 AM: s.r,Mrwaeaf a twMa11M e1 ran+anr llemllwne elrap bre.slgestm-Ne. VT Lk.No. 888-732-7751 A Seen IYlderla l Eolllaols I I ; I ' 688-SEARS•B1 +s 4nlloN real.n1n1d mr•ncar r+hode raknW Lb.Me.,3701 it I TSD /I , / 7 FIC7r✓ /V�/lJw9�✓/ r�T'�`L r 7/Zo 7— env UAIE ADDliCSS�O S C:r'L4 57—' lie) 4/ jZ.SU t ) CITY„& y9 V eKr STAV�a ZIP!�.__aPHnNE JOB SITE ADDRCSS(II diffaront) S+'4-1 APPLIED VINYL&ALUMINUM SIDING I General UasrnlYIIM) yf wprk at Abovo Addro6D. TypA 014mooTamil mc; O Mason Apprax.Steri Dale fY AMrex.Co nplAlitln Dale p fMf�7 6PECIFI IATIONS Sears a Iwo b watt kwtOaed to these epscmeatkfM: T y YE5 r'LCALC nCAQ CARCFVLLY-ONLY I HE I I FM'3 t:HF(,KF.D'YFA'ARF INCI Ln;)FD w Youn OnDEn. 1{ III y l O DULIO VINYL SIDING•COvar Only OM.In arogaydeeign�ed for 111th ,cirrpl llwa:n nrrian dmig�od below&Ize ;1 + ./ CCICr-4�( f••.. Psmnrn C� raokor_CUatOm tx+mer poste sour ! I 1A. bl U stW will be eopll6d to the falftjDa nram cxrgr �'Rrarl akwalkn l8/R_ �yiM Ehvadon fT Enure t>RyeiL: tT NP 1�C 1 i Saar Elevation f rh'Lnn Fkw rlk■r p6a1 MCC of rAas as��n�e,. /T f. J�— } Q 1)ew► 0-fAtt MAwl � r/ E( (d. �n INHAJI ATICNJ carer wily natwall arm designated br*b9 with 'L inch invitation. t ,( I 'D✓-O Swart approved(IALVAN[At)STF.FI ATRIP whore corllmolor deems necessary.(Npl aysllsbl/wlm Nalllts.) A; O COY Siding to ee e00"ever 010"foundation. I I tT: 00"'n W.0'r:er;g4trVn d PFRMA fAl6 ANC)i-mmm STrar'vvnete COMacIa►dMrK n000esary in amo Color as cidlrrp.Ilow avallebhr Val Nnift.) S.; U �WI On-NINOG , t UYt�rsk�m wrap with Sear*approved Ano dad sMrdnwn!' �1` c:nlnr w N,l 0 Cha _ 9 'ni rlvwwrl f p i 13 Jump war castings with wdin antColor •� O Channel eldaenp window cNy(ell.Andxaen type m DravioueN wrapoea) � f:al4r talls 7. CAI I k rw qua*wuh ry00enZW Color C"M Mtea Caulking. .. .. ..... .. I 0.,,113 ❑ QWAS-C11atOm Wrap wllh AGARS neMewmst V WYl (t-AI l AI•UMnNUM.M of D—Ay__ citta w N l 7-C i 1 9', 0 G-1 GARAGE DOOR FRAMED-=turn wrap with SEMS approyse VINYL CLAD ALt)MINtJM.GAIM—., O Sintlla O UM1410 With Mufl U 00*9 No Mall 10; U tYFASGIA-custom wrap vllh GCAA"v�V?� VINYL CLAD ALUMINUM.t dm 11, fl �C fT (r.�varkHe•rlutnp-)cowr'weppmved iDQ EWOOD•will De rlpal► ad where Specified on Byre Item A2)haleA batow.My aOAnlalal Omen utrrGrry n } ropalr will be eMlnreted upon rhar cAralrnry swd Ora t,Ca_.*.2ty IVoos not a1G*)de wood elude-or exUtlol ehsa0lmg.) T1 to. U (-L• emove existlnp materiel on exterior of house. O Vwq ❑Anr+www» Q Ww„I S3anylc U wood Sklky 0 Other Does not Include arty asbestos retrieval. t 16 'U L4/FORCH CEILINGS-Cover with SEARS approved SOLID VINYL crtuitG MATGRtAI In the talowing areas 15 Q AMSICOLUMr15-wrap with OCARS approved VINYL CLAD ALIMAINUM(No cimular or round calumrlh).c:Ckn to. n fO��Ot"I RM PAr)FRS remove arwiryip ono raplaCe Mlfl new tVetOnl UWylata 9unata ane ae001i.Wlli►o Brown 17. U '_)y 11U TERS•provide and hwW ,AFARA r nrwmJ s (II�'� l„ 4� PalK.lytnno OtM19fa liabr IN ASTER MOUNT3-purv&)e and im Aida for exleria"0xluree only.Color_ ( ' la. f1 _QYRARIFVFNTA-pmviclsand kyelae vonls. cukw No orldslovarde. 20 'Eke Q CLEAN Ur property a1 CM0101on of work. 21. ISY INM IRANGF no rrMnired WORKMANS COMr+AND UAMLITY to be AoInt". r Nlebaanrnur Woe M:wm Ar+phM 22 • �.E7 WARRANTY•mail to wetomor eller orxnpintKrr Orwl kill Imymord i*mCaived YU AL1 I)IArOtINTC APPY 1Fp _25. ADDITIONAL WOR not alw Ase alxwo �i�/[i f wuvjl a r✓5 1Ty '7t� — Ia:A/ GAs Salg To1313 ' ..?.Z 0+LESS dep05it 33°!0$ w Cash Sol $ 1 r liter Payment(if any)S �gritrt f CASH 0 FINANCED$ does not include interest Balance on Substantial Cnmpletlan E It nuanced.balance payable wre m t hMhIY WdallnMht of y peapL*try-Owrw •TtCaaiIfutanosdbyUvmrertnn wa rmy%,ki n—W It)ane IM1dnp tnadiullon plus such Interest and credit service Charge of saki IMwiing inmiftoinn ' DaJrable tilt L1a mitehtllhg irleeh111on ICiMlyp LUGh rrlCfyi9e to"UYner and will oamiliM a Rntea Irv-kwthrwml ydra inn en$any d wtff" is ulnad by elhln kit mfiilrrliwn in t*wwre0llcn w19t mid loan. ,q ` 1({, fT WLiMN(T 10 IMdAxm-�- r_VS�•�tX rg ,,��,Jd.✓S•_4cC .7l L7+Ci�'�w/i: 30 `' rr_�s�_.,Sir✓F, l�t�vY� .Sri/i✓�T�nF.=.f e)x O c-- c t`y 2T. 37 Pe<71all of ria►-strueturat eArponny mrllwlad__.. elgm; H financed;s_y holder of h prapmar Cndh CaalraLi Iala)b� SALESMAN NAR NO AUTHORITY TO CHANGE ANY tERtgs pit rytpKB y 10 ail Cralmc aaa echeoses whi h the debtor scold assert 22211110 ANY REPRE3ENTATiONS OTHER THAN CONTAINED IN THIS AGAFE•Tj✓,�11_ e seller of goods or Sorrices obtsfned Paracill heleio or with the MENT AND"OWNER"REPRESENTS THAT NONE HAVE BEEN MADE TO " Proceeds bercol.Reesvory by the debtor shall not eaoead irmoaetit paid (111 Yin Ion UPON NY"OWNER'.YOU ARE ENTITLED TO A COMPLE I E- hY debtor hereunder. if FlU.EO IN OUPLICAI!URIGINAL OF THIS AGREEMENT. °OWNER REPRESENTS TO HAVE READ AND RECIlVED A DUPLI- -YOU,THE BUYER MAT CANCEL THIS TRANSACTION AT ANY ' + CATE ORIGINAL OF THIS AOREEMENT AND TO BE THE AUTHO- TIME PRIOR TO 17A1DNIGHT OF THE 1)IIRO BUSINESS nAT HI7.ED AGENT OF ALL"OWNERS' OF THIS PROPERTY UPON, AFTER THE DATE OF THIS TRANSACTION- SEE ATTACHED WHICH THF WORK OR THE MATERIALS ARE TO BE SUPPLIED. NOTICE.OF CANCELLATION FORM FOR AN EXPLANATION Of NOTICE TO THE NOME OWNER(S),GUARANTOR($),LESSEE($),, THM RIGHT.ON ALL ORDERS CANCELLED AFTER THE RECISION CO SIGNER($►. PERIOD, CUSTOMERS WILL RE RESPONSIBLE yOR A 209E IADMINISTRATIVE AND RESTOCKING FEE: Cantiedor,at the expanse er inner,shall praeora all psrmha required by law a hollows. TIM COMPANY WILL DEPOSIT ALL MONIES RECEIVED FROM l 1. Owner3,rho secure their own fietmlt,will be isCloded from MIS ={ C gUI'll Mad PMeltiene of MSL Cbaptsr 142A. IN AN ESCROW ACCOUNT AT CMTS MAHIUTTAN RANK 0105-1- # Argy police who shell have roslgeed-g0araataad or Agaed AIIJ) 06NO WIININ FIVE BUSINESS DAYS OF iT8,11NECEIPT. credit application or nate milyana 10It is epreamad hereby eccepls. Usk_ p •to be bound by this agreement. Do not sign ihli agreement belore you read II or It h contains any Monk 3. Ownor(a)represenb that The contents on the back of this egleemert space or II it dean not centalp evaryt Ing agreed upon. i 1$a Into port hereof Ind has been read and accepted by Owner, i l I A.ALL INSIALLAII LABOR ANTEED 1(ONE)YEAR- �. 1 ID Z f I 1 +Ewiosn+non'sNanle (Cuefomnr or Mem) Siuoamen's �( I SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS Huv N01 i , ° l y I I , ,: t y - ��;;�•-� + irilS C..RTI=ICAd. I EI51: U"cOnSA MATT rt'Jr INFO°41Aihr';; Inc. I G)YLY VND CONF-ERS NO RIGHTS Ur'ON 1-H=-GE-?�iFiCATE SG+ S c ASff P.C. �x 220453 HOL'I'ER.-,HIS CERTI7CATc 0 r. ItiOTA?AE"IOr. :CTcTID 0 11 (3:r'ca Avernus SUit- 300 ALTER THE COVE,4,1GEAFFORDEO 9YT'r{E FOLICIES EEL OW. (^:�.*t '.�t".,.X i4'i 1' 021-0{S3 I cCfAFANIE9.LF%CJ2a.�1G GCvcA,lGE FA w E C1 ='cj= N3 l'�OII..:.� Ins C0 I Corp. I cc CI-NY 5cot���ilo Iasu_y�cv C snj D;x/11 3es>> Hca Can-t7:a2. 4 0 rI m r.t 2c a C C`MPA.IY t 11003 D ........r..... ' ............_.._....._..`._._n R1 I u a. .. TK6 IS TO C.`R�r',I-LAT T :E PCuC;Ea OF IFf9LfL4IC:'. ��`_�u Fuv��rS�J 139u.v T11e 1. LB gEafW�14E0�BCv;'FOR 71 PCtccr a� NC,CZTE�,VQTWiTYSTAJ�11r0 AMY aLYJ!_aCYf,7`q!d CR C^NCt71CN Cf.ANY gni r� ; _:_CHER CC:'tl4T WIT$RESP�CTTO WS4W MS C:RTF}CATH.1iaY 3E ISSI.JE CR)AAY*FERT.VN.THE 14•`URA "SID eY rj'5 CUa:3 C`F'C}!�d+.'J i•'ti.'R N K SUBJEIr- TO ALL TH;T7- ?,r USICVS AND CCND( 1CNS C•F�C7 POL=St.LW!-�,VN MAY HA'aE '`'1 X=UC--J SY P=Cl.v l9. roucY VM-1-v7 PC,- Y WIRATW UWE C-0 i rP2 Cf I"L:..;'on C= , I PCi.CY vLK18E3 I OATS(N�vCNt'Y1 I GT:(14"C4 r) F csHCRAL.ic:as��Tfi c^ GENERAL uAalurY A ;{ cc'A&�-CALeeE ERALLL-,ZL,YY HaL131843 08f:5/O1 06/2S/0� PRQOUCT�-=WlcPAUG r L OOO,OGG �u E �r-�- `y� ?%q� 00 0HAL;kACV D'UURI' i 1f0,000 CUAJ CtiVNE49 i C.^.�•!Tr7ACrQRB PAG1 - EACH c!11rt7w.L+L I� 1,000 1000 FIRE DA>aAPQC" n.l t L00 000 VED E�iAIY Cn.6.oCn) I f 5,V 00 A U7C$4CMLc 1A611.Tr I I I �•vMdnfC7�r-fc t_L?Ar Arn'.u1ro . AI_0lvre0 A 'C. I eac(LY:wuRY I (P�pca-7+H I_c-lc!cu =ALfr= I I rnRL''u-_G I I I =rou.Y c�ruR-r I I IFa.co.-rYt1 f(v�+ti NPI[v^LJTCZ rAC=-TrOAPi.1C-' I i i I tt,T_Ct1lX_ca iCy'^`='fT I I I GAR•\l-+�::"?'L.: I i Tc7 THAN AUTC C7+t'!: �r^ v =Ac-4,\c-rzrr I 1 I \. I I AaO RG7A' I s 'v1GCCC:1?RE1C= I S * OS/= 0 C-'PZ--+T - Tcrcy ,VCRX=:U COUPASA ncN".m I I 1 500,000 =-YFLr,YE.'4. LV,Ra rTy LL SACH lkd r 714FPRcP -c c,v X iNCL SC"Cco123bJ501 OS/li/O1 05/14/02 EosS�v�•Fct)clux+rr t 500.000 PA;c -21EX£C-fTl`1E 'L GCS.^.r3A GMVIG'!fi150Q,4Q0 I • I��'S'{N Y1u�.'rL�_3-•4•-L- -. _ ._.._....__.. -..-._ - - T,S��L � r�V�- r•-1SYlE'G_rY:Li l-..-- �.Y:�.�n,w�,_.._ _ , Xq,Cc wu=77-`Y' 9V, � ^s 07, Board of Building Regulations and Standards =� One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Reqistration: 120456 Type: Supplement Card Expiration: 1/2/04 BIL-RAY ALUM. SIDING CORP JOHN O'NEIL 40 ELMONT R D ELMONT, NY 11003 ----- ------- - ___ _.._ Update Address and return c:u-d. Marl: reason Ibr change. 1-1 Address 11 Renewal I ; Employment. I I Lost Card lir �o�ra»ro�uuca/l/z. o/'�- jauac�uaedta Board of Building Regulations and Standards_t License or registration valid for individul use only 1 � HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: .1 � Registration: 120456 Board of g Regulations ulations and Standards g Expiration: 1/2104 One Ashburton Place Rin 1301 Type: Supplement Card f3oslon, R-la.02108 BIL-RAY ALUM. SIDING CORP JOHN O'NEIL 40 ELMONT RDS ELMONT,NY 11003 Administrator Nota1i/1 without signature �4 { i � y n Location/63 % No. "22— Date NORTH TOWN OF NORTH ANDOVER .tt?0�,,`•D .•,BOOL i • • ; , Certificate of Occupancy $ ,SJACHUSES Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # f 771 Building In ctor TOWN OF NORTH ANDOVER rc BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING `41t1$' #'<i�r BUILDING PERMIT NUMBER: 2i DATE ISSUED: ic SIGNATURE: Building Commissioner/1for of Mildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O a eC— Map Numbei parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided ReWred Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record i ame(Print) Address for Service: 1 Signature Telephone 2.2 Owner of Record: Dina- t-Rm Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction nSSupervisor- Not Applicable ❑ Licensed Construction Supervisor: U License Number mn ress `� Expiration Date ig Telephone r 3.2.Registered Home Improvement Contractor Not Applicable ❑ Company Na m M) -/z,;-ZA Registrationumber` Addre Expiration Date .•ignature Telephone {�, SECTION 4-WORKERS COMPENSATION(NLG.L. C 152 § 25c(6) i 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 Si ned affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work(check au applicable) New Construction ❑ Existing Building ❑ Repair(s) terations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify., .�-. Brief Description of Proposed Work: J0 (�11Z ' (r LtJS EP SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 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 G 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATIOIN TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the st ements and information on the foregoing application are true and accurate,to the best of my knowledge at a let -- tnf 24,41Y rint N Sig natdre-o;f-Owne'r7A­ig­eht Date NO. OF STORIES SIZE BASEMENT OR SLAB • SIZE OF FLOOR TIMBERS 1 2ND 3 SPAN DIMENSIONS OF SILLS r DIMENSIONS OF POSTS DiMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE CM ALS IDE i 'O�' i WINDOW COMPANY LNia CM E1 M - EDGE U� NJK1 E 8111. CPD�004-R-011-OOb :� National Fenestration SOLID VINYL - WELDED - DEL GL2D Rating Council 1311bu IG, DS LO-E, Arson MENEM • 1 Energy Savings will depend on your specific climate,house and lifestyle. For more information,call 1-330-929-1811 or visit NFRC's web site at www.nfrc.org. Solar Heat Gain Visible U-Factor 3q. Coefficient . 311Transmittance. 5 1 .............. ........... . 32.1 ' 321 . 53 1 i Manufacturer stipulates that these-ratings conform to applicable NFP -- procedures for determining whole product energy performance IdFRC Ulf.•<=- ratings are determined for a fixed set of environmental conditions and specific product sixes. •.��t �-Put utnulurrr.Il� t/, ((IlJJru•�!lJC�IJ BOARD OF BUILDING REGULATIONS rJl ,r1 - Board ot:f3uiltling Kcgulaii'ons and Standards LtCense: CONSTRUCTION SUPERVISOR t H09E,IMPROVEMENT.CONTRACTOR Nutrtber. CS' 067196 ,z., r' Registration: 120456 - _ `Elirttidate`. 08/16/1952 -, •- Expiration: 1/2/04 i Expires: 08/16/2003 Tr. no: 1191 Type: Supplement Card ` � ' w Restricted: 00 BIL-RAY ALUM. SIDING CORP PAUL S MACDONALD PAUL MACDONALD 25 MASON RDS'' I 40 ELMONT RDS . DUDLEY, MA 01571 Administrator zz ELMONT, NY 11003 Administrator � . 1 FAX 1\10, R 0110i U/20/2001 16:42 5162295857 SCSACLENCY PAGE 02/02 X- I ft-- a CERTIFICATE 18 ISSUED ASA*'ITER OF INFORPM710N sc$ CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 220CERTIFICATE DOES'ley T AMEND,DCrEND OR 11 Gracs Ave ERAGCAFFORDED TI-iE POLICIES BELOW. Great Neck NY 11022-0493 COMPANIESA"ORDIING COVERAGE COMPANY P"ft A H*=aitale lazuradca Company INouneO COMPANY Cla-zewicn. Illation-ul In* Co Sil-Ray Aluminum Sidinq Corp. OOMPANY D/B/,X Sears Nam Central c ficotts"Is lftsuzwtace company 40 91- nt Road COMPANY ElmontlY 11003 TK5 is TO CERTIFY THAT THE FOUCIEB OF INSL%MCE LISTED BELOW HAVE SEEN 134UCP TO TME INSURED NAMEDAMM'IFOR THS POLICY PV400 INDICATED,NOTWITHSTANDING ANY R91=41 DENT,TERM OR OONOMON Of ANY CON)r--c =THER DOMW.NT WIT)I RESPECT TO WhVH THIS C9911MATE MAYBE IS$=OR MAY PERTAIN.THE NSURANCE AFFORDED BY THE POUC19S 015SCOV HIRMN If SU BX ZT TO ALL THE TERMS,- &XCLUSIONS AND CONDITIONS OF%X;)4 POLICIES,LWS CHO"MAY HAVE UMN RMUCID 11Y PAX)CLAW. co POLICY"MCTIM POLICY OMATIM LTR TyPle0FIN3uRM= PVXY NUMB9A umrra DATE(MIAMM OA79 WMXI0rM GENERAL UAaLrFY cwAG PAL� cQcaATS v2fQ0Q,0QQ A 7 MAMERCUL QVICRA,LIAWLnY RGU31.243 08/95/01 00/25/02 PqMCTM-O6WMPA0G 11,000,000 C"MS UACE a OCCUR P*R=NAiAADVWAW 2,3w, 000 f 000 QWNeR5&CONTRACTOFtlil PROT EACH cccUmR cc F 1,000 000 FIREDAMA09CA. mdfi-) 9 100,000 MED CA$AMM) 1 31000- AUTOMO"IJABILfr( COWNWTrIGL-d Lmrr ANY ALIN) AL4.CWNM AV1r05 BODILY l9yJRY aCHWUL015 Aurcis HIRED ALTOS BOOLY Wvfty NON-CWHeD AUTOS: (PV 6-4-4 PACKRTY)DAMACE -AVrOORLY. RAC=ENT ANYA= aneA 2��o OK�Y. !,4 "t, AC00ENT A AGOMEOATE I 0301 4L4ZLrTY RACH 0=4RR84CE L..,,"%ow =*20009262 06/25/01 03/23/02 AOGRi&; OT1,11M THAN UMBRELLA FORM WOFIXM COMPeNU'nON AND LLwMfTY &&4cw AdODENr 4 00,000 -rAw PROPRE%fl/ iNcL 8CT=012360501 05/14/01 05/14/02 a -micy umrr iSO0,000 PARTINIOWD(OXITIVE QFRCE"ARE el,n,=A %A Wwwma 1500L000 0GScRPTlcN OF OPERATIONSA=ATION&VM4CLWZVPGCLAL ITEMS R -TIME 0.1iii:2. A,W,*�4 A." 10%-k ow!! OtOULD ANY OF 7149 ABOVE DKMIGED P-0001E5 tSe CANM6--ear"C:TM- WIjqATICt4 DAr TnVqeop.Tne I=uINC=mOANY W&L 00EAVOR TO MAIL ti 30 DAy9wpmwdmumpt7oTmiscom;*ATrwou=tjA*=TvrriELP7. jljTFAIWfteTQ MAIL VJCN N0=%qALL WPdSENO 05U0ATICNIOR UABILITY, OF VOCNTHE COMPANY, A i 'AP'-3- 902 12:46P FROM: T0:15084855121 P:2/2 17,1.0.No. i1�2?P1M49 _ ( ;' ( 7 t� sll!lk.Ho.fSDtefMd if h7b IF 31 ti � ) SEMS NH LIC,No. I • 64 i SALES: HQI I eCe tral- N,Lk.Me.Oirt. f New York Drill of Coneamw I } Nf'W York: SERVIC:EIREIPAIRS Affairs Lit.No.o7sm" }' t The Servioo Stdo of Sears Nhnwu t lo-No,112mill"m 800-942-0111 PLEASE:CALL l Bouton: 190 Cedar Hill Road Suffolk Lit.No.7tt psHl 868.243.7224 f i S00-SEARS-31 Marlboro,MA 01752 Ww h.,r"WCoelsatss I HartfordEArea: WINDOW CONTRACT Cow'�ayLk.N0. conqu 61664 `800�SEAR9-99 Connactlaul Dept-of Conarrther ' 'Provldenco Area: t 8010•r0NIr1W a 688-732-7731 Mtlrl dksal AAleaMefer Affairs Lk.N0.0062170 VT Lia,No.-- di 080-SCARS-S all�1.�RON B.u�,w l loq q�b Ml M Lk.N0.Imir "= SOLO /� / t TO M a f• ' L'�7vI✓ r IVO / r I��/IZ`��C_ DATE 16� 1 1 PRESS—7' — PHONE(Nme)(l < ��7-'Scj d / t CI I Y.tfl�/e:'r�Z- 9TA f�� ZIP /B rHUNE(WaMe) Q T T 91Z&JOE)AiTF.ADDRESS ili different) 511 s' '• �( APPLIED VINYL WINDOW SYSTEMS General DOScription of Vvn*at Above Address: Appmx.Slart Ditto o Z TYPO of House PI-1,,MR; U Masonry APprox.Completion Dote �Y ! SPECIFICATIONS e J GeArs appmvw nrdlminis will be IshoO and instenoae al hr Ihswilleallon. ' t I YES�[ r'LCASE READ I:ARFFUI I V•ONLY 1tlL ITEMS GHtCKFD"YFS'Anf!INCLUDErJ IN Yuum ORnFR 1 l9�C0 rtemow windows from dpnnirgrt wwhero dreY nowon: . Eaten FIRS I �r � LEVE r Opeew:gyv N New Wlndowc a QYLJ SECOND LEVFI r Opo*pa ,fit r Now VY04M fy 4 n IRn I FVEL r OpwdAda 7— r N.W drawa _ Z _ 5 9ASFMkNl LEVFI I Openlnps A Now Windows j ! e. f) THen r t7ldrnlrrpa s Nov.W■.h. 1 I 7. U EH nkmd tit Motal or other Lolls HWirmrr y modirma iminono N Cpenhw — N of UNIS f i A j''C3 „All now phinteble Marhirnp Inside Slaps+s of openings Clamshell or Casino N of ova3vin. ,El DI—Ins dr now Master F►Mns ,e d OpenwW,, _ o° }� p 10,1 s1/U New window udrm to hnm tkwbir yr=h lrmft%a 7/A'IM01 thldmes! 11.i 0�� �yew window units to have ILafon wrkMA Rash 17 i U New whldow untie to IwavA limon wSIdtd irmne r 13. rEIiPT ranw wwtntlaW unlit to Prow CTana•lacn Rali.'r(sr Is1Ip of Low C eeand, 1 Argon Poled insulated slaw r;unba New window units to haw Cam Lodr(a)m Lot*(s) - i 15.',U l4'�wbxbw drain ro have 00mured Giasa r Ha(1 run I l tfi tY0 New wbrdow units to have huff(Ih)mom(lull se cc, on easement Utwhuhm) kmall PVC cr*t.d ulumtnpm to window frmw,• Cnror#,4-P Ur_��• r or Cpehtnge 11 d t A. Caulk and seal wwind,.wnh 3 point sy�pn Ip. CIS n Rmmtivr and dbpose of et"pif windows 3ply,d:lnrm windows of windows to nrr WNte—04111111 21.,n t�dows to hav0 C d1l _ E:Almdnl g v I i Addldonal kdn _ Mem D Full n 1/7 7T• LDS U Told r of muhle Hwdr a Ix. TMaI r of Ueeerrrrrds Told r of Fhggm m total r d Awnings Told d of Two t na Sl IA total N M Th n 1 iM Nadere W.—or a(rad 3W r pf noad LIN lctures_ Total r of ft""Ml.110, l>l ciel UMOI Waakwdm(In Addltlon le ) i i 74 � Ckan up-AA Jorunb related debrla will I17pmmCved hem prOp011y on domptetion a1 wark. 2L. I ,imm..Afi workman rra eonlpeabon and 1490j,In uudnlained i 26. U Warrenry-Mniknr m(smh>trmr upon 00"Ieaen and fad p■ymanr M mnniwm} ..t■,covwt,Mr»ew.corned 27 Peydnwrd"On non financed ordnra)k rarrg o to Instaner on dAY of Installation. 28 yY1 All D♦•,rwnwm have been appaed. Al 5 i CastyFanle Talal S C ' Lacs dnprrFtl:;7�A S � Cash Balance$ Payment(N any) !i I W CASH ❑ FINANCED$ _._does not Include:interest Balance on Substantial Completion$ � , � p� J ,x , S �. • I , u rnrurped,beknoe payaMn vl moremy hlstatlmems of approowluhdy E r month,payable by 10~to oadmrirw Im,�° i,✓ i d Trnartotld by Uwrmr Ihm Owner will pay sold Anreddm In rho(ednrmy inrdituaen phis such Interest and ate&enmur,r:horga W enid lending Institution PeW111e dbeely 10 Me tandinq matimw1r krhrdiraJ xwjr monies to"Owmar•and will adreddte a Ruta brlanmont obaystlon and any deaannntr."Ilred by i• t WChMrn�l'l�r o4-•Mldlon in connection wleh sold loan. d. " 29.'a?-O A faorudbdannnxem j}N' /,� v/a7Lt' !f�vr✓S �7'l/�° /�►!Sla*Lt +�i E'er _ - It 1 Na E G K. -_ r.vi++q tJya is y I + � /f iS ��° ►'r1r TT`—E •-/S ms's�' -��a A,v „L� .��iw✓G wroxNot tobeowe .r r,r'$ 'Y3 e'S ovfl 6 GONTRACTC71l IS NO nESI'ONS!©LE TOR ANY EI(ISTfN@ RwCIJRITY SYSTEMF, PLCA9C REMOVE ALI Rt1AItFS,VERTICALS, OLIND; CURTAINS,URAI't:Z UII WINDOW MOUNTFC AIH(:()NnfrIONERS,Pne0f)TO TI It INSTALLAi'10m I*YOUR NEW WIN- j DOW; iNSTAI t FRS ARE Nu i r It$I IONGIDLE FOR THE HrM(rVAI OR INSTALLATION Or TI Ess.TYPES OF n f-N Notice.n nnanwd,any holder of this Consumer CfedR Cmlueet N eIb- CONOFN,AT N . ; 1set to ail alar 4 10 INSIDE FREHOUSE ODES NOT INDICATE A WARRAN• a+s and d0lansos whist The debtor mould eseeA epahrst TY PROBLEM. M teller el 0oods'br services obtained palxeald harelip w with the rSALESMAN HAS NO AU111UHIIY TO CHANGE ANY ITEMS OR MAKF ANY 'e pptioeeds hor0al.Recovery by the debtor sA21Inn1 erseed amoanit pond r. 1 1 by debtor hereunder. BF1,Ht s mArjokis OTHER THAN CONTAINED IN THIS AGREEMENT AND'OWNE11-nCPRESENTS THAT NONE HAVE BEEN MADE 10 On I "GINNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLI- RELIED UPON BY'OWNrA" YOU ARE EN117LkD 10 A COMPLETELY t ¢ i CATE ORIGINAL OF THIS AGREEMENT AND TO BE THE AUTHG- Flt I rn IN DUPLICATE ORIGINAL uF THiS AGREEMENT. rj ( WED AGENT OF ALL-OWNERS" OF TIIl!%PROPERTY UPON 'YOU,THE BUYER,MAY CANCEL THIS TRANSACTION A7 ANY WI11CH THF WORK OR THE MAT RiALS ARE TO BE SUPPLIED. TiME I'MOR TO aa1DNIGHT OF THE THIRD BUSINESS DAY ' NOTICE TO THE IIOMF 011A S�,GUARANTOR(Si,LESSEE(S), CO SIGNER(S). - AFTER THE GATE OF iHrS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN FXPLANATION OF Caetracmr a1 the expense of owner.shell plocere all petmlls.muired THIS RiGHT.ON ALL OROFRS CANCELLED AFTER THE RECISION by Taw as ro(lows. PERIOD, CUSTOMERS WILL OF RF,SPONSiBLE FOR A 45% 1. Owners who 11"um(heir own parmns will fie Occluded from(rye ADMINISTRATIVE AND RESTOCKING FEE. ppuaranly fund PntelSlnns of MSL Chapter IOZA. } l 2. fay parson who shall have so•slrod,onrarthred or signed any THE COMPANY WILL DEPOSIT All MONIES RECEIVED FROM P credit appiicatlon er note rel■Itng fo this agraament hmby arxepts r ) d to be bound by this agreement. i H AN ESCROW ACCOUNT At CRA-SF MUN-41 BANK #lWl- ! 1 i A. D a trueer(s)npnteeit flat The contents m on the bask lof ethis arpamr i it '069.089 WIIHIN FIVE BU31HESS DAYS OF ITS RECEIPT. ( h a true pari hereof And has boon rood end accepted by Ormar. AI..L INSTALLATION LAAUH GUARANiEED 1 LONE)YEAR. Date }' On not sign this ayrcument berms yon road R or Il It cenbina any gJAgk ' s ace or It It does not contain everynli p abreed upon, PSI'' I-K ! + I' seknmmr'sNrrmo :iinrdSruro �wQwl 'fid` � many (r:LrJenlin " o H-) _. I , 6alaa {, Ucerwse Nrr Slpnatum b _ SEE REVERSE SiDE FOR ADDITIONAL TERMS AND CUNDmONS Revised 4/01 ' i 2 i V4 C)rf r tj F-M Town of Over 0 No. eo-aww _tt�7_ 1 7 0 "t: L A 0 over, Mass., COCHICKEWICK O�V 049ATED P' BOARD OF HEALTH Food/Kitchen PERMIT T I D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT..... ..... ...... .............................................................. ................ ...................... Foundation has permission to erect........................................ buildings on....... -.,Oj " 4 o,* S& ... ...... Rough to be occupied as -A 4 -4D 's As"A-00 Chimney ........................................................................... provided that the Opoeor�iin 7ae iT this permit shall In every respect conform to the terms of the application on file in Final pt'ng ro sic this office, and to the pro sions 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 PERMEXPIRES IN 6 MONTHSFinal. UNLESS CONSTRU=O ELECTRICAL INSPECTOR Rough ....... ............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Location No. � Date /may NORTH TOWN OF NORTH ANDOVER 0: .•o ,•1ti0 i Y Certificate of Occupancy $ s�CHusEtc'� Building/Frame Permit Fee $ S Foundation Permit Fee $ ` Other Permit Fee $ TOTAL $ r Check # 155 ,- 9 Building Insp or • - TOWN OF NORTH ANDOVER. BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REIQAJR..MOVATE, OR DEMOLISH A ONE OR TWO FAMILY DvVELI:INO row EUa DING PERNIIT NUMBER: ©/� DATE ISSUED: SIGNATURE: CC, . Building CommissionerJl for of Buildings Date SECTION 1-SITE INFORMATION j 1.1 Property Address: 1.2 Assessors Map and Parcel Number C q /b C 00 l.L `�es� Map Nuhiber ParcetNumber 1.3 Zoning Womlation: 1.4 Prapcity Dive ons: zcn;;g Dianct ProposadV3C Lal Area s Fronla R) 1.6 BUILDING SETBACKS ft Front.Yard Side Yard Rear Yard red Provide red Provided >e Provided 7 WsW Sappy M.G.LC.4Q. 34) I.s. Fresnel Zone terarmaoioa 1.6 Se,r—v Dis —1 SYS$—, 1�. ablic 0 - Priwoe 0 Zone Oatside Flood Zana 0 mwcipi 0 on Site nispoul System W ECTION Z.-PROPERTY OWNERSHMIAUTHORMD AGENT i 1 Owner of Record -Aloct ewe /off SeCc3k-d 1--7- 2me(Tri ) Address for Service: 9 ;7 ;n8n,re Telephone . Own of Record: lame Print Address for Service: natures T Be M CTION 3-CONSTRUCTION SERVICES Qp Licensed Construction Supervisor. Not Applicable 0 nsed Construction Supervisor: License Number v cess liureTelephone Expiration Date row..,. egistered Home Improvement Contractor Not Applicable l7 ranv Name Registration Number M ss ure Expiration Date Tel hone { • .SECTION 4-WMERS 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 it. SS ned affidavit Attached Yes....:..0 No......13 SECTION 5 Descrl tion of proposed Workdttric all, bre New Construction 0 Existing Building 0 Repaii(s) 0 Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: / /l9s o? V A 0 v.e SECTION 6-ESTIMATED CONSTIt11CTION COSTS Item Estimated Cost(Dollar)to be Completed by Permit applicant 1. Building (a) Building Permit Fee 00 Multiplier 2 Electrical (b) Estimated Total Cost of Constriction 3 Plumbing- Building Permit fee(a):tel 4 Mechanical 5 Fire Protection 3S- 6 Total 1+2+3+q+5 Check Number SlICTION 7a.OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR JIUR DING PERMIT ►�� 13wto as.Owner/Audmrized Agent of subject property Hereby authorize �m�n rVl,t��l. 21� to act on My behalf,in all ma relative to rk au orized by this building permit application./ Si cure of Owner SECTION 7b OW Date R/AUTHORIZED AGENT DECLARATION property Owner/Authorized Agent of subject Hereby declare that the statements and information on,the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Si atu a 4-Owner./Ment Date NO.Of S SIZE BASEMENT OR SLAB SIZE OF FLOOR T1IvvIBERS I Z RD SPAN 3 DAENSIONS OF SILLS DM ENSIONS OF POSTS DIMENSIONS OF GIRAERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF'CHIMNEY IS Q UILDING ON SOLID OR FILLED LAND 13 BUILDING CONNECTED TO NATURAL GAS LINE Ido U FORM - U -. LOT RELEASE FORM an �o o 1 INSTRUCTIONS_ This form is used.to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION Q LOT NUMBER STREET STREET NUMBER A9 CIAL USE ONLY ...........r..■■.......■..■.. ■...soon......■.■......................■■■■■.■.■■ RECO ATIONS OF T )XVN AGENTS .■■■■.■■■ ■M■ no .■■■■.■ .. ■aM.MMM■■..........■s■E■Mar■■MMM■MMM■E■ ./.`�.■EMMES J DATE APPROVED C ` CO SERV TION ADNQNIS T DATE REJECTED CONIIVIE M DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED CONIIvIENTS PUBLIC WORDS—SEWER/WATER CONNECTIONS DRIVEWAY PERMT DATE APPROVED FIRE DEPARTNIE Tf DATE REJECTED CON 4EDTTS RECEIVED BY BUELDING INSPECTOR DATE Power Pools 29 Gavin Cir. Reading Ma 01867 (781) 944-2059 Power Pools will be installing a 24' round pool for Dina Beaton at 105 Second Street in North Andover, Mass in the spring of 2002. The pool will take aproximately a day to install. The total will be $800.00, and we require payment in full that day. Regards Power Pools APR-12-02 FRI 07:26 AM FAX NO. P. 02 q_AION A_ CEJ, 1A.,, CERTIFICATE OF LIABILITY INSURANCE 8 THIS CERTIFICATE IS ISSUED ASAMATTER OF IvTlpnal:ER 781.938-1500 ONLY AND CONFERS NO RIGHTS UPON THE I lastings-TaI>ley Inslaranc0 Acdcy HOLDER, THIS CERTIFICATE DOES NOT AMEND,12 Gilt Strcrt, Suito 55001 ALTER TME COVERAGE AFFORDED BY THE POLI P. 0, BOX 404.3 INSURERS AFFORDING COVERAGE Wobtan, MA 01888-404.3 IhISunCD "" )Ncuntsl A: .Nautilus tnsurancc Co. POwor Pools INSURER e: FedDTal Insurance Co.�_ Eric Arria d/ble INS,UnCAC: --- 29 Gavilt Circle lN1:uRcr:o: " �— Reading MA 01867 INSURHRE: COVERAGES THE Wi CIES OW INSURANCE LISTED BELOW NAVE KtN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY PERIOD INDICATED. NOTWITI(STANDING ANY REOUIORMEN1. rERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH Till$ CERTIFICATE MAY BE ISSUED OR MAY PCi1TAIN, 11 11: INSURANCE AFI'OROED 13Y THE POLICIES DESCRIBED HEIVIN IS SUBJECT TO ALL THE"TERMS,EXCLUSIONS AND CONDITIONS OF SUCH FOkICIES.AGGItEGAIE LIMITS SI(OWN MAY HAVE ACEN REDUCED BY PAID CLAIMS. POLICY EFFE071VE POLICY i.XP1RATION LIMITS IW5 TY PC OF INSUIIANCC POLICY NUMMA _ R " 1777`— "T - 4120101 4120102 E!S!'DCCURRLN-5 4 1000000_ A Ct:>•1CItA1 LIABILITY � NC141064 - ' •'�— X COMNIT MAL GCNWAL LIARII ITY FIAtS bAMAGE tAgy rxw firc 4 50�D�. - CLAIMS MADE �X OCCUR FEXP(AnyonopomnnlNAL 11t AOV WJUHV SAL AGGREGAI£ b2000000 fAN'L AC' iLGATC LIMIT APPLIEI'i PCncUCTS•COMPIpP AGG / t'OLICY�I 1 LAC 'AUTOtdpBILE LIARILIYY .o COMOINED SINGLE LIMIT e (FA zcudano ANY AUTOALL OWNM AUTOfi BODILY YY InNNJ11RY(PD4 SCIIEDIAIFOAUTOS - - - — HIPED AUTOti BODILY INJURY / (POT prcldrnll NO OWNC0 AU C O$ -_ ..... _ .� PROPERTY DAMAGE 1 (Per xdduntl 4AltAvLV7F07if%1 AUTOIINLY_En ACCIDENT 1.__- _. ANY AUTO OTWt TI IAN EA ACC i _,___•_- AUTO ONLY,t AGG t [%Cf5S LIARtUtY .. EACH OCCUHRCNCE„ f , .�OCULIK L_..JAGGHEOATE C1.,UrdS MADE 1 UEDUC 1 . .a KCTENTION = WC STATtI- DTH• @ WOnKk11SCOMPI:HSATIONANn n' RINn111275 4112JO2 4112103 r f.�+MITS en EMPLOYEHS•LIARIII'rY E.L.EACH ACCIDENT 1 - 100000"— E•L,DISEASE-CAEMPLOYEE i - _ 100004 , E.L.pISFASC.POLICY OMIT a 500000 • +MCRIPTION OF OPUlATlDNS1L11LAT1ONSN�NICLCSIEXC•LUSIONS ADUkD DY CNDoasEMrNTISPECIAL PROVISIONS rrarr+�+cDtn of In6ornnc+s as EvidnncD of 111sutance C .l rll, ,,X'F!`'<tIII QTR. �A�nIONM (rNSvim :INRun LLFXTM- . CANCEi.LATfON je{uu'CIF",i'VP rue AMM DI:SEIOW POLICIES BE CANCELLED RFFORC THE EXPIRATION DINA BEATON DATE TI(CRCOF.THE ISSUING INSURER WLIL ENDCAVOn TO MAIL 10.DAYS WRITTEN 105 SECOND STREET NOTICE i0 THE CFRTm:1CATE HOLDER NAMED 10 TNC LEFT,NUT rA1LURE TO DD SO SHALL. N. ANDOVER, MA 0184.5 IMPOSE NO OBLIGATION OR LIARILOY OF ANY KIND UPON SHE INSUnEN,ITS ACCNTS OR LAUTlio A CS: — nnEffATIVE� ACORE) 25.S -1719Y "-1177'" 0 ACORD CORPORATION 1988 1(71971 1 14- 5 APR-12-2002 FRI 07:28AM ID: PAGE: ............................ F NORTH Town of Andover O4 .. .7 to 0 oLAo dover, Mass., - cocHIcH WICK ADRATED P? Cl S H � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... /N14.............3­:!1!!k.Q.4,VV..... .......................... ................................................ Foundation has permission to erect......Q.41!................... buildings on ...1.05.....C.5, ................................5............................. . Rough to be occupied as..... O V!V�... .../4..l o.v�......�A I%40�......P10.(.......1 N......Agj �0�. Chimney ..... .. ........ ........ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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. M/30 4 a G% qEW PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough V%Q 1U to#N 10 ' PERMIT EXPIRES IN 6 MONTHS Final �� m Pro�� 4-lj�LESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Lo N C S � Rough ................................................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE �i Smoke Det. 4, I ' I I Jr ._.. #,,110 iC$U011S!lll,^. T.vim` i Y II ! 515 L4 Q I' m Y I 2 yT� ICY I i I I ,rf MORTGAGE INSPECTION PLAN BUYER: �A 1.3^7 N LOCATED IN �/ ►�� A�1l�oJr✓K TO THE �Dtlfl<. ��� �AVI�1ljti AND ITS TITLE INSURERS MASSACHUSETTS L HERE&Y CERTIFY THAT I HAYS EXAMiNtU IHE FREMIZE6 ANU ALL EASEMEN"Pb, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN. 2 FURTHER CERTIFY THAT 'WE BUILDING SHOWN 00( )CONFORM TO THE ZONING LAWS AND AMENDMENTS, 1.0. (FRONT,SIDE B REAR YARD SET BACK ONLY)OF_ p1 A 14 VO\15 rZ WHEN CONSTRUCTED. I FURTHER CERTIFY THAT THIS PROPERTY IS �2`l'�_ LOCATED IN THE ESTABLISHED FLOOD HAZARD AREA. NOTE :. THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS, AND DEED DOES NOT REPRESENT A PROPERTY SURVEY. BOOK _?, 11 EXAMINATION OF THE RECORDS IS MADE ONLY SUBSEQUENT TO THE RECORDED DATE OF THE PAGE LATEST DEED AND DOES NOT INCLUDE VERIFYING THE "ACCURACY OF THE DEED DESCRIPTION PREVIOUS TO ITS DATE OF RECORD. THIS COMPANY IS NOT RESPONSIBLE .FOR ANY INDENTURES MADE SUBSEQUENT TO THE PLAN GG RECORDED DATE OF THE LATEST-DEED OF RECORD. NO. WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS BOOK _ ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MESUREMENTS. PAGE THIS CERTIFICATION TO 9 USED FOR MORTGAGE PURPOSES ONl y CERT. NO. p_�r` --.. ,"AA _.jA -_L.... I9,V 1. . ��.;; BRADFORD ENGINEERING CO. P.O, BOX 1244 SCALE. I" s z'0' James I B t� 1Ck4S ! CC Haverhill, MOSS DIBs) c., udI LKA'i TEL. 373 2396 � IJ5t9 / t