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HomeMy WebLinkAboutMiscellaneous - Leanne Drive//J Date. TOWN OF NORTH ANDOVER r PERMIT FOR PLUMBING V This certifies that-�Wuz '. ^. r/`^ `� ►"`� has permission to perform . �.'.� o .. V......... • plumbing in the buildings of. ...................... at ........ Le a,3ti,,��,.. ZN ;e,........ , North Andover, Mass. Fee .2�tb� .. Lic. No24�.;" ... Me ................. ... PLUMBING INSPECTOR Check # 121� Z A 11b (9NV I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK A CITY NORTH ANDOVER MA DATE 2161-13 PERMIT # JOBSITE ADDRESS 7Ze%;,vve olu OWNERS NAME AP, ?1-14 /ro LA /f Ir-, POWNER ADDRESS . S,,9m C— TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL 4'– RESIDENTIALyC PRINT CLEARLY NEW.,— RENOVATION: REPLACEMENT: NOS( PLANS SUBMITTED: YES FIXTURES I FLOOR— 8SM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB GROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOILISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: ave a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL Ch. W. YES No 'OU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY-. OWNER AGEtIT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application Massachusetts State Plumbing Code and Chapter 142 of the General Laws. will be in compliance with all Pertinent provision of the PLUMBER'S NAME THOMAS HALLORAN LICENSE # 24833 SIGNATURE Mp:w_jp),*(.;,-..# CORPORATION PARTNERSHIP'' # LLC COMPANY NAME HALLORAN PLUMBING ADDRESS 826 DALE ST CITY NORTH ANDOVER STATE MA Zip 01845 TEL 978_685_9504 FAX CELL EMAIL A 11b (9NV I IN r'r Date............. �r� r TOWN OF NORTH ANDOVER m PERMIT FOR GAS INSTALLATION This certifies that ....... .. l.v.. ......... has permission forhas installation ..... ..... V)-e ............ . in th it 'ngs of . �`�2'�. `.J..... . • .. . ,North Andover, Mass. Fee 2U. ....... ' 2�g33 ... M Lic.No.......... ........................ ... GAS INSPECTOR Check # �2$Z 8620 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTH ANDOVER MA DATE .31611.3 PERMIT # '�'U ZZ - JOBSITE ADDRESS �7 L`���N,e O2 OWNER'S NAME RI?W-41rO G �4 GOWNER ADDRESS S^ `7 -e- TEL FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ?,u RESIDENTIAL, CLEARLY NEW: _ 1 RENOVATION:'–'-'- REPLACEMENT: € PLANS SUBMITTED: YES:!_ N0 APPLIANCES 1 FLOORS— 8SM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER 1 OTHER INSURANCE COVERAGE 1 have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 7 OTHER TYPE INDEMNITY " BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement CHECK ONE ONLY: OWNER _,__ AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ✓ PLUMBER-GASFITTER NAME THOMAS HALLORAN LICENSE #� SIGNATURE MP'L---i MGF A JP F JGF ; , LPGI . _ CORPORATION _ # PARTNERSHIP _ '# LLC _ 4 COMPANY NAME:HALLORAN PLUMBING ADDRESS 826 DALE ST. CITY NORTH ANDOVER STATE MA ZIP 01845 TEL FAX 978-208-0840 CELL EMAIL \n I i 0 I i 4' Location �04 / �r?MjAl-e -D)(. - N o. /, -3 / Date /2 - 45 ORTpj TOWN OF NORTH ANDOVER 0. Certificate of occupancy $ Building/Frame Permit Fee $ ACHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ aq Check # (o 3 '1 6 1 4, M (6�1- Building Inspector 161 m �\ei\txJ 4J �o3 I. Issys-2) 1I -acs -00 'I I^AN 3 CP-jv\�. d I a•- [ 3 -00 t4 cp v NO$.lfo 196.5, 39.5' 31.6' 'Z �UP. 22.5 34.6' EXISTING FOUNDATION TOP PND ELw222.26' cj v 4br El e6 Ig, � � J! 2�s�s 0.64 Ac. r 11 a r Il N .: (.� W 00 PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY cD o ao On .—. c V� x , , SHOULD NOT BE USED FOR PROPERTY DATED JUNE 2,1993, THE STRUCTURE IS NOT LOCATED G.i co ;u N r LOT 1 HERITAGE ESTATES /w 34.6' EXISTING FOUNDATION TOP PND ELw222.26' cj v 4br El e6 Ig, � � J! 2�s�s 0.64 Ac. r 11 a r Il N .: (.� W 00 PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY cD o ao On .—. c V� WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U•D. FLOOD INSURANCE RATE MAP, W SHOULD NOT BE USED FOR PROPERTY DATED JUNE 2,1993, THE STRUCTURE IS NOT LOCATED C) co ;u N r LOT 1 HERITAGE ESTATES �00 Fl CD Q II ENGINEERING AND PLANNING CONSULTANTS DRAWN FOR 62 MONTVALE AVE. SUITE I BROOK.VIEW COUNTRY HOMES, INC, STONEHAM. MA. 02180 rn m (781) 438-6121 O NORTH ANDOVER, MASSACHUSETTS to 23 , N27'O9 36.20' �`Ocoa L.EANNE DRIVE . b"' 48.'g5'/ �jj� S27-09'36",,' /r o olk" WE HEREBY CERTIFY THAT WE HAVE EXAMINED �I ` THE PREMISES AND THE DWELLING IS LOCATED THIS PLAN IS INTENDED FOR ZONING AS SHOWN. THE STRUCTURE SHOWN CONFORMS PURPOSES ONLY. IT WAS PREPARED TO THE ZONING LAWS OF THE MUNICIPALITY FROM EXISTING PLANS AND RECORDS WHEN CONSTRUCTED, ALSO, ACCORDING TO THE WITH THE STRUCTURES SHOWN LOCATED F.E.M.A./H.U•D. FLOOD INSURANCE RATE MAP, BY AN INSTRUMENT SURVEY, THIS PLAN COMMUNITY PANEL NO.250098 0006 C SHOULD NOT BE USED FOR PROPERTY DATED JUNE 2,1993, THE STRUCTURE IS NOT LOCATED LINE DETERMINATION. IN AN ESTABLISHED 100 YR.FLOOD HAZARD ZONE. CERTIFIED PLOT PLAN LOT 1 HERITAGE ESTATES MARCHIONDA & ASSOC.,L.P. NORTH ANDOVER, MASSACHUSETTS ENGINEERING AND PLANNING CONSULTANTS DRAWN FOR 62 MONTVALE AVE. SUITE I BROOK.VIEW COUNTRY HOMES, INC, STONEHAM. MA. 02180 P.O. 8OX 531 (781) 438-6121 O NORTH ANDOVER, MASSACHUSETTS DATE: 12/10/00 SCALE: 1"-40' TOWN OF NORTH A 90 -VER PERMIT FOR GAS STALLATION This certifies that ....5. '�? � .................. . has permission for gas installation . /-I)r(..................... . in the buildings of ... ........................ at ... `........ • . • , North Andover, Mass. Fee.. 33.... Lic. No. .Q?. 7.)... ... � .`',z!... GAS INSPECTOR Check # G,1 t 9 y 5762 Date. .0 - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. This certifies that ... //............. has permission to perform . . Y....................... plumbing in the buildings of ................. at ...7. .... P-/ . ...... North Andover, Mass. .6 ','� Fee.. Lic. No..?. .. .. ............ ........... PLUMBING INSPECTOR Check ff 0 ? /,- 8374 MASSACHUSETTS UNIFORM "PLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building 2 }/,/z /C:; Renovation New Replacement. FiW'rFLipWo 17 Date Permit # Amount Ply Plans Submitted Yes ❑ No 0 (Print or type) Certificate Installing Company Name &W1-Z49�17Check one: Corp. Addmss S9� a D A L �i .���JO�'/� ❑ Partner. 6 s-6-7 O Business Telephone Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate boss Liability insurance policy In Other type of indemnity ❑ Bond ❑ three Insurance Waiver. throe I, the undersigned, have been made aware that the licensee of this application does not have any one of the above th Lignature Owner ❑ Age 1 1 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 Massac-IIsetts State t nbi�nVode and Chapter 142 of the General Laws. D (OFFICE usE ONLY Type of Plumbing License 2� 3 License umoer Master Journeyman Date./? C/-/ /1G........ YX TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that... .............. has permission for, gas installation ....44. 1// ................... in the buildings of . . ......................... at .... 7.. North Andover, Mass. .......... Fee.--,�)—.'. . Lic. No. I. V.. 17... CAS 1INSPECTOR if Check# e2 6 7305 MASSACHUSETTS UNHURMAPPUCATONFORPERNUFTODOGASFrrnNG (Type or print) Date NORTH ANDOVER, MASSACHUSETTS J Building Locations ® Zz- / we! (� Permit # Q Amount $ L, "/� �/� �/A► to AL ,d�% Owner's Name New Renovation Replacement In Plans Submitted (Print or type) f� p heck one: Certificate Installing Company Name P"® 11L3,ij A AZ,r �JMrj / Corp. 0 Partner U Firm/Co. Name of Licensed Plumber or Gas Fitter —710--'Af 15-X 114919WAII INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No If you have checked +Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity Bond13 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: g D Signature of Owner or Owner's Agent 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 .w ...1VWmUsv, auu mai au pmmumg worK ana mstauattons performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber rat/ Gas Fitter License Flumber Master ® Journeyman rq U Z a rig z F v a c CO F w dd a O z 0 z ; O z F rA z C z Fd' W F' N w O z w O F U a F W d a w x > O x Ez 3 a Ov a> z O a m x SUB -BASEMENT A F o BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) f� p heck one: Certificate Installing Company Name P"® 11L3,ij A AZ,r �JMrj / Corp. 0 Partner U Firm/Co. Name of Licensed Plumber or Gas Fitter —710--'Af 15-X 114919WAII INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No If you have checked +Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity Bond13 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: g D Signature of Owner or Owner's Agent 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 .w ...1VWmUsv, auu mai au pmmumg worK ana mstauattons performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber rat/ Gas Fitter License Flumber Master ® Journeyman �� i MASSACHUSETTS UNIFORM APPLICATION FOR -PERMIT TO DO PLUMBING i (Print or T r pe) t as Date 2061 P mit # Building catio Owner's am i i Type of Occupancy New 0 Renovation ❑ Replacement 011, Plans Submitted: Yes ❑ No ❑ S.P.4 gFWFR Al FIXTURES nstalling Company Name `, 4ddr 3usiness Telephone �p (� < /),0!:--/L!5" Jame of Licensed Plumber or Gas Fitter A24 jLi Check ong: Certificate ❑ Corporation ❑ Partnership INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No . ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy P1111- Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ iereby certify that all of the details and information I have submittedentered) In above application are true and accurate to the best of y knowledge and that all plumbing work and installations performed nd r the permit iss for this application will he in compliance with I pertinent provisions of the Massachusetts State Plumbing Code a tgj142 ofithe ural Laws. _ / FCyitle iry/Town i APPROVED (OFFICE USE ONLY) nature of Licensedrumber Type of License: N0191aster ❑Journeyman License Number__ g �� MMiww����ii • = mmmm������mo������MM mmmm WN MM .....�.....s.........� • MMON ���NOMMEMMM�v� nstalling Company Name `, 4ddr 3usiness Telephone �p (� < /),0!:--/L!5" Jame of Licensed Plumber or Gas Fitter A24 jLi Check ong: Certificate ❑ Corporation ❑ Partnership INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No . ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy P1111- Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ iereby certify that all of the details and information I have submittedentered) In above application are true and accurate to the best of y knowledge and that all plumbing work and installations performed nd r the permit iss for this application will he in compliance with I pertinent provisions of the Massachusetts State Plumbing Code a tgj142 ofithe ural Laws. _ / FCyitle iry/Town i APPROVED (OFFICE USE ONLY) nature of Licensedrumber Type of License: N0191aster ❑Journeyman License Number__ g �� Q Q "." Is o A c � GO " ��o a�i Q, = a c I' ea ea • ♦� m C �o`� o�CD ca � c t o O u a CJD •aLN. d dJ = c � 3 -o = c c o CD o •. y O O 12 cm �.•, r .0 c c a �: act •a • �o O� m � V •y Z O c m y a c •c p N H O� a m O r y O ♦r = W •G cc t .r ui •E 3 v y o omc 5y a 2 CA 0 g O CL *, a 0 H O V E h- C 1.3 O y O C3 (A O cc- C _cc �. CA 1--7 0 U) U) IrW w W U) uml 3 ` , rNMI x LE V)w° aG w i ° ii, ° ° L o A c � GO " ��o a�i Q, = a c I' ea ea • ♦� m C �o`� o�CD ca � c t o O u a CJD •aLN. d dJ = c � 3 -o = c c o CD o •. y O O 12 cm �.•, r .0 c c a �: act •a • �o O� m � V •y Z O c m y a c •c p N H O� a m O r y O ♦r = W •G cc t .r ui •E 3 v y o omc 5y a 2 CA 0 g O CL *, a 0 H O V E h- C 1.3 O y O C3 (A O cc- C _cc �. CA 1--7 0 U) U) IrW w W U) uml z o A c � GO " ��o a�i Q, = a c I' ea ea • ♦� m C �o`� o�CD ca � c t o O u a CJD •aLN. d dJ = c � 3 -o = c c o CD o •. y O O 12 cm �.•, r .0 c c a �: act •a • �o O� m � V •y Z O c m y a c •c p N H O� a m O r y O ♦r = W •G cc t .r ui •E 3 v y o omc 5y a 2 CA 0 g O CL *, a 0 H O V E h- C 1.3 O y O C3 (A O cc- C _cc �. CA 1--7 0 U) U) IrW w W U) Date. ? .. jc'. -L 01.4.0RT"4, TOWN OF NORTH ANDOVER .a p PERMIT FOR PLUMBING ACHUS This certifies that 3 '` ..... .. ... ... •� has permission to perform ... A . ('fc < < : -r plumbing in the buildings of .... F. !i v K -! .` . . i at 7... 0.4 .. , North Andover, Mass. Fee.Lic. No....:.`... ......... rl.....� ....... PLUMBING INSPECTOR Check # /j e, S 5220 ,..,:-..-..---MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) 1 ili, v Mass. Da Le ' City, Town . P6rmi.t Building Owner' �-------�- AT: Location �v t�►` �tnA TJamep Type of Oc:r•ttlrtltr-y �S_ f �r 41 L; i J .. •i� i! y4: New Renovationla Re ❑ p cement. ❑ FIXTURES 5ttlmtistibil s ❑ . t I_c:ri : Yes ❑ No (Print or •fypc) I f r Chcck Onc: Certificate Installing Company Namc +U\f�FCSt O ' - • ( Corp. c -- Address 4 �r . 1 _.__. �� � b.��� � ❑ Partnership ❑ Firin/`(lil many . IlusincssTelephone —� O �S°�`8� $� Name of .icensed Plumber or C./��jlitter I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my ':knowledge and that all plumbing work and installations perfornied under Permit issued for this application will he in compliance with all pertinent provisions of dee Massachusetts Stale (;us Carle and Chapter 142 of the (icucnd I Its. F� ihyj. l have informn:d the owner or his agent that I do not have liability insurance including completed upcnttions coverage. r -- %ignaNwe at OwanlAgent , 1 have a current liability inswance policy to include completed operntionns cm-ett+gc. ❑ By Signature of License(l I'lunther F(mss 1240 H0nl4. a WAimer4.INC r9e9 Type of 1'lunthing License -- �� eg Alastcs ❑ Juurncytnan . License Numbcr — w z H z H y V) O Z W!L (a J N d V 1`- ec tr J V) Vi W 0 < F' C W W C NUs x V C N W Z < V) O V. Z Z V' Z d 1.. (� X rC O m O C z W C ►� �. pC < Y} It -W t V) C G d < N (9 Z < C o' < ccdew 0 O K u H U < 7- O Y d 1- W ~ y r o to x = .i1 to ►- Y d J O < z < W LL o W u W x a{o s H t < O< J a cc W, sus=eSMT. BASEMENT 1 1ST FLOOR I I I 2NDFLOOR 2RDFLOOR 4T11 FLOOR STH FLOOR 9TH FLOOR 7TH FLOOR 9TH FLOOR (Print or •fypc) I f r Chcck Onc: Certificate Installing Company Namc +U\f�FCSt O ' - • ( Corp. c -- Address 4 �r . 1 _.__. �� � b.��� � ❑ Partnership ❑ Firin/`(lil many . IlusincssTelephone —� O �S°�`8� $� Name of .icensed Plumber or C./��jlitter I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my ':knowledge and that all plumbing work and installations perfornied under Permit issued for this application will he in compliance with all pertinent provisions of dee Massachusetts Stale (;us Carle and Chapter 142 of the (icucnd I Its. F� ihyj. l have informn:d the owner or his agent that I do not have liability insurance including completed upcnttions coverage. r -- %ignaNwe at OwanlAgent , 1 have a current liability inswance policy to include completed operntionns cm-ett+gc. ❑ By Signature of License(l I'lunther F(mss 1240 H0nl4. a WAimer4.INC r9e9 Type of 1'lunthing License -- �� eg Alastcs ❑ Juurncytnan . License Numbcr — w Date .... L( r. .�.-C77 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION .V# This certifies that .................. has permission for gas installation ... .4. /( ' d, , t. ............... in the buildings of ... t' ........................... ............. at ........ ".'.1 ....... I North Andover, Mass. Fee. Lic. No.. ... .......................... - GAS INSPECTOR Check#- P 2, 4014 -G MASSACIIUSETTS UNIFORM APPLICATION FOCI PERMIT TO DO GASFITTING (rfllll or Type) Dale_ _ 19 Building yd f ermil # ��•--- — New [l Renovation (] I'rplocelnrnl L1 h Owner; Name 110115 SuhlnilYcil: Ycs ❑ No ❑ 2Nn rLoort -— aRnrlocR_..I_...._!.._L...!...) �. I.._,L.._L.....I... I_..I_. I •,I—I...• -• I ...I _ I .. L_._I .. I ..I ..I ..I...L.I-- �� `� rl 1 FLOCIR.. I.._. I _I _I....I _..I..._I . I..-. I _ �._.I_...I . I.._ I......I._ I _ .._ I.._. __ I • I I I I I I I STI I..rt rl T ; _.. (TI I r1.ON% ....... ._.1._1...1_•_1_.1 ...I I I I I I_I .I-•._I_.I...:I_.-I I I I I I••I _I -i_.I _I_ ��* 7111 I. FLOOR ( I I I I I•:•_L..I_..L--I• I. I .I,_I I I L�I:_I•;.I _I.. I I.I..I....I..I.. .��+ _....- - --I 1I lI 11 RTI 1f1.00R.__.L.._.I_......!..II I• I --I-- ,4 �h Check one. Crrtificule Irlslolling Company Name VCorp. IL ,,;,.i Address R&'( (v c _ u Partnerslli(? Q Firm/Co. llusincss Telephone (0C3- Nome of Licensed Plumber or Gas Fitter Ot nnt�dC � srw.r.lrrl.le sml Ileal All Irlrnrrlrinq'wn/k�o"A ImMllalin"i Perl-nm 1nor inuler Iffed lllret1.lrrrm111 1aurrtlf lot 111% AAllove �M111cAllrnnare wllllfht In im �eMfC111lceaf nl Ty '• prnvkir.rr, nl Ila "4kACIuNrllf Sl""* GAS CnJO and Chapler 112 of the Gerreral Laws. ^�Antlwi111ARptrtirlenl,,., Fee Check # Dale APPROVED (Office Use Only) Typo91 License: hlun7ber _�.Q/1��� i [IGasfiller Slc�nalure of Licensed Plumber or s Filter W1(1lasler ❑ Jol►rneylnnn License Numbor'c�, 1 `�y^J� 1 1 llYx Z m Fx No i r 1 l9 ca ca N n 8 F al 1 S q l7 I u i ` a J 0 O Sus- aSMT.BASFMIENT I- I '•' ' I. ..I — — — I II I--I���•I !III—I ---�'-'-- 1ST FLOOR _._ I t l I _ I I I I .. I I-•� I i I I I I I I�-•l '� i -"i 1-- 2Nn rLoort -— aRnrlocR_..I_...._!.._L...!...) �. I.._,L.._L.....I... I_..I_. I •,I—I...• -• I ...I _ I .. L_._I .. I ..I ..I ..I...L.I-- �� `� rl 1 FLOCIR.. I.._. I _I _I....I _..I..._I . I..-. I _ �._.I_...I . I.._ I......I._ I _ .._ I.._. __ I • I I I I I I I STI I..rt rl T ; _.. (TI I r1.ON% ....... ._.1._1...1_•_1_.1 ...I I I I I I_I .I-•._I_.I...:I_.-I I I I I I••I _I -i_.I _I_ ��* 7111 I. FLOOR ( I I I I I•:•_L..I_..L--I• I. I .I,_I I I L�I:_I•;.I _I.. I I.I..I....I..I.. .��+ _....- - --I 1I lI 11 RTI 1f1.00R.__.L.._.I_......!..II I• I --I-- ,4 �h Check one. Crrtificule Irlslolling Company Name VCorp. IL ,,;,.i Address R&'( (v c _ u Partnerslli(? Q Firm/Co. llusincss Telephone (0C3- Nome of Licensed Plumber or Gas Fitter Ot nnt�dC � srw.r.lrrl.le sml Ileal All Irlrnrrlrinq'wn/k�o"A ImMllalin"i Perl-nm 1nor inuler Iffed lllret1.lrrrm111 1aurrtlf lot 111% AAllove �M111cAllrnnare wllllfht In im �eMfC111lceaf nl Ty '• prnvkir.rr, nl Ila "4kACIuNrllf Sl""* GAS CnJO and Chapler 112 of the Gerreral Laws. ^�Antlwi111ARptrtirlenl,,., Fee Check # Dale APPROVED (Office Use Only) Typo91 License: hlun7ber _�.Q/1��� i [IGasfiller Slc�nalure of Licensed Plumber or s Filter W1(1lasler ❑ Jol►rneylnnn License Numbor'c�, I 1% C Date .. ................. r. � �' TOWN OF NORTH ANDOVER Iwo PERMIT FOR GAS INSTALLATION This certifies that Z ........ has permission for gas installation ....... in the buildings of .... ....................... at . . �.e / 7 ........... North Andover, Mass. ............ Fee. Lic. No.. Check#-/, .1 , 4 113 . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Is -G MASSACIIUSETTS UNIFOIIM APPLICATION FOn PEIIMIT TO DO GASFITTING (Prinl or Type) Date Building } Location —^ New ®1 Renovation C7 Replacelnrnt l Name, L1✓/flans1I ' SL1 � 7ul led: Yes ❑ No p aRnrLocR ..I_. _..._L... . I 4 rl l . .. F. ?CrR , ._.... STl l �.._.I_.._.�_.I. I._ L....I �_��---I•-�--I. I ..L. I .I.._I._I-�_I._ .it ..._.. _. rim .._ _.I_ I _.I I . (. I._ I I . I _ I I._. I. I I I I I•- I_. i_.1_.. ' 6T11 rLonn- -, 7711 FL00It f•. l_L: L__ .. _�.. I .III._ .I I - _.I ._I _.1 I - I _ I _ I I I I... I .. I .._II .. I.._. �•f.,: RTllrl.C)OR..1...I....I..-I---�.. Irtslolling Company Llusincss Telcphone Notre Cif Licensed Plumber or Gas Fitter W-p+'--k-°f &)&�- r Check one. r�Crrtificole Corp.-..Ey�G I] Partnership � i7 0 Firm/Co. INSURANCE COVERAGE: Check one I have o current liability insurance policy or its subsiontial equivalent. Yes 1-7 No ❑ If you have checked yes, please indicate the type covcloge by checking the appropriote bux. A liability Insuronce policy Oler type of indemnity Bond [i i. r OWNER'S INSURANCE WAIVER: I om owore lhat Ilse licensee goes not hove llle insflrortca coveroge requiredhy f�I Chnpler 142 of the Moss. General Lows, and thal my signature ort this pelrnit rlpplicolion waives this requirement. Check one: --•---._._. ------ --------- Owner U Agent L7 k 5ign.+hur of Owlier ni Ownrr•a AQrlll i 1 "&-fly rerllfy that all of the detail, and Information 1 I,aVa ,rdanitled Ita antmatll In III* el,ova al,rdlCallnr, aro Ir1w +nd ar<urale 1. Me twill of ;;i ►r,..wl�dge and Hurl all phanhin0 wrnk and Indallallmn prr/mmrd rlrxler Ilia prrmll h+uerl for Ihh ertlrllcallrfn will he In cornpllante with all pertinent„ Mnvki, e,+ nl ll+e Ma+iatlanrll, S,ata Ga, Codo and Cltapler 142 of ilia Gerrerat Laws. Fee Check # _ Dale APPROVED (Office Use Only) Typo I License: lumher C] Gasfltter Signature of Licensed Plinlbar oGas Fittor 93,oNlaster ❑ Journeyman License Numbor Z`L ( u ail t ty ~ 1 IY I I � v l a � ►� A m Z = '^ � t7 = 3 U 1} l7 U at G 0 . flASFMENT _. IST FLOOR_ -I _ 7Nn rU�R _. I .�. I aRnrLocR ..I_. _..._L... . I 4 rl l . .. F. ?CrR , ._.... STl l �.._.I_.._.�_.I. I._ L....I �_��---I•-�--I. I ..L. I .I.._I._I-�_I._ .it ..._.. _. rim .._ _.I_ I _.I I . (. I._ I I . I _ I I._. I. I I I I I•- I_. i_.1_.. ' 6T11 rLonn- -, 7711 FL00It f•. l_L: L__ .. _�.. I .III._ .I I - _.I ._I _.1 I - I _ I _ I I I I... I .. I .._II .. I.._. �•f.,: RTllrl.C)OR..1...I....I..-I---�.. Irtslolling Company Llusincss Telcphone Notre Cif Licensed Plumber or Gas Fitter W-p+'--k-°f &)&�- r Check one. r�Crrtificole Corp.-..Ey�G I] Partnership � i7 0 Firm/Co. INSURANCE COVERAGE: Check one I have o current liability insurance policy or its subsiontial equivalent. Yes 1-7 No ❑ If you have checked yes, please indicate the type covcloge by checking the appropriote bux. A liability Insuronce policy Oler type of indemnity Bond [i i. r OWNER'S INSURANCE WAIVER: I om owore lhat Ilse licensee goes not hove llle insflrortca coveroge requiredhy f�I Chnpler 142 of the Moss. General Lows, and thal my signature ort this pelrnit rlpplicolion waives this requirement. Check one: --•---._._. ------ --------- Owner U Agent L7 k 5ign.+hur of Owlier ni Ownrr•a AQrlll i 1 "&-fly rerllfy that all of the detail, and Information 1 I,aVa ,rdanitled Ita antmatll In III* el,ova al,rdlCallnr, aro Ir1w +nd ar<urale 1. Me twill of ;;i ►r,..wl�dge and Hurl all phanhin0 wrnk and Indallallmn prr/mmrd rlrxler Ilia prrmll h+uerl for Ihh ertlrllcallrfn will he In cornpllante with all pertinent„ Mnvki, e,+ nl ll+e Ma+iatlanrll, S,ata Ga, Codo and Cltapler 142 of ilia Gerrerat Laws. Fee Check # _ Dale APPROVED (Office Use Only) Typo I License: lumher C] Gasfltter Signature of Licensed Plinlbar oGas Fittor 93,oNlaster ❑ Journeyman License Numbor Date. ..-K � . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. . �� .'.. 0� .. r ..' • / . • • • . has permission to perform ... J/1 .0 < .... /-/C.! 1 �.I.......... plumbing in the buildings of ... 3.R �'. (-.k . i) .1. ('.Y- ............. at. ... % .. t?!?..... , North Andover, Mass Fee. Lic. No.. Sf . �? .2. .:...•. J. L .. . PQUIVIBING INSPECTOR Check # 1 k'0 5253 � ,,, .'.;� .MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 4 (Print or Type) '' Oil? -Q �• Mass. Da t: e City, TOWrI .. . PLrudt • Buildincl _ Ow'ner's -- s AT: I,ocatiorid� Na m a Type of occ-tipancy: New Renovation ❑ Replacement: ❑ - ---_ — Platlti FIXTURES utn❑ Sn<ti. t I: e : YP.:i ❑ NO ( Print or Type) _ Chcck Onc: 11-2 r Ccrtiftcatc Installing Company Nam�e s� Cl vlC� ❑xCorp. _.c>1 1 c k t Address 1-n r ❑ Firm/Company +... v Business '1'clephuncPS>_�� �($ Narn``e of l.iccnscd Plumber r Gaslittcr _ 1 hereby certify that all of the derails and information I have subnriucd (or entered) in above application arc true and accurate to the best of my knowledge and that all plumbing work and installations performed under 11ennit issued for this application will he in compliance with all perrincnl provisions of the Massachusetts Soule Gas Cole and Chapter 142 of the (Guerin I awl. l have infortncd the owner or his agent that I do not have liability hwurunce including completed operations coverage. --- � CI�MIYIf Ilr trlYYtf�A�f Y� , 1 have a cmrrcnr iiuhilily insurance Ixolicy to itwlude complcicd operarioms covc,ligc. ❑ By _- ---- Signature of Licensed fluofer — Fronts 17,40 Hona , rt WAHREn.1W 1989 � IYPc of I'lunrbir License Alastc� ❑ Journeyman . License Number « X N z_ N H N N N Z O !L Z < 1 Z y N W W WZ YJ N < V < ~ N. Z W CC O N W 4 1... OC W H 1•' V Q N z < N O LL Z H p� V .. cc ri m O N W.( y < F Z OC Q 4 < a '( 3 K aC W < Y < W to a ~ cc cc H < U y F r o N d N Y H ►- Y d OJ O X _ Y < W LL W W < iC < = 01-0 QJ < < It O = < I- N J Y. < f7 aC S O W, < < 3 O ac _ < as f- O sus—•gBMT. BASEMENT �• — — 18T FLOOR 2ND FLOOR a. ,RD FLOOR 4T11 FLOOR 6Tli FLOOR 6T It FLOOR TTHFLOOR 8TH FLOOR ( Print or Type) _ Chcck Onc: 11-2 r Ccrtiftcatc Installing Company Nam�e s� Cl vlC� ❑xCorp. _.c>1 1 c k t Address 1-n r ❑ Firm/Company +... v Business '1'clephuncPS>_�� �($ Narn``e of l.iccnscd Plumber r Gaslittcr _ 1 hereby certify that all of the derails and information I have subnriucd (or entered) in above application arc true and accurate to the best of my knowledge and that all plumbing work and installations performed under 11ennit issued for this application will he in compliance with all perrincnl provisions of the Massachusetts Soule Gas Cole and Chapter 142 of the (Guerin I awl. l have infortncd the owner or his agent that I do not have liability hwurunce including completed operations coverage. --- � CI�MIYIf Ilr trlYYtf�A�f Y� , 1 have a cmrrcnr iiuhilily insurance Ixolicy to itwlude complcicd operarioms covc,ligc. ❑ By _- ---- Signature of Licensed fluofer — Fronts 17,40 Hona , rt WAHREn.1W 1989 � IYPc of I'lunrbir License Alastc� ❑ Journeyman . License Number « 6-46S Date. /—. . . -. � .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... has permission for gas installation —.,x in the buildings of at ... ......................... North Andover, Mass. Fee ... Lic. .. ..... !6AS INSPECTOR" WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACtiUS� irT S iJ�It OEtM A%'PI_iCA i �Gr`i F R PG) NI'.' i e C3 ® .Cs3LS>=:� tiVt (Print or Type) [FORTH ANDOVER ,Amass � )ate � _ LZ i 3ctilding Location t �y LZ�� I Permit t 3 Owners Name—D616 New Renovation Replacement Plans Submitted FIY�"IID.t: (Print or Type) — one : Certificate Installing Company Name `E,__CorP• t�g Address��al� -- -- -- — Partner._ Firm/Co Business Telephone: c tiame of Licensed Plumber or Gas Fitter— IQe�V�at��— Insurancr: Cov:rage. Indicate :he ,ire or insurance coverage by checking the appropristo box: Liabiiity insurance policy = Ozhzr type—of indemnity n Bond Insurance Waiver: I, they uncersicre.i, have been made aware that the licer,set'.'of + cation noes not have anyono or the above three insurance coverages'. this appli. Signature or ownerlagent of proper. Owner L I Aaent 1 txcreby ccrtiry that all a( the detuitr and information I yare ustin:ittcd (ar cntcrca) in al ovc appticaion ;tfrr.owtedte;anQ tlu't;aLL plumbtq� War1t ands}tneta(IauoRs pasocxe utw'er Perrcit ('0Z thu rpptiaiantw pcovtiiodi of tho MA Al $late CA C.idc and' [J WL. n TYPE LICENSE Plumber sue and accurate to tlw e. e !n roomplsyrtw �tth :a sa;R of i I Gasfitter Signature of LiceKiseei!Y Plumber or Gasefitte" 11 Master �✓ '' �-J r`: journevman License Number J]j- , Y ri • . 1'r to v N y cc (n Y. [:ZF- G to C w O LJ 4 ¢ O O ~ W N CC! iN 1 V- N W y `t t N LJ yr t71 J = .. V Q W C Of :: -t S cc W )✓ d W I— W - Cf C CO.. ' u O U t:. Q C1 . i OU C y Q h- I O t .! IST FLOOR I' NO FLOOR 3Ro FL.00R_! 4TH FLOOR 5TH FLOOR BTFt FLOOR 7TK FLOOR (Print or Type) — one : Certificate Installing Company Name `E,__CorP• t�g Address��al� -- -- -- — Partner._ Firm/Co Business Telephone: c tiame of Licensed Plumber or Gas Fitter— IQe�V�at��— Insurancr: Cov:rage. Indicate :he ,ire or insurance coverage by checking the appropristo box: Liabiiity insurance policy = Ozhzr type—of indemnity n Bond Insurance Waiver: I, they uncersicre.i, have been made aware that the licer,set'.'of + cation noes not have anyono or the above three insurance coverages'. this appli. Signature or ownerlagent of proper. Owner L I Aaent 1 txcreby ccrtiry that all a( the detuitr and information I yare ustin:ittcd (ar cntcrca) in al ovc appticaion ;tfrr.owtedte;anQ tlu't;aLL plumbtq� War1t ands}tneta(IauoRs pasocxe utw'er Perrcit ('0Z thu rpptiaiantw pcovtiiodi of tho MA Al $late CA C.idc and' [J WL. n TYPE LICENSE Plumber sue and accurate to tlw e. e !n roomplsyrtw �tth :a sa;R of i I Gasfitter Signature of LiceKiseei!Y Plumber or Gasefitte" 11 Master �✓ '' �-J r`: journevman License Number J]j- , Y ri • . 1'r [I N2 2884 Date..2.:.z.� ...... a..1 ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... ...... .................. has permission to perform ...... ........ ............................... wiring in the building of ..... ............................................ at ... 2 ...... ....... ........ ...... . North Andover, Mass. Fee.2.2.2 ... ..... Lic. No..// ............ .......................................................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer IRE (.U1VMUJVWCfILII1 UP 1K4LX-HL"VWIIAN u111ce use uwy DEPARTAIEWOFPUBLIMFEIY Permit No. BOARD OFMEPREYEVHONMGUMTIOAN527CMR 120 �— UAPPUCATIONFOR Occupancy &Fees Checked PERMIT TO PERFORMELECfRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 �/� y 1)/ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.. Location (Street & Number)` "7 e,r; !��''I / [moo+ l Owner or Tenant Owner's Address -6 Is this permit in conjunction with a building permit: Purpose of Building d A O L( Existing Service Amps- Volts New Service a797> Amps /k I Ud Volts Yes P No F] (Check Appropriate Box) Utility Authorization No.. / U 07 7�5, Overhead ED Underground M No. of Meters Overhead M Underground r-1 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 M Below Generators KVA ground ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal El Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER Wak m SM �- — 4 —G / hq)eCtiat DEkR4xsted Selo, un"Ille FIRM NAME PF3IaII� 0"11W Z-61-131� 113 CR. Lioatsm Siglvltul� OWNER'S INSURANCE WAIVER; lam a w=11vitthel-imse dm nut and � my sigttattlieon this pew appli�ial wai�5 dtis t�ettelt (Please check one) Owner Agent Esthl &dValuedP&cfiW Woik $ Ra>gtt 1iU i ( j �.. Final LioawT,4a r l 9 ? 1 Alt Tel Na a bstitW eWvala>tas mgtmed byMassad Edcs Galeal l2m Telephone No. PERMIT FEE $ Nq 4770 3r 0 Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..... ! .f • • • • `'t ...... • • has permission to perform ....A . �.�.. - .G.�<.!� ............ . plumbing in the buildings of .. .° �' ..`...... 6? ............ North Andover, Mass. Fee. . ��. . Lic. No... j.'..` ... .................!. ...... . PLUMBING INSPECTOR Check # (Ill WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO. -PLUMBING (Print- Or TV De) 1111.01 M Mass. 1) Zj te City, Town ei e ii.' AT: Location Name. A Type of Occlipalicy: P New, Renovation ❑ Rej)lacement El P labs FIXTURES Slibmitted: YesEl NnD 41 14 (Prin(orType) Check One: CCUtiflCMe Installing Company 0 Corp. ci Address Partnership ­­ - ____ (0 El Firm Cont ian Busilless'Felepholle Nat ie (of Licens'CA Phii)bCr or(,I,1SI_k(t.:j__ I hereby certify that all of the details and information I have submitted (or entered) in above application arc title and acculale to the best of my l,no%%lcdgc:md that all plumbing Work and installations freffolined andel Petillit issued for this application will he in compliance with all pCllillclll provisions of the Klassachlisclis Sime (ills Code and Chapter 142 of the General laws. I hale iolmined the owner or his agent that I do not hikVC liability imurunec including completed operations cmvi:'ge, -liabi)ity ilistifim AN to niuli By Ci(Y/Town APPROVED (OFFICE USE ONLY) lf)nml240 l-I0n1V.&WAIMrN.ln(;.1989 r ;1iio� s"i:o% cl a ge 4il . - n . . . .. . Ignatille of Licensed Number Type of, Plunill, Ig 1ACCIISC El License Number Master❑ .10111,11cylliall i z 0 z -1( U) (a = !14 0 Z U -4 1- z ;1: W W W to Z V1 49 Ir 4 ~ 0z W it CC M 0 _j 1— W ix W 0 U. z z 1-- X 0 =11 cc v) W cc 1 0 -4 0 Z CC cc DC W W x f.0 W 0 p z . J Y(L N rt 0 to _j .14 ;i a .4 CC W a IL LL Nd cc W 0 x ul n 0 C) V) z z W 0 0 x 0 .4 3cc -4 to fun) 0 a _j :l; a Z) a .4 CQ 0 SUB-13SIVIT. BASEMENT IST FLOOR Ll I 2ND,FLoon 3ADFLOOR 4TH FLOOR TH FLOOR 6111 FLOOR 7T11t FLOOR STII FLOOR] (Prin(orType) Check One: CCUtiflCMe Installing Company 0 Corp. ci Address Partnership ­­ - ____ (0 El Firm Cont ian Busilless'Felepholle Nat ie (of Licens'CA Phii)bCr or(,I,1SI_k(t.:j__ I hereby certify that all of the details and information I have submitted (or entered) in above application arc title and acculale to the best of my l,no%%lcdgc:md that all plumbing Work and installations freffolined andel Petillit issued for this application will he in compliance with all pCllillclll provisions of the Klassachlisclis Sime (ills Code and Chapter 142 of the General laws. I hale iolmined the owner or his agent that I do not hikVC liability imurunec including completed operations cmvi:'ge, -liabi)ity ilistifim AN to niuli By Ci(Y/Town APPROVED (OFFICE USE ONLY) lf)nml240 l-I0n1V.&WAIMrN.ln(;.1989 r ;1iio� s"i:o% cl a ge 4il . - n . . . .. . Ignatille of Licensed Number Type of, Plunill, Ig 1ACCIISC El License Number Master❑ .10111,11cylliall i Location No. S Date TOWN OF NORTH ANDOVER t i # Certificate of Occupancy $ ��a • E�� Building/Frame Permit Fee $ � s�cwus Foundation Permit Fee $ -w Other Permit Fee 7t'A' i,er $ 6 TOTAL $- Check # Gdoo 141. 3 n ��u�- Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: c DATE ISSUED: SIGNATURE: Building Commissioner ctor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: �06VE 1.2 Assessors Map and Parcel V Map Number Number: e Parcel Number 1.3 Zoning Information: ,P- 3 oFF�� �c Zoning District Proposed Use 1.4 Property Dimensions: 27, r6 Lot Areas Fronta e ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R red Provided R red Provided ®, ® LII qD, o .7 7D 1.7 Water S Public 0 . .C.40. ❑ 54) 1.5. Flood Zone Information:1.8 Zone Outside Flood Zone Municipal Sewerage Disposal S tem: 0 ✓ On Site Disposal System ❑ SECTION 2" PROPERTY OWNERSHIP/AUTHORIZED AGENT / 2.1 Owner of Record Name(P 'nt) Address for Service 6 -y ° Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Afl ST,� A Ap Lc(,q S Licensed Construction Supervisor: 0—)13101 . / 0� G v [N 57- License Number Add / p /,, 0 L u D Z Expiration Date Signature Telephone p 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Si nature Telephone It SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ......) No ....... ❑ SECTION 5 Descri tion of Pro osed Work(check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition ❑ Other Specify �::I� Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OI xCIAy USE-ON'LV _ 1. Building (a) uilding Permit Fee Multiplier 2 Electrical) Estimated Total Cost of struction 3 Plumbing ` ' Bu)g Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE CbMPLETED WHEN OWNERS AGENT OR*C�OONTR/ACTOR APPLIES FOR BUILDING PERMIT I,y Aey 16 Ile 4'' AY as Owner/Authorized Agent of subject property. Hereby or e L ��� 5 % "p 4 '� ' S to act on My be a t • ll matters rel t 2 to ork authorized by this building permit application. Signati re of Ownpf Date SECTION 7b O,oWNER/AUTHORIZED AGENT DECLARATION I, �j�as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are trite and accurate, to the best of my knowledge and belief` / /J Print Na}j.910 IV ��/7��C�✓,J/` Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS Ll HEIGHT OF FOUNDATION IMCKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND IS I3UILDING CONNECTED TO NATURAL GAS LINE 1 /IC l..iUl/llllVIIVVGQI(ll U/ /V/QJJdI.//UJC!(J Department of Industrial Accidents Office of Investigations Boston, Mass. 02119 Workers' Compensation Insurance Affidavit Please Print 6 0 YLI> ( L) Co v ),-- v 11 d rti f Location: r L o.7 L O Q N N e City k. 4 N�o 0 v e .e Mq Phone _606 Ll 70 7 am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company namedy o Ur t Yd S Address f� 0 4 0 A S 3 //4✓ If ti� u v r Z r!'� Phone # � �6 �� � o � city. Insurance Co CA s 1 re / Policy.# WC % 6 81 O � Company name., -- - Address City -_ - Phone # Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 andlor one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify und,qjpains and penalties of p91uff that the information provided above is bye and correct. Date 101,160 Print name CN e s To k e I21 'fel - vq S Phone # ,�,8'g- Esse Official use only do not write in this area to be completed by city or town official' E Building Dept []Check if immediate response is required Building Dept p Licensing Board r-1 Selectman's Office Contact person:_ Phone #: F Health Department O Other FORM WORKMAN'S COMPENSATION illmle FORM - U - LOT RELEASE FORM 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. DD vf�c �ou�,f� /-/o�,tS PHONE '.707 APPLICANT �C ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION ArAr C Z 5 rk 7f S LOTNUMBER STREET PA'v"V e l��'' t C� STREET NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS Toono Town nownwonom go 0 mammon we o noonommon we on memo i� DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COI�-NTS fi �e-IA A 11 DATE APPROVED TOWYR DATE REJECTED CON94ENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED ©1✓ PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPART ffi'NT DATE REJECTED CONOAENTS RECEIVED BY BUILDING INSPECTOR TE BOARD OF BUILD iMG REGULATION 'License: CONSTRUCTION SUPERVISOR I I ' - Number: CS 073901 Birthdate: 03/11/1971 ' Expires: 03/11/2002 Tr. no: 73901 f Restricted To: 00 E� CHRISTOPHER N 1WICENAS 98 MAIN STi N ANpOVER, MA 01845 Administrator Cl) m C/) 0 — -o 'C O CD MZ CO) CL o �. = O ca aCO -0 � o � CD CD O CL crd CD CDo CD w� a C, y CD CL O y CD I � v CO) O 'v Z co � n. o CD0 CD <w-Ooo=r --4 z o G• N p Q' y = a S. o y �I om � m n o�,c�c.= R m V _ ?C ca - Z o� �= -0o ti ,,* a o N ME m �� p p G y H9i � O a > > CO n t0pr.O p •-► p OZy.n:hC2` m' as R �-1 a a p r aim cn pia � 0 ^ rV� m m CD: V n C a � CAGo cr o m cnCL CA /� s S' o : D ccH CD • V) N H •� p C m o w:� C ro O ....# O o� c�► f n y,a o t,,. Y r, M n'f m Ccn F I. '� a "w� ems+ • V ® y : \ ��'` J 0� c N S s co: (�aS CL,% r- t �.. a ICA o Cgo W C/) �-oa cn M z ?� '� 7d z w n r A T cn ^zr al ppi - O � � • H 0 9 V 0 IM f •_ Town of North Andover 04 IAORTh Building Department 27 Charles Street North Andover, Massachusetts 01845 * (978) 688-9545 Fax (978) 688-9542 O CO[wl[MIwKK 1• APPLICATION FOR CERTIFICATE OF OCCUPANCY / INSPECTION ADDRESS LOT DATE REQUEST FILED 0 s3/(9, c5T-f /eS DATE READY FOR INSPECTION FIVE (5) DAYS NOTICyE PRIOR TO CLOSING DATE IS REOUIRED ALL WORK AND SIGNAO91UMC ST BE COMPLETE WITHIN THIS TIME FRAME. A RE-INSP``E��CTIF TWENTY -FI 2 DOLLARS WILL BE CHARGED IF THE iI IZUC . NOT MEE APPLICABLE CODES. SIGNATURE ROUTING CONSERVATION DATE z PLANNING DATE 1 D.P.W. — WATER TER \./DATE—6 " I V — D l D.P.W. MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO THE INSPECTION REQUEST DATE. SIGNATURE / DPW AUTHORIZATION won. O Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: (9 / �P lijl o� 11A'thI t_1) u Jer ` fP M DATE. %' ®Z 0' _ 00 Al4P � ��r,eej � f I��AWI�w.: n WING: BUILDING NO.: ),0+ / k eeejAPN'- 1 . REMARKS: 6,N-+ 06 C34 a 1311-3 S T``e-e- l y 3q , - C Excavation - depth and soil conditions Framing - Other: Date: ��� t d/'y O ' Date: Z r Date: Inspector (✓^' Inspector iti C'o" Inspector Footings and foundations and drains - Insulation - Other: Date: / Z- - (/ _ C-�) Date: 2 Date: Inspector R44 Inspector & r/"` Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: - Date: ` �� Date: Inspector Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: - 3 / ` Date: G - V Date: Inspector Inspector Inspector ,ire Dept - -jil burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: 6 - QJ-, d Date: �� Date: 4-- C of O # -63/ Inspector Inspector' iG�.� Inspector lfwCezl, Form #995 Action Press, 685-7000 -N T il Location H ��'�/ ��K �5 `S Ju kl d"S " t ---- No. S oZ Date /.:� ` q-,) CJ TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ -� Other Permit Fee 7�A' i�� $ a� TOTAL $' Check # �d00 4. 3 k']" 8 /�u �- / Building inspector 1.I Property Address: L MAW& v e �7 1.2 Assessors Map 97 Map Number and Parcel Number: Parcel Number Lb T ' 1.3 Zoning Information: Zoning District Proposed Use 1.4J Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Leered Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) Public X Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone 1.8 Sewerage Disposal System: Municipal �- On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record tc>e-c o �Cy dry /t � S �l! Name (�rF', tt) Address for Service: Telephone Name Print 1 SECTION 3 - CONSTRUCTION SERVICES I Company Name Address Address for Service: 0/'b-6 - V7a % Not Applicable ❑ 112t �f7 Licee Nu ber E..,;tion Date Not Applicable ❑ Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the bu4ng permit. Signed affidavit Attached Yes ...... K No ....... ❑ SECTION 5 Descri tion 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: % l SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant , , 4ICIALUSEONLY ` 1. Building A O ®4 " D Q U (a) Building Permit Fee Multi tier �p G 2 Electrical (b) Estimated Total Cost of Construction /3/ /3,5 3 Plumbing %6 ♦0 o U Building Permit fee tel X tbl J �� ` / L — 4 Mechanical HVAC / 5 Fire Protection 6 Total 1+2+3+4+5 113 1 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS NT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property 'r Hereby authorize ��� s JSP `' �' < '00014 e -e '✓ rj to act on My beh, ; n all matters rod ti v t work authorized by this building permit application. ///7/6 0 Si ria ire of Owner Date ' SECTION 7b O` WNER/AUTHORIZED AGENT DECLARATION I �/� e e S %o® 4 e IoV 4 e -e •+.- t S ,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 2!X4��_ / .� 7 o U Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB V fe ., v SIZE OF FLOOR TIlvIBERS 1 .ZX l0 2 -I' / o 3 SPAN y r DM ENSIONS OF SILLS - X DIN ENSIONS OF POSTS DIMENSIONS OF GIRDERS k ! D HEIGHT OF FOUNDATION THICKNESS Af SIZE OF FOOTING /o X p MATERIAL OF CHEVMY 010 IS BUILDING ON SOLID OR FILLED LAND S� IS BUILDING CONNECTED TO NATURAL GAS LINE < <J � ' w/fie �ommwncu�calbi o�./�aaoar/uuetld r' BOARD OF BUILDING REGULATIONS z License: }CONSTRUCTION SUPERVISOR j Numtie°re'<ObS 008587 Biftdatfi- V403l1954 tXpii�es; OM03/2602 Tr. no: 19386 W ; Restricted To: 00 GARY A KELLOWAY- k 653 OSGOOD ST.�� y '; N ANDOVER, MA 01845 Administrator GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. 1- t! t v -1 n1 Q e , d( &00)'Yi6� 7 && T��r Permit Applicant Property address �7 Map / Parcel Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as of the effective date of this bylaw, provided that no additional residential unit is created. XThe lot(s) was/ were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all of the conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a onetime exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDIN9,JERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FUR ERSTAND THAT THE SUJ§MITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHE F. OF A ABOVE EXE WHICH DOES NOT COMPLY, WHETHER DONE TO MYK;WLEGE OR N IS UND F REFUSAL BY LDING DEPARTMENT TO ISSUE A BUILDING PERMI APPLICANTS SIGNA DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION IIIC UI IVI000GfUJIU3U1Uj Department of Industrial Accidents Office of Investigations Boston, Mass. 62111 Workers' Compensation Insurance Affidavit Location: G- e -P iA N v �e < C City f /U.oqlst/CC Phone y am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. r'mm�anv name: �Pe /�y° `f ` �'"' / r ° y e s Address Cid %!� ii/rl/�(' _ -- Phone#:� V%G % C 5711�9S.5di17 Compgny name: -- Address City: Phone # Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. 1 understand that a copy cf*is statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify un ri am )ties of peijuiyXa,0kh1 Information provided above is true and correct. Signature _ Uate_ Print name C- �`' s T�<<' S Phone# 6 -,?,9-49"5s P Official use only do not write in this area to be completed by city or town official' E]" Building Dept [3Check if immediate response is required Building Dept E] Licensing Board p Selectman's Office Contact person._ Phone #: Health Department 0 Other FORM WORKMAN'S COMPENSATION FORM - U - LOT RELEASE FORM R -ec i, c 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. .boa � � t LJ � ti � �' /yS �5 Q APPLICANT o"'- � C PHONE f� ASSESSORS MAP NUMBER '7 LOT NUMBER SUBDIVISION 'f j LOT NUMBER STREET zC4,"gV'JC- 4,7c tv e- STREET NUMBER OFFICIAL USE ONLY REC MM NDATIONS OF TOWN AGENTS �EW;7 Emess DATE APPROVED m 7 CO SERVATION ADMINISTRATOR T DATE REJECTED DATE APPROVED DATE REJECTED COMIyiEN'IS DATE APPROVED FOOD INSPECTOR -HEALTH DATE REJECTED �Pll DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED CONIIvIENNTS PUBLIC WORKS - SEWER / WATER CONNECTIONS b e Accu 174'(-� �� Oli' DATE APPROVED FIRE DEPAR DATE REJECTED 5 COMMENT RECEIVED BY BUILDING INSPECTOR DATE MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAscheck Software Version 2.01 Release 2 CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 11-9-2000 TITLE: LEANNE DRIVE or 2 Family, Detached Other (Non -Electric Resistance) PROJECT INFORMATION: BROORVIEW COUNTRY HOMES INC Po BOX 531 N ANDOVER MA COMPANY INFORMATION: J&J HEATING & AIR COND 17 ARLINGTON ST DRACUT MA COMPLIANCE: PASSES Required UA -563 Your Home = 515 Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -value CEILINGS 1536 30.0 0.0 wALLs : Wood Frame, 16" O.C. 2450 13.0 0.0 2 GLAZING: Windows or Doors 383 0.400 1 GLAZING: Windows or Doors 42 0.460 DOORS 39 0.400 FLOORS: Over Unconditioned Space 1536 19.0 0.0 HVAC EQUIPMENT: Furnace, 92.0 AFUE ----------- COMPLIANCESTATEMENT: The proposed- - - building designdescribedhere is consistent with the building plans, specifications, and other calculationsf submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date t Massachusetts Energy Code MAScheck Software version 2.01 Release 2 LEANNE DRIVE DATE: 11-9-2000 Bldg. Dept. Use [ C] [ ] f ] [ l I ] [ ] CEILINGS: 1. R-30 comments/Location WALLS: 1. Wood.Frame, 16" O.C.,, R-13 Coimaents /Location WINDOWS. AND GLASS DOORS: 1. U -values 0.4 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location 2. U -value: 0.46 For windows without labeled U -values, describe features: # Panes Frame Type Thermal Break? i ] Yes [ J No Comments/Location DOORS: 1. Uvalue: 0.4 Comments/Location FLOORS: 1. Over Unconditioned Space, R-19 Congnents /Location HVAC EQUIPMENT: 1. Furnace, 92.0 AFUE or higher Make and Model Number 2. Air Conditioner, 10.0 SEER AIR LEAKAGE: Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed.. When installed in the building envelope, recessed lighting fixtures shall meet one of the following requiremants: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent -air leakage into the unconditioned space.. 2. Type IC rated, im accordance with Standard.ASTM E 283, with no more. than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 VA or.1.57 lbs/ft2 pressure difference and shall be labeled. VAPOR RETARDER: Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. MATERIALS IDENTIFICATION: Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R -values, glazing.u-values, and heating equipment efficiency must be clearly marked on the building plans or specifications. DUCT INSULATION: Ducts shall be insulated per Table J4.4.7.1. DUCT CONSTRUCTION: All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. flesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and. water systems. TUPESATURE. CONTROLS Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating andlor cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING:. Rated output capacity of the heating/coaling system is not greater than 125% of the design load as -specified in Sectione.780CMR 1310 and J4.4. SWIMMING POOLS:. All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. HVAC PIPING I:NSULATIO14 HVAC piping/conveying fluids below 55 F Y,6ust be insulated i above 120 F or chilled fluids. to the following levels (in.): HEATING. 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J ---- -==----------------------------------- 'I'�IIII��II��IIII��I�III�I��IIIII�II�I�'�'I� � ■1■� .I,t,Ir1,1���1�1�1 � _ , 1111111111111111111111111�::::::::::::;::::��;li�ihlililililililili ' : = • ' ' t Il,i �11�1111111x11�1�x�1 • IIIIIIIIIIIIIII�I Ilrlrl,�r�'�I�I�lil�lili - ; ' ;t;l;,;�,�;l,,lllfllllll f1f11111t11l tl� ;■■ ■■ I,III,I,t,��11���tlll• NOME!mi om I l l l l r iJ ►1111111 ■■ ■■ 1 1 1 1 1 1 ►.f c l l l Il,l,l,l,l,lrlr.�ir��l�l tllllltllllltlllt'tlt��� MEN Itrlrlriftrlrirlrt������ ' 1111111111/ltlllt11�1�1�►. . ' 111111ti11►1, :. ilililililililililili!►' 1 ' •. • �IIIIIIII�IIII� 1 i,trl,l,l,t,i,trtr ii ii 11,1,1,1,1,I,fa , i I���� It���tllrt►r 1111111 11111111111111111111111�I oil - 1 , r Location No. �,/ Date NORTH TOWN OF NORTH ANDOVER 1 •6 0 ' Certificate of Occupancy $ ��a "�•°''t�' Building/Frame Permit Fee $ s^CHUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �` V Check #14-359 '' Building Inspec UUU NORTH aD i�1ti0 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION ,SSACHUStS Permit NO: / Date Received: Date Issued: Ll %/ ek F IMPORTANT: Applicant must complete all items on this page I LOCATIONS p� _ � Print / PROPERTY OWNER T(fVLn z CS�4--av� Print MAP NO.: ! / PARCEL: TVPF ANn iTCF, OF RIIILDING ZONING DISTRICT: HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ Addition �l Alteration D< One family ❑ Two or more family No. of units: G Industrial Repair, replacement ❑ Demolition ❑ Assessory Bldg C Commercial E Movin (relocation) 0 Other ❑Others: F1 Foundation only DESCRIPTION OF WORK TO BE PREFORMED CkC-e— j s -r. Jt� C/.sss- Identification Please Type or Print Clearly) 17-251- OWNER: Name: � "► s��� Phone: Signature Address: % G-24 4 vt e- (%e- CONTRACTOR Name: �u� �� Lis .�s-e — Phone: Address: e -C ()Z Y'3 2 - Supervisor's Supervisor's Construction License: 6K'?83 t Exp. Date: C� Home Improvement License: � Of %? �Z Exp. Date: /1--Z --c? ARCIJITECT.%E,NGINEER Name: Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT.- $10.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $12,5.00 PER S. F. pa i Total Project Cost :$ Z Zc> ` x10.00=FEE:$ Check No.: c2 (,,% 7 Receipt No.: TYPE OF SEWARGE DISPOSAL Tanning/Massage/Body Art__j Swimming Pools =1 Public Sewer L Well ❑ Tobacco Sales —� Food Packaging/Sales _ Permanent Dumpster on Site ` - Private (septic tank, etc. ❑ NOTE: Persons contracting with unregistered contractors du not have access to the guarawy fund Signature of Agent/OwneSignature of Contracto&iped Plans Submitted ❑ Plans Waived El Certified Plot Plan ❑ Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS "Zoning Board of Appeals: Variance, Petition Zoning Decision/receipt submitted yes _ Plannino Board Decision: Conservation Decision: ,! Water & Sewer connection signature & date DATE REJECTED ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other DATE REJECTED DATE APPROVED DATE APPROVED El . DATE REJECTED ❑ ❑ Com Comments Temp Dumpster on site yes—no— Fire Department signature/date Building Permit Approved and Issued by: DATE APPROVED Building Setback (ft.) Front Yard Side Yard Rear Yard Required Provided Required Provides Required Provided TI 11%n V Ai I'll �.r "IivlG11401V1\ Number of Stories: Total land area, sq. ft.: Total square feet of floor area, based on Exterior dimensions. Crc.ueJ.fRIC Jdn._(llin --. Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Debris Removal Form ❑ Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work Addition Or Decks ❑ Building Permit Application ❑ Form U ❑ Surveyed Plot Plan ❑ Debris Removal Form ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) New Construction (Single and Two Family) ❑ Building Permit Application ❑_ Form. U - - -- - - -- - - - - -- . ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydrauli Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: INSPECTIONAL SERVICES DF.PARTMENT:BPFOR,%IOS a le �o»tr�aoruaealC/r, o� %�asurt�uaea Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 129774 Expiration: 11/2/2007 Type: DBA PELLA WINDOWS AND DOORS SCOTT HOUSE 45 FOND[ RD. _ HAVERHILL, MA 01832 Administrator - �' l e Pom�.reo�uura/,C� a� �%aaoaclu�ae�s ; BOARD OF BUILDING REGULATIONS, License: CONSTRUCTION SUPERVISOR Number: CS 089839 Birthdate: 06/19/1972 Expires: 06/19/2008 Tr. no: 89839 Restricted: 00 SCOTT P HOUSE 854 BROADWAY #1 HAVERHILL, MA 01832 Commissioner] �V 0 W, - b I 1 1. 1-1. k a.v..l.l.a.Ia, 4•l. kil7 PRODUCER INSURED Fred C. Church, Inc. 41 Wellman Street P.O. Box 1865 Lowell, MA 01853-1865 . L -- --tl. r. - .. , RAFNII , 2' 08102/05 978-458-18e5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, MaTM OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. New England Window & Door, Inc dba Pella Windows & Doors, Inc 45 Fondi Road Haverhill MA 01830 COMPANY A Hanover insurance Company COMPANY 0 Mass Bay Insurance Co COMPANY C Hartford Insurance Company COMPANY D . Q— THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ED ABOVE FOR THE POLICY PERIOD -RM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDCATED, NOTWITHSTANDING ANY REQUIREMENT, TF HAVE iEi� ISSUED TO THE INSURED NAM CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS IMAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C. TYPE OF INSURANCE I POLICY NUMBEIII POLICY EFFECTIVE POLICY EXPIRATION DATE IMMA)D/yyj I DATE fMUWyyj LlMrM A— _HAERAL LLAmLrry ZBN8161407 7)01105 7 7101/08 GENERAL AGGREGATE s 2000000 LX! �COMMaRZ:AL GENERAL LIABILITY PRODUCTS - COLIP/OP AGO $ 2000000 CLAIMS MADE F X — 1 OCCUR PERSONAL & AOV INJURY 10 1000000 X I OVVNEFrs & c0NTRACTOFrs Pscrr EACH OCCURRENCE 0 1000000 FIRE DAMAGE (Anv arts fill $ MED EXP Oww am voraanj S 110000 8 i �CUOBILE LIABILITY I ADN8182169 7/01105 I 7/01108 X ANY AuTo CoMS11— SINGLE LIMIT AUTCS ALL =%VNE3 1C0OOOO �I sCHEDLLE) AUTOS BODILY INJURY X I HIREC AJTOS (,Per perg" X I NON -OWNED Aurcs BOOILY!NJURY (Per a demi Hill PROPERTY DAMAGE GARAGE LIABILITY ANY Aur:) AUTO ONLY - EA ACCIDENT I OTHER THAN AUTO CNLY: EACH ACCIDENT $ AGGREGATE 3 A i EXCESS LIABILITY UHNS 167305 7/01105 I 7/101/06 EACH OCCURRENCE f 90=)00 X I UL48SB-LA FORM AGGREGATE f 9000000 OTME:? THAN UMBRELLA F-::FjM I -- — C WORKERS COWENSATI10111 AND OBWBNL6742 X IC --TATU- I arH-( 1105 7/01/06 �77 77-7 EMPLOY8tS` LIABILITY I TORY LIMITS I L9 THE PROPRIErCRI INCL PARTNERVEXECUTTVE OFFICMS ALIRIe HEXCL I OTHER DESCRIPTION OF OPERAnoNg/LX)CA-nomaNEgCLrzglspECMfrEM, Town Of Needham is named Additional Insured as their Interests may appear. EL EACH ACCIDENT $ 50= EL DISEASE - POUCY UNIT * 500000 EL DISEASE -EA EMPLOYEE 3 500000 10 days notice of cancellation for non-payment of premium. -Q SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To "AAL 30 DAYS VI"— NOTICE TO THE CERTIFICATE HOLDER MANED TO THE LEFT. OUT rALURE TO MAIL SUCH NOTICE SHALL IMPOSE No OBLIGATION OR LIABILITY 1OF .ANY KIND. UPON THE Ca .—ANY ITS 412 _ff" - OR REPRESENTATIVES. -71r== LAdbbi!Gtr j]:!:j:.:j:j:j.j:;j I p'pT,[. 06--tokod N-%:: '6 . ... . .. lea I!G, 05: —'3PI1 FAX: 508 454 1865 ID:PELLA PAGE: 002 R=92% ZI 1 E '♦ �� a U aGO cd v W W GO Cd a W -� o C o U o G ij o 47 E E pq z cn 0 cn E '♦ �� QU W Z r ij o 47 ih Wo o Q *� �1 0 O z GL... O y0+ d cm y CO m m N voi ' 0 3 m� A m Cc CA A A-- y E� m o a� ♦L.r_ O _ is C O Q y p,C= mom V y Z O QO Q7 m C = m W . p CL CO3 A = m s WmW m C 'O :5 'O y'.mLU L3m CLy d Z 110 A y 7 1— � $ Rem ..7 CD a 'am O CD L O CD Z o. O y � C CD i C C 0 m m •� O O Z O � 3.0 CD i �e o c Ccclc .0 Z a5 V y � C CL C C CO) 0 LU V♦ LLI W W 19 W CA Sold To: .) f n (1 t -►V :'9A'(,4 -D n Date: 3 ! -)- 0 o �- Address: I ) Le w n(Nit- _10 T Phone (Home) (1] g I City: �\ G^A cr i -k-r- State: P_C�_ Zip: ((Phone (Work) -(-) Job site Address (If different): _ I phone (Cell) (691 5Q D yo)- E-mail: YES NO PATIO SLI E 1. I1 ❑ 2. �" ❑ 3. ❑ 5. 0___ ❑ 7. o 0 8. ET' ❑ 9. b,-/ ❑ 10. IEI ❑ 11. ❑ ❑ 12. ❑ ❑ 13. ❑ ❑ HINGED PATIO DOOR 14. ❑ ❑ 15. ❑ ❑ 16. ❑ ❑ 17. ❑ ❑ 18. ❑ ❑ 19. ❑ ❑ 20. ❑ ❑ 21. ❑ ❑ 22. ❑ ❑ Pella Boston Will Furnish and Install: PLEASE READ CAREVULLY: ONLY THE ITEMS CHECKED YES ARE INCLUDED Existing Patio Slider opening to rema_in �a same size A (/ HIC Registration #129774 Federal ID #04-3277886 Pella Windows & Doors a IS -3 Pella Windows & Doors of Boston 45 Fondi Road "Viewed to be the Best" V198 Haverhill, MA 01832 PH: (800) 866-9886 Service: Ext. 124 If not standard size, custom size to be "Wide by "Tall Fax: (978)556-06-0 394 ® DOOR CONTRACT Sales: (866) Pella06 Sold To: .) f n (1 t -►V :'9A'(,4 -D n Date: 3 ! -)- 0 o �- Address: I ) Le w n(Nit- _10 T Phone (Home) (1] g I City: �\ G^A cr i -k-r- State: P_C�_ Zip: ((Phone (Work) -(-) Job site Address (If different): _ I phone (Cell) (691 5Q D yo)- E-mail: YES NO PATIO SLI E 1. I1 ❑ 2. �" ❑ 3. ❑ 5. 0___ ❑ 7. o 0 8. ET' ❑ 9. b,-/ ❑ 10. IEI ❑ 11. ❑ ❑ 12. ❑ ❑ 13. ❑ ❑ HINGED PATIO DOOR 14. ❑ ❑ 15. ❑ ❑ 16. ❑ ❑ 17. ❑ ❑ 18. ❑ ❑ 19. ❑ ❑ 20. ❑ ❑ 21. ❑ ❑ 22. ❑ ❑ Pella Boston Will Furnish and Install: PLEASE READ CAREVULLY: ONLY THE ITEMS CHECKED YES ARE INCLUDED Existing Patio Slider opening to rema_in �a same size A (/ If No: New size to be. " Wide by b Tall Install new Patio Slider ❑ Cellular Slider to be standard size: _)e.,::�80" or -81 -Tall by ^5' 6' _!!f_8' 9' 12' 16' Wide If not standard size, custom size to be "Wide by "Tall Patio slider to be: ❑ Architect Series Series -fie Series Style of slider to be: �/ ❑ French ❑Cont porary (Not Available in Architect Series) Exterior color of slider to be: hile ❑ Tan ❑ Brown ❑ Othec. Architect Series Glazing 03-Ksulshield Tempered ❑ Other ?C6 k I n• -e Designer Series Glazing Hinged door to be standard height: ❑ Insulshleld Tempered ❑ Double Glazed ❑ DGP ❑ Clear Tempered ❑ Low E Tempered Hardware color to be: � 13White 11Champagne 11Brass 11M Oil Rubbed Bronze atin Nickel Panel Venting Orientatien: 9-X0 ❑ OX ❑ OXO ❑ OXXO ❑ Other New patio slider to have /^ El Self I( a Self Closing Screen (Not available on Proline Series) l/ ❑ Rolscreen Patio Slider to have Muntins J If Yes: ❑ Removable 3/4" ❑ Removable 1 1/4" ❑ Permanent (ILT) 7/8" Permanent (ILT) 1 1/4" fJ Muntin Pattern to be ❑ Addendum Attached (If Needed) New Patio Slider(s) to have Between the Glass Options ❑ Cordless Raise and Lower ❑ Tilt Only ❑ Grilles Between the Glass ❑ SIImShade ❑ Slimshade Color ❑ Cellular ❑ Cellumar Color # of Units with SlimShades # of Units with Cellular Interior of Units to be _ ❑ Painted Unfinished (Ready to Paint or Stain) ❑ Primed Orly ❑ Unfinished 11 Decorator Decorator White ❑ Dove White ❑ Linen White Iniilal InllialR Existing Hinged door opening to remain the same size Hinged door to be standard height: 80" _ 81" 96" Hinged door to be standard width: 60" 72" 90" 108" Hinged door to be custom sized: " Wide by " Tall (Verified at final measure) Hinged door to be: ❑ Architect Series Designer Series ❑ Proline Series Style of hinged door to he: ❑ French Exterior color of hinged door to be: ❑ White ❑ Tan ❑ Brown ❑ Other Archtiect Series Glazing: ❑ Insulshie!d Tempered ❑ Other Designer Series Glazing: ❑ Insulshield ❑ Double Glazed ❑ DGP Initial Ad (As v from e, 23. 11 New hinged door to have screen 11 Clear Tempered ❑ Low E Tempered 24. ❑ ❑ Hardware color to be: ❑ Bri ht Brass 11 Antique Brass 11 Chrome 11 Satin Nickel 11 Oil Rubbed Bronze Door Orientation: In Swing ❑ Out Swing Hinging: ❑ Left ❑ Right (As viewed from Exterior) 25. ❑ ❑ Patio slider or Hinged door to have muntins: If Yes: ❑ Removable 3/4" ❑ Removable 1 1/4" ❑ Permanent (ILT) 7/8" ❑ Permanent (ILT) 1 1/4" Muntin Pattern to be: ❑ Addendum Attached (If Needed) 11 26. ❑ ❑ New Hinged Patio Door to have Between the Glass Options ❑ Cordless Raise and Lower ❑ Tilt Onl ❑ Grilles Between the Glass ❑ Slimshade Slimshade Color ❑ Cellular ❑ Cellular Color 27. ❑ ❑ # of Units with SlimShades # of Units with Cellular 28. ❑ ❑ Interior of Units to be Unfinished (Ready to Paint or Stain) Initial Active Panel ❑ Painted ❑ Primed Only ❑ Unifinished (As viewed ❑ Decorator White ❑ Dove White ❑ Linen White mrcai mrai from exterior) 29• ❑ Clean up and vacuum nightly and remove all debris at completion of job site 30Remove and dispose of door in existing opening 31. L7 ❑ All workman's compensation and liability insurance maintained 32. ❑ Warranty mailed to customer upon completion when full payment is received. 33. ❑ ❑ Total Project Amount $ 34. ❑ ❑ Financed If Yes: Amount Financed $ (Reference # ) 35. ❑ ❑ Deposit Received $ _ 36. ❑ ❑ Balance on Substantial Completion $ (Payment is payable to Installer at completion of job) 37. ❑ ❑ Additional Comments: PELLA IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS. SALESMAN HAS NO AUTHORIZATION TO CHANGE ANY ITEMS OR MAKE PLEASE REMOVE ALL SHADES,VERTICALS, BLINDS, CURTAINS, DRAPES ANY REPRESENTATIONS OTHERTHAN CONTAINED INTHIS AGREEMENT ORWINDOW MOUNTED AIR CONDITIONERS, PRIORI 0 THE INSTALLATION AND "OWNER" REPRESENTS THAT NONE HAVE BEEN MADE TO OR OF YOUR NEW DOORS. INSTALLERS ARE NOT RESPONSIBLE FOR THE RELIED UPON BY "OWNER". YOU ARE ENTITLED TO A COMPLETELY REMOVAL OR INSTALLATION OFTHESE TYPES OF I I EMS. FILLED IN DUPLICATE OFTHIS AGREEMENT. CONTRACT SUBJECTTO FINAL INSPECTION BY PEI LA CONSTRUCTION DEPARTMENT. TERMS AND CONDITIONSTHAT GOVERNTHIS CONTRACT ARE PRINTED ONTHE REVERSE SIDE. This contract Is a legal document. Your Pella products will be specially made-to-order for you. UNDER NO CIRCUMSTANCES WILL REVISIONS OR CANCELLATION BE POSSIBLE BEYOND THE THIRD BUSINESS DAY AFTER THE CONTRACT HAS BEEN SIGNED AND DEPOSIT PAID BY SIGNING Date: t_��� White - Original Yellow - Customer Pink - Store U Location C Z No. ( 7 v Date HORTp TOWN OF NORTH ANDOVER O: �.•e ,•,NOO • L o '; Certificate of Occupancy $ CBuilding/Frame /Frame Permit Fee $ sAMU 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # ctG 7� r 1 G Building Inspector' v Y