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HomeMy WebLinkAboutBuilding Permit #1113-2016 - 103 BRIDLE PATH 5/17/2016 ®� NORTH BUILDING PERMIT oF�tLEo 6q"o TOWN OF NORTH ANDOVER 10 • . A APPLICATION FOR PLAN EXAMINATION 64, Date Received ARRA rE0 Permit No#: Pp �� �SSACHUS�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION �rI Print PROPERTY OWNER 1JC-/� Is e 6 reek j tl Print 100 Year Structure yes no MAP (O7 PARCEL: q?0 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building , One family ❑Addition ❑Two or more family [I Industrial ❑Alteration No. of units: ❑ Commercial Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Q Septic' ❑W.ell' t, ❑CFlootlplai,nWetlartls' F; _El "1Natersfed ®stnct� I` ❑iWater/Sewer w __ DESCRIPTION OF WORK TO BE PERFORMED: ,S�n o 's aF Identification- Please Type or Print Clearly OWNER: Name: ��t1 I Se r� 1,taej Phone Address: /D �/i ��-7 �1�U VAcJ0V6' Contractor Name: ,(f{'ICdfl2 Rao fins Phone: Email: C/c(UICI CGZJf�Lonc,/,,DoFirt� CtiNr Address: f o S�' nld� A-dove, /`�/f a 4 Supervisor's Construction License: Exp. Date: /u7 -/ -17 _ Home Improvement License: 16 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. � a - Total Project Cost: $ o FEE: $ Check No.: �f Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -. n - - - -- r 'fj p Location 6--�' r No. �- . t, Date . • TOWN OF NORTH ANDOVER v -f Certificate of Occupancy - Building/Frame Permit Fee $.!c! " Foundation Permit Fee Other Permit Fee $ TOTAL $ Check# �i�''t - Building Inspector Plans Subm'i-tted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ ...-TWE OF`-.SEWERAGEDISPOSAL- Public Sewer ❑ Tanning/Massage/Body Art ❑... ..Swunming Pools ❑ Well ❑ Tobacco.Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc... ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORINT DATE REJECTED: DATEAPPROVED PLANNING & DEVELOPMENT' ❑ ❑ COMMENTS .CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments i Conservation Decision: Comments Water & Sevier Connection/Signature& Date Driveway Permit DPW'Town Engineer: Signature: Located 384 Osgood Street FIRE'O EPA�1'i Ii=.IST --Temp Dumpster on side yes.. . no Located7at U4 Mair, Street Fire Department signatureldate COMMENTS NORTH own of O - 0 No. 1114 sass �� a �� % , ver, Mass, COCKICKEWICK y1. �asATE[0) 1 U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT b. i:SE.....�r.�`E`�SEs BUILDING INSPECTOR ........... . J Foundation i has permission to erect .......................... buildings on ....�.� ... .'� <. .. I........................ Rough to be occupied as ...................... . . ....Ll.: `F. DO. ............................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIS ARTS Rough Service .............. G ....^.................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. DAVID CASTRICONE, PRES. CASTRICONE ROOFING & SIDING INC. ROOFING, SIDING & REMODELING REPLACEMENT WINDOWS HOME IMPROVEMENT CONTRACTOR REGISTRATION NUMBER 104569 231 R SUTTON STREET UNIT 3A, NO.ANDOVER,MA 01845 In North Andover 978-683-3420 In Boxford 978-887-6147 In Haverhill 978-374-7314 I/we the owner(s)of the premises mentioned below,hereby contract with and authorize you as contractor,to furnish all necessary materials,labor and workmanship,to install,construct and place the improvements according to the following specifications,terms and conditions,on prem' below described: Owner's Name........ ......P—j1,.lS. i... .P�.�!` ......................... . 1 T ne#... Job Address....� l3....�./ ...............Ci ty... 0,.V:9.4............ a�. Specificalions: K461 S e✓(e gfe.4we. ,dji'i-,1 .......................................... d.................................................... trip existing shinglcs.�".�A ply new drip edge to all edges. � ...................................................................................................................................................................................................................... -/Apply—a—feet ice and water shield membrane to bottom edges of house.3 feet tice and/water shield membrane in valleys and bottom edges of any unheated areas of house, p© .......................................................... ................................ /�J f r 1.f!1.....!./x. r... ..... ..... i ..... .. ... ................. ;Apply feilcp cr nderlayinent. nstall ridge vent to = 0 .........s �r1iA, ....... .............. ............. ................ ........................_....... Y................. nce , shingles with a cid yearwarranty. si i .. . ................................. 6o .............. .............. +' unterflash chimney. ✓New vent piye flashing. egal disposal of all debris. ................ LSL . .. . l ............._..... ......................... .........�....... e..�s..�1 -�..............b.. Areast..be worked on. . f ....r�...�t..l.".. ..D.©.�..$� ....�'.. .u.l.....(�Yler7t�, ,1.�fi�`�!.f.......1� I � ..... ..O.YL.`to...... A................................ ................. ,/s :.....A. .`1.. ..��........y� ............... -...x.1.1..... ...... . .......... g . . .... .Q...... .............q . . — ' Roof board replacement if necessary @ /shee ot�s'�foot. �p�i�ri r zth s ��,' , .................... ................................................................................................ .......................... ............................ ..... . Five Year Workmanship Warranty(Not Transferable) Manufacturer's Warranty as specif by t nu he urer The contractor agrees t erform the work d sh a materials specified above for the SUM f$.. ......g . ......... Payable.7 . . . on.. . .. ............... �dJ ............ Payable.............................on.................................. Balance payable on completion of job Owner or Owners are not responsible for Property Damage or Liability while job is in operation. Contractor is not responsible for any damage to the interior of property,including pre-existing conditions(i.e.water stains,crumbling plaster,exposed nails)or conditions resulting from application of materials specified above(i.e.objects coming loose from walls,crumbling plaster,exposed nails,dust in attic or other living spaces). Items in attic may need to be covered by homeowner.All materials are property of contractor. Any dumpster placed by contractor is for his use only.Upon completion ofabove woik,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation as requested by contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or so much as then remains unpaid,immediately due and payable. It is agreed that,ifpermitted by law,contractor shall be paid by the owner(s)all reasonable costs,attorney fees and expenses,in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of the contract and/or any lien in connection herewith.Property may be subject to mechanic's lien if unpaid.It is further agreed that this contract may be assigned by contractor,and also that the obligations hereof shal l bind and apply to their heirs,successors or estates of the parties.The undersigned warrant(s).that he is(they are)the owners(s)of the above mentioned premises and that legal title thereto stands of record in his(their) names(s).There are no representations,guaranties or warranties,except such as may be herein incorporated,if any,nor any agreements collateral hereto,nor is the contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. All Home Improvement Contractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to the Office of Consumer Affairs and Business Regulations,Tel.(617)973-8700. Any and all,necessary construction-related permits,shall be obtained by the Contractor. Any Owner who secures his own construction- related permit or deals with unregistered contractors is excluded from the Guaranty Fund provisions of MGL c.142A. Apb Approximate starting date of wolvel �2>,v�.. Completion date......................................................... Receipt of a copy of this contact is hereby acknowledge and/it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents the understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES This contract may be cancelled,without penalty or obligation,within three business days of the below-referenced date.Mail or deliver a signed and dated notice or send a telegram to Castricone Roofing&Siding Inc,231R Sutton St. over,MA 101845. IN WITNESS WHEREOF,the parties have hereunto signed their names this.. ..!/j,..day of.0� 'C.1.---,20..,{.x.?./. Accepted:Co)ar— w4c,.J wJ Signed... .. ........................................................ Owner Signed............................................................................. Owner David Castricone,President Tl:e Co:r'rlrtoniveakh oj'Affassachu-,eas Depar•trnerrr of Industrial.A ceideiz6 ;✓` � =•� Of ice Of Invesiigafiorls T's�llSfrlll�tOr1 Street 600 jr. . ,Boston, I1L4 02111 :•= 1VtltV.mass.gov1dla Workers' compensation insurance Affidavit: Build ers/Conteactors/l✓lectrici ans/Plurrrbers Oplicaut Information Please Print Legibly Jame (Business/Organization/Individual): SAV! n ( AST2(c e NE' c» t=i ML, { S I D 1106 , hu C address: 0?3 1 1Z Su TU�J IT 3A :ity/State/Zip: . N6. ANboDg eK / LfY Phone #: .3 3� 2_0 re you an employer? Clreck the appropriate box: Type of project (required): I am a employer with 4. [] 1 am a general contractor and I "" have hired the sub-contractors employees(full and/or part-time). 6, New construction ] I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sttb-contractors have g. E] Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. inst.trance.t required.] 5_ ❑ We are a corporation and its 10.0 Electrical repairs or additions ] l am a homeowner doing all work officers have exercised their I1.❑ Plumbing repairs or additions myself. [-No workers' comp. right of exemption per MGL 12';aRoof repairs insurance required.) t c. 152, ,,l(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] applicant that checks box#1 must also fill out the section below showing their workers'compensation policy uiformation. meoxvners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new afrdavit indicating such. itractors that check this box must attached an additional sheet showing the name of the sub-contractors*and state whether or not those entities have oyees. If the sub-contractors have employees,they must provide their %Yorkers' comp.policv number. it an employer that is providing workers'cornpensatioit hisnrartce for j,iv emplauees. Belo)V is the policv and job site wination. trance Company Name: 2AA STATE 'IJsJ12�tN�-E cy 4 or Self ins. Lic. l!: WU6 -7d3 Expiration Date: q,"IJ Site Address: �/ t Id P P&LA City/State/Zip:A61/� �AWd�s/y/��[rr ach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Lire to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine !p to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of astigations of the DIA for insurance coverage verification. 1 hereby certtfv under the ants and penahies of perjury that the information provided above is trite and eorrect. C ► nature: Date: T--- the 9 ��3 Oficial rise only. Do not write in this area, to be completed by cite ar iota:: offtciaL City or Town: 1?cr2Ttit/Liccers, i~ issuing Authority (circle oue): i. Board of Health 2. Building Depariment 3. City/Tov n Cierl, 4. Electrical inspector- 5. Plurlibing Inspector ACORD CERTIFICATE OF LIABILITY INSURANCE 9;i6�2o1"5") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: P Select Dept. Eastern Insurance Group LLC PMONE (800)333-7234 x66807 FAx IC No (761)586-8244 A 233 West Central St E-DRMAILE ADSS:selectwork@easterninsurance.com INSURER(S)AFFORDING COVERAGE NAIC p Natick MA 01760 INSURER A.-Wes tern World Insurance Cc INSURED INSURERB:COmmerce Insurance Company 34754 David Castricone Roofing 6 Siding Inc. INSURER C.Granite State Insurance Co. 231 Rear Sutton Street, Unit 3A INSURER D: INSURER E North Andover MA 01845 INSURERF: COVERAGES CERTIFICATE NUMBER:CL159964794 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A L U POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MMIDDlYYYY UMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence S 50,000 A CLAIMS-MADE a OCCUR NPP1404373 9/6/2015 9/6/2016 MED EXP(Any one person) S 1,000 PERSONAL 8 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 CEN/AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 }{ I POLICY PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 B ANY AUTO BODILY INJURY(Per person) S ALL OWNED X SCHEDULED CNGCV AUTOS AUTOS /1/2015 /1/2016 BODILY INJURY(Per accident) S I X HIRED AUTOS X AUTOS NEO P NON-OAUTOS ROPERTY DAMAGE Per amdeno S I I s UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE $ DEDI RETENTIONS C WORKERS COMPENSATION WC STATU- OTH- S MI AND EMPLOYERS'LIABILITY YIN x RY LI ANY,P:ROPRIETORIPARTNERIEXECUTIVE 0-'CE PIRirnc McER ExcLUDEO? a N/A E.L.EACH ACCIDENT S 100 000 (Mandatory in NH) C003989723 /23/2014 /23/2015 E.L.DISEASE-EA EMPLOYE S 100,000 DLSe SCRIPT CN 0 OPERATIONS below cnoe under C0039e9723 9/23/2015 9/23/2016 E.L.DISEASE-POLICY LIMIT S SOO OOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,6 more space Is required) Roofing & siding contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Castricone Roofing & Siding THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Unit 3A ACCORDANCE WITH THE POLICY PROVISIONS. 231 R Sutton Street AUTHORIZED REPRESENTATNE North Andover, MA 01845 John Koegel/KH3 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 r;ninncl nr Th.Ar:r1Rr1 nom.enri Inns ern—nic}nrnrl mer4c of arr)pn Massachusetts Department of Public Safety ®r Board of Building Regulations and Standards License: CSSL-099358 Construction Supervisor Specialty DAVID T CASTRICONE 31 COURT STREET NORTH ANDOVER MA 01845 Expiration: Commissioner 12/1612017 __ Office of Consumer Affairs& Business Re;ulation :i- E{OME IMPROVEMENT CONTRACTOR egistration: 104569 Type: ,.-Expiration: 7/14/2016 Private Corporatic DAVID CASTRICONE ROOFING. SIDING& David Castricone 231 R SUTTON ST SUITE 3A NORTH ANDOVER, MA 01845 Undersecretary Dimension Number of Stories:_________Total square feet of floor area, based on Exterior dimerisions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drops requires ap proav2I of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department cruse) i ® Notified for pickup Call Email 3 Date Time Contact Name Doc.Building Permit Revised 2014 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 ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan o 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 Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit 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:Building Permit Revised 2014 BRIDLE l� ✓ ,f, ff Location No. Date HOQT#y TOWN OF NORTH ANDOVER C? .. • O� ,. QLA Certificate of Occupancy $ Building/Frame Permit Fee $ � sir 4 ,S�ACMUSEt Foundation Permit Fee $ Other Permit Fee $ c Sewer Connection Fee $ Water Connection Fee $ OTAL $ ..f J �'�• � - r`�Jf Building Inspector ` ' ,�� Div. Public Works PERMIT NO. CJ 4f �� ` APPLICATION FOR PERMIT TO BUILD — NOiTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 REC RD F OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION PURPOSE OF BUILI,DING OWNER'S NAME / „J Jet- `I n je- NO. OF STORIES �iSIZE OWNER'S ADDRESS C•1 BASEMENT OR SLAB ARCHITECT'S NAME /'�+�. �`2T�.� SIZE OF FLOOR TIMBERS IST 2N-D�— 3RD BUILDER'S NAME r 1 SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POS DISTANCE FROM LOT LINES-SIDES Sf! REAR GIRDERS �s AREA OF LOT oN` /�/I GRE FRONTAGE I/� ill HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW I SIZE OF FOOTING X IS BUILDING ADDITION Ye-5 MATERIAL OF CHIMNEY IS BUILDING ALTERATION Ye-S IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ye-' IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST - C9 o PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ,A BOARD OF HEALTH SIGN U fF WN R OR H 1Z DAG NT � FEE / OWNER TEL.# 79 V-524" PLANNING BOARD PERMIT GRANTED CONTR.TEL# 9 CONTR.LIC.# BOARD OF SELECTMEN a BUILDING INSPECTOR n BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH ` CONCRETE B 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY WA L UNFIN. f 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ ,ftlZ1 HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ • ' �- WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COMMCN 0.`4E� VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 BRICK ON FRAME I ` CONC. OR CINDER BLK. . STONE ON MASONRY WIRING • hi,�( STONE ON FRAME a q G SUPERIOR I� POOR ADEQUATE NONE J► /� 5 ROOF 10 PLUMBING GABLE I IF BATH (3 FIX.) _ Pro ? \ ` GAMBREL MANSARD TOILET RM. (2 FIX.) _ I r/?0s6 6 FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ W ROLL ROOFING MODERN FIXTURES _ TILE FLOOR r TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST FIRELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING 1 . 1 NORTHT9 OWn O _ _. 6 ndover O ...v- w;•4�`n...,fes No. Q 6 21 �o a Alt er• Mass./t4*zc/l I ! A C HE IC � of'? Qat SS BOARD OF HEALTH . PERMIT T LD THIS CERTIFIES THAT.40*#Y;. ....VAOS44K.Alf'r.0. 44................................ ! BUILDING INSPECTOR has permission to erQ .�. Y.46*u1i1)ddin`:_son 1!qj..A*t110k4 ........�.... Rough • iv+d ,� .. ,� • � 14 Chimney • to be occupied as ,��.I�!'�. Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTROCALINSPECTOR Rough UNLESS CONSTRUCTION STARTS Service 4% Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises - Do remises Do Piot Remove Burhev 'N-b Lathing to Be Done Until Inspected` -an—d Approved` b� . .,. ::•sn,0.0 bet. Bui. dirt:g Iri-�pectb _ FORM U TOWN OF NORTH ANDOVER LOT RELEASE FORM SUBDIVISION ASSESSORS MAP Boo ff 2-55) 3 2Q 65�-ex CO /5�e,. o�1�Atds � llle�rt� l7�s1 SUBDIVISION LOT(S) PERMANENT ADDRESS (ASSIGNED BY D.P.W. ) /03 STREET 13 r, Pa APPLICANT V;, y t ULn.C(er 11/t a e— PHONE 7 G DATE OF APPLICATION J— TOWN USE BELOW THIS LINE 'P i:A\U ING BOARD DATE APPROVED TOWN PLANNER DATE REJECTED CONSERVATION COMMISSION L � cS DATE APPROVED !1 CONSERVATION ADMIN. DATE REJECTED ABOARDOF HEALT 6 DA'L'E APPROVED HEALTH SANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS _ r DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE F This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. Town of North Andover 1.' BUILDING DEPARTMENT Homeowner License Exemption (Please print) � I DATE JOB LOCATION 0 j ) Numberr + l �►f l� Street Address Section of town .'HOMEOWNER" ��v, d V, r Name $G ev% e- Horne Phone Work Phone :PRESENT MAILING ADDRESS A(3 J3Ad t2 �a�h gerAAo igy City Town State " The current exemption for homeowners" was extended to include owner .occupied dwellings of six units or less and to allow such Homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code , Section 109 . 1 . 1 ''.', .'DEFINITION OF HOMEOWNER : ' ,,Person(s) who owns a parcel of land on which he/she resides or inters reside , on which there is , or is intended to be , a one to six family ds to ., ing , attached or detached structures accessory to such use and/orfarill ' structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the '.building permit . (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the . : State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and "requirements and that he/she will comply with said pr dures and , '.requirements . ":HOMEOWNER ' S SIGNATURE APPROVAL OF BUILDING OFFICIAL •-Note : Three family dwellings 35 , 000 cubic feet , or larger , will be required to compTy with State Building Code Section 127 . 0 , Construction Control . 2