HomeMy WebLinkAboutBuilding Permit #262 - 207 BOXFORD STREET 6/4/2001 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: _ t
SIGNATURE: AV
Building Commissioner/I for of Buildings Date
SECTION 1-SITE INFORMATION I z
1.1 Property Address: 1.2 Assessors Map and Parcel Number:
Z
077 —JOx f=-01C? 014-D _
14
ap N mb;& - Parcel Number 1( ,
1.3 Zoning Information: 1.4 Property Dimensions: J
Zoning District Proposed Use Lot Area Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zane Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record /
7-C,m e s V V, s/a�,/ 2�7 d�oxft;ro�S N �n�d ver 1�I/� D l&yf
Name(Print) Address for Service
7c-,1-16
Si re Telephone
2.2 Owner of Record:
m Print / / Address for Service: Z
'Sigdature Telephone
SECTION 3-CONSTRUCTION SERVICES 90
3.1 Licensed Construction Supervisor: Not Applicable ❑
r
Licensed 'Construction Supervisor:
License Number
Address' f`
—t'k �f7� -/��� 7 7 Expiration Date
Sigt#aturr ( Telephone
3.2 Registered Home Improvement Contractor- Not Applicable ❑
f-- c '1 L–� i✓O Ccs U
Compan ame
Registration Number
Address' rM
T ! S'` 7
�✓ / 3 7�1 Expiration Date
S'nature ele hone
?cfLocation C;?-O/) Ofitll '
No. �> G O`- Date G_y- Q l
,AORTh TOWN OF NORTH ANDOVER
F y
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ �
Check # /3
i46
/ ` Building Inspector
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. -
Si ned affidavit Attached Yes.......0 No.......0
SECTION 5 Description of Proposed Work check all applicable)
New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ILL- ~
Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify
Brief De hpttiion of Proposed Work:
1 2 X1,5 :'J
C'C
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Co °liar)to be OFFICIAL USE t?NLY }
Completell,5y 2ennit applicant -£
t
1. Building (a) Building Permit Fee
L c' '� Multiplier
2 Electrical (b) Estimated Total Cost of
Construction
3 Plumbing Building Permit fee(e)X(b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5 Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTAh APPLIES FOR BUILDING PERMIT
as Owner/Authorized Agent of subject property
r
Hereby authorize to act on
My behalf,in all matters relative to work authorized by this building permit application.
Sin of Owner t�
SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION
I, as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief
Print Name
t,
Signature of Owner/Agent Date
NO.OF STORIES Z SIZE
BASEMENT OR SLAB
RD
SIZE OF FLOOR TIMBERS ,� t 1 Z G 2 3
SPAN
DIMENSIONS OF SILLS 4 X !v
DIMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION orTHICKNESS IL) f
SIZE OF FOOTING 0 X 2-Z- X
MATERIAL OF CHIMNE AJ N
IS BUILDING ON SOLID OR FILLED LANA
IS BUILDING CONNECTED TO NATURAL,GAS LINE p
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.
APPLICANT i91vt&-q!:- (,kJe OJ 5--o%.%.J PHONE �o F 9 1-47
ASSESSORS MAP NUMBER /D Co A LOT NUMBER Z 5 S
SUBDIVISION LOT NUMBER
STREET X Fvey �c, f{-D STREET NUMBER 7- 67
...........................................................................
OFFICIAL USE ONLY
............................................................................
RECOMMENDATIONS OF TOWN AGENTS
.. ......... .... ........................................... ...........
DATE APPROVED7J
b 6
CONSERVATION ADMItsItTRATOR
DATE REJECTED
COMMENTS W i rl
DATE APPROVED
TOWN PLANNER
DATE.REJECTED
CON 4ENTS
DATE APPROVED
FOOD INSPECTOR- - DATE REJECTED
DATE APPROVED
SEPTIC INSPE & OR-
`� pp DATE REJECTED
COMMENTS c.. c.
PUBLIC WORDS-SEWER/WATER CONNECTIONS
DRII,VE,W�AY PERMT�I,', / `/
GC V,QP- u l���i `U � !1t 1TL_'i/� '�� DATE APPROVE
FIRE DEPARTMENT
DATE REJECTED
COMMENTS
RECEIVED BY BUILDING INSPECTOR_ DATE
Town of North Andover
(LID
byb�O
Building Department 0
� M
27 Charles Street
North Andover, Massachusetts 01845
978 688-9545 Fax 978 688-9542 0fie
�9SSgcHu5����
DEBRIS DISPOSAL FORM
In accordance with the provisions of MGL c 40 s 54, and.a condition of
Building permit.# the debris resulting from the work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a.
The debris will be disposed of in/at:
1
Facility location
r'
v Signature of pli nt
Date
NOTE: A demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR i
Registration;',123652
Expiration 03/24/2003
;Type: Individual
Donald Kelloway
Donald Kelloway
47 Tedesco Rd �
Methuen,MA 01844 Administrator
BOARD OF BUILDING REGULATIONS
License: CONSTRUCTION SUPERVISOR
f II! I I Number: CS 040392
Birthdate:07/10/1947
Expires 07/10/2001 Tr.no: 3223 i
—_ —
-Restricted To: 00 }
DONALD L KELLOWAY
47 TEDESCO RDS /
METHUEN, MA 01844 Administrator
i
i
I
I
i
NORTH
E
Town of V Andover
No.
/��J lover, Mass.,
o�act
T' Q + LA1 '
COC/11C I �
ADRATED P'? 5
7DS
H BOARD OF HEALTH
Food/Kitchen
U, Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT......... ... ........... .1.. .5►..l... ..u�.......................................... ....... Foundation
has permission to erect..o?...�5.. r D... ._y......B.C...w.kard Rot
O ....... buildings on ...... .... I ................ Rough
to be occupied as..... . 1. .. ....A.. . ..A�"I.
.°a. . . �� .4i 9 c)^—P -I'- � /.�......9PSA-) �� Chimney
..
..........................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and onstruction of
Buildings in the Town of North Andover. �d ��� qj C;? 4&C7f WOW PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION STAR S ELECTRICAL INSPECTOR
I Rough
.......... ....................................................... ....... Service
.... .
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in .a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
IFSEE REVERSE SIDE Smoke Dec.
12 -0 x V-0 addition 12'-0 x 19-0 deck
S � _
x
2-6' h
NEW
Ui
i O in
I M M
DEN N X
N
N
FAMILY ROOM
DINING ROOM ------
s ------- LIVING ROOM 0
X _=-- N xpp
N
Q
3'O"
2'.,g,"X 3'-5" 2'-6"X 3'-5" 2'-6"X 3'-9" 2'-6"X 3'-$"
-6 X 3 5' 2'-6"X 3'-$"
MAIN FLOOR PLAN
SCALE: 3/16"" 1'-0"
10�
f.
NOTE `FRAME ROOF:
15 Ibo Felt
VENTILATE ROOF TO U300TH OF INSULATED CEILING AREA Z ASPHALT SHINGLE6 ?
12 CATI-vented Rldae
(/t"ROOFINdPLYWOOD 44u
7 2x10RIDGEBOARD
2x9 RAFTERS• 16"o.c.
2X6 COLLAR TIES 0 32"v.e-
2X6 CEILG JOISTS* 16"0.4,. W/
2x4 RIBBON TIE .
R30 Blown ISULAT1014
IXSlr STRIP VENT/IX6 SOFFIT
1X8/IX3 FAC'A
O
2X4 SIDING EXTERIOR WALL:
6"MASONI"E SIDING
1/2"PLYWOOD COX SHEATHING
2x4 STUDS• 16" o.c.
R13 BATT IN5ULATION
C. MIL POLY Y.B.
1/2" PLASTER
O
2x10 FLOOR SYSTEM:
1/2"TIG PLYWOOD SUBFLOOR
2x10 FLOOR JOISTS• I6"o.c. W/
2x2 CROSS'3RIDGING
2X6 KNEEWALL 16"o.e. • 2X6 PRESSURE TREATED SILLS
°e W/POLY SILL INSULATION
4 GRADE
O e
>'
V. 10"POURED CONCRETE
�• .e FOUNDATION WALL
BASEMENT FLOOR
er,
GRADE � 4" CONCRETE SLAB c/w
FIBRE MESH REINFORCEMENT ,e 20"WIDE x 8" DEEP
CONCRETE FOOTING o/w
2- TUNS 15M REBAR
O • COMPACTED GRANULAR FILL
s
_ : s CROSS SECTION A-A
SCALE: 3/16° • I'-0"
12'-D x W-0 addition 12'-Ca x 19-0 deck
8'-4" X 3'-5'
00 IF
(.. Fi�cg[j�a_ 2
6
X
l000
00,
10 0
—00
N
o
X p Q e
W M
p O I n x .
DEN
II-311 ZI-6n
51-5" -1011 FAMILY ROOM
DINING ROOM -------- LIVING ROOM in �
N x
- ---' N
X
f
3
4
M n
X 31-F" 2'-b° X 31-511
Y-611 X .3,4, 2-&' )< B--S" X 31-511
i
MAIN FLOOR PLAN
SGALr=:3/16'-f-O"
u
m
x 12x15 additional area X
w
m
= N
BEDROOM •I 2'-6" X 3'-5" 2'-6"X 3'-5"
NEW
cfl
BEDROOM 02
STUDY n
u �® s
N
1
5'-2" SLIDING
4'-l" SLIDING 1'3"
N y G
L-5"
2111 2111
4'-9" SLIDING
4"4' SLIDING -------
MASTER BEDROOM BEDROOM 03 X
BEDROOM•4 -------
X
Apt
3'-4` X 64"
2'-6" X 3'-5" 2'6" X
2'-r."X 3'-5" 2'-6" X 3--S" 2-4,
r
SECOND FLOOR
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SUBSURFACE. DISPOSAL SYSTEM
LOCATED IN
�JoT - t --� S:" a
AS PREPARED FOR
DATE: FEBeUAV-'f Ie+, I9 I �' ,SHOF,ygs
SCALE: t 40' g° DANIEL s9�yGN
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MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS
60 PARK STREET 0 ANDOVER. MASSACHUSETTS 01810 TEL (617) 475.3553. 373-3721