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Building Permit #100 - 39 ADAMS AVENUE 8/8/2008
BUILDING PERMIT of"°oT" qti TOWN OF NORTH ANDOVER 0ZM1by,,._ APPLICATION FOR PLAN EXAMINATION Permit NO: 0 Date Received .0 Arno & Date Issued: f JJ IMPORTANT:Applicant must complete all items on this page LOCATION 9 A o A h'_S V IF Print PROPERTY OWNER -TAt-f j )--I. 4Y4A/ Print MAP NO PARCEL: _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 Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well .Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Ple se Type or Print Clearly) OWNER: Name: Phone: 12 6 6,137,(1-5sz- Address: CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: 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. 0 Total Project Cost: $�� %, . OLS FEE: $ ' 109- Check 109-Check No.: 2— Receipt No.: / 05� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature ofAgent/Owne —~^ Signature of contractor ; Location 3� ���✓✓� U� No. 166 Date MaRTM TOWN OF NORTH ANDOVER Of „ a , ,q•C ` Certificate of Occupancy $ b�,ne•I``tiG/ ,ssACNUSEt Building/Frame Permit Fee $ _ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # le 2 i 4 OL*! Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming 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 FORM DATE REJECTED DATE APPROVED 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 a Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes -no Locatedat124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval 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 use) I ❑. Notified for pickup - Date Doc.Building Permit Revised 2008 i 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 o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract a 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ 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 ❑ 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 ❑ 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:INSPECTIONAL SERVICES DEPARTMENr:BPFORM07 Revised 2.2008 NORTp TOWN OF NORTH ANDOVER OFFICE OF BUILDING DEPARTMENT ` 1600 Osgood Street Building 20, Suite 2-36 �• +,..e.� North Andover,Massachusetts 01845 1SSACNUS�t Gerald A.Brown Telephone(978)688-9545 Inspector of Buildings Fax (978)688-9542 HOMEOWNER LICENSE EXEMPTION Please print DATE: IE3 Z M� '25 JOB LOCATION: '3 �r� S, 1� o r t�1+ A-1,6 DPen,M i Number Street Address Map/i,at HOMEOWNER JA/ S /r'll�> / ' g 7 S 6 s 2�SrL I Name Home Phone Work Phone PRESENT MAILING ADDRESS3 93 A`D�1 0ry C /x v t rrH A�1�/i�40ry c /x v t rrH A?y ��i 4 City Town State Zip Code The current exemption for"homeowners"was extended to=In&owner-occWted dwellings to two units or less and to allm 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 108.3.5.1) DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family structiues. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliances 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 procedures and reoluirements. HOMEOWNERS SIGNATURE lo� APPROVAL OF BUILDING OFFICIAL Revisod 10.2005 Form Homaowtm Exemption 110ARDOF \PPF..:\I.S(M-9541 CONSERVATION 688-9530 HEALTH 08-9540 PLA-1,7NI]G6g8-9535 6 ItAORTH ® of Andover oft No./&V 0 dover, Mass.,— 0 L COCHiCHEWICK 7,95 RATED 5 BOARD OF HEALTH Food/Kitchen PER .... awes Septic System BUILDING INSPECTOR THIS CERTIFIES THAT awes !,- . .......................... ........I............ . .............I................... .................................... Foundation has permission to erect........................................ buildings on.... ...... ..................................... Rough �;?o �-rChimney ?to be occupied as ...................ga ..... .:. .!moi.''......... ................ ...........................provided that the person accepting this permit shall in every respectconforsoflhe application on file in 4/ Final this office, and to the provisions of the Codes and By-Laws relating to the opection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS ough .......... Service BUILDING TOR k Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Date. .......................... V40RTN TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING *4AT.D SAcmUS This certifies that has permission to perform ........ wiring in the building of...;7" ............ ................................................... at."�.�.2..... �.:................... .............. .North Andover,Mass. .... Lic.NoA'.a.'/tw . ...... ... .. . ......... .. ELECTRICAL INSPECTOR Check # (,\:s c- 64 {_ 6 Commonwealth of Massachusetts Official use only Permit No. Department of Fire Services Occupancy and Fee Checked r/ j BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (Icave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance�%ith the Massachusetts Electrical Code(MEC).537 COIR I"'.O0 (PLE.=ISE PRINT INIIVK 0R T ALL IiN' )R1�IA770N) Date: p�3--e(D City or Town of: 1/F To the ln.vpeclor of Wire.v: By this application the Undersigned gives notice o'his.or her intention to rform the electrical work described below. Location (Street& Number �sJ Owner or Tenant Telephone Nog W_ U_ t� Owner's Address Is this permit in conjunction with a building permit? Yes. ❑ No (Check Appropriate Box) Purpose of Building Utilitv. uthorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the Jollou•inQ table may be waived by the Inspector Q/4Wires. No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle) Fans No.TransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ t o.—67Y mergency Lighting No.of Luminaires Swimming Pool grind. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Ranges Tons b i No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained p Totals ........................ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No. of Drvers Heating Appliances KW Security Systems:* No.of Devices or E uivalent No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivaient No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: .-loath additional detail r�desired, oras required by the hrspector Of rr rre.i, Estimated Value of Electrical 40, (When required by municipal policy.) Work to Start: �� ispections to be requested in accordance with NIEC Rule'10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury, dcttt the itiforntation on dris application is true and complete. FIRM NAME: ADT Security Services.. Inc. LIC. NO.: 1533 C Licensee:qee 1-,tu ,t? W }�iC 2G Signatu LIC. NO.:/oZ�17 (IJ applicable, enter -exempt"in the license number line.) Bus.Tel. No.: 60',-594-5900 Address: 18 Clinton Drive Hollis N.H. 03049 Alt.Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable,enter the license number here:�5� pooK/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑ owner ❑owner's anent. Owner/Agent PERMIT FEE: 5 Signature Telephone No. Date Of NOR7p 1hC 3: o� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSA�MUS� This certifies that ...Sv.N v I�JS� I,/, Gil CJ.... .............................. ...................... has permission to perform ...... .! wiring in the building of.... ............................ att../ ...! f�4�77 "g...... � ..................North Andover,Mass. Fee. �:�7 Lic.No . �y ... _. ELECTRICAL INSPECTOR Check # 9.-3C1.5- 55 ,19 ..5- 5 5 ,! 9 TBE COAWONYVFALTHOFINA &l f7P SE77S Office Use only DEPARTiI1ffNY0FPUBIlCS4FElY --. BOAROOFFMPREVEN770NREC7UTAHONS527(AmI2m Permit No. Occupancy&Fees Checked A• APPLICA77ONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ) r v Town of North Andover1, To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de§cribed below. Location(Street&Number) s V Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: NEI No (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps �Volts Overhead Underground M No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 777 777 p f eW-r 7a 7L y N No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total No.of Lighting Fixtures Swimming Pool Above 0 Below Generators KVAKVA round aound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of 's Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER- lnvnalx�Cov>�ag�Ptua>antmthelagtmarlagsofMassach>seflsGalaallaws Iha�eaamaYLiala7�YhtuaalrePb)icYinch>�C�xI�1e� Co�aageoritssubshurialequivaiai YENO IhawstlxrwwdvalidproofofsaznemtheOffioe YES F)MIa�edudWYFS,pleaseirtdcalethetypeofoo=ageby ctLlgthe box �. 1NSURANCEBOND � t7IIIER � (P1eweSpecify) ExpiralionD& '10 F=natedva1uecfE6c ica1Wotk$ Wotktosrmt 0 hspectionDate RWW Rao FkW Sigtledunderm of 1 � l A,-O FIRMNAME_� " / /^ j Iicz3tseNo. �6 Lioawa I%) IV ( �o 11'7"ef/ll/D Signahue -'� Li=WNo BusiressTel No. 3>V�16 y� la �d A1tTe1No. OWNER'SINSURANCEWAAUR IamawmdattheLmsedoes rAhav+ettreuWalcecowgporilssubstatriala4 valent asw4wedbyMassachusez fneralLam anddAnysignEdmtndmpeurntapptmuonwaimsftmgtwa l (Please check one) Owner Agent Telephone No. PERMIT FEE$ tgna ure o caner or gen 4 Date... 1. � f f ,10RTM 3r,!".r ^{`a"°oma TOWN OF NORTH ANDOVER PERMIT FOR WIRING 6NUSEt / This certifies that ..w7Y��� has permission to per //�l.t� : . ..... .�a. .... wiring in the building of� .� � .J.` ./,,, f J�. ,/ at... ....... .. ,. ,..........h........ .................North Andover,Mass. & /�� { ELECTRICAL INSPECTOR Check # V 5141 Commonwealth of Massachuseffs,4 Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked A r BOARD OF FIRE PREVENTION REGUL IONS [Rev. 11/99] leaveblank APPLICATION FOR PERMIT TOP RFORM ELECTRICAL WORK All work to be performed in accordance with the Mas chusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORtYhATION) Date: City or Town of: /Y�ORTH HNbo R To the Inspector of Wires: By this application the undersigned gives notice of his orver i ntion to perform the electrical work described below. Location(Street& Number) 3 9 R 6 nS f1 Owner or Tenant JRX ES t9 H9N AtTelephone No. q�g-6$Z'6SSZ Owner's Address 3 9 A?b 9I 6 A✓f, /Ya47W AN 60 6 Is this permit in conjunction with a building permit? Yes [2' No ❑ (Check Appropriate Box) Purpose of Building P E5i D. yc,C- Utility Authorization No. Existing Service 200 Amps 1/0 / Z2D Volts Overhead Undgrd❑ No.of Meters / New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1)901/1l16 /YItrTC/2 9 FDOT F�'o/j1 l/YS/OF OF G69196!1, jo OF IRE #005,L Vle,!5 NZ7,V 6 I114q eL Cont letion of thefollowing table may he waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool bove ❑ In- ❑ o.o mergency ig ing rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total Tons g o.o No. Alerting Devices Heat Pump Number Tons KW No.of Sell-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW SecuritySystems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent i OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: 12ad (When required by municipal policy.) Work to Start: � /7 O 11 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: 9/0-l9400 2. C/Ut_t:A Signature LIC.NO.: 31. 7 F (If applicable, enter "exempt"in the license number line) Bus.Tel.No.: 978-30¢-/056 Address: 27 D/X�e y M. /YI/.DA L fTO/Y,1W,4 Alt.Tel.No.: 7R/- 5 9 V-2/33 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally / required by law. By my signature below, ereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Og nerlAgent4�� p 7 �, Z�s PERMIT FEE: $ Signature Telephone No.� r t�G t I , i I Ieth e 7;1 :11 4x4 PT Deck w/Rails x `" O i L 26'-0" L x 2 FLOOR PLAN Bceln 3/le".1' Defer:10-21.0-1 Ravfaed: Dl� 59, Al 1-800-201-9855 MIDDLESEX CUSTOM CARPENTRY INC, 11 ,1 11 ,1 11 ,1 11 ,1 F-xls►irg ; 11 ,i 11 ,, 11 II 11 ,1 11 it 1 11 ,I 11 ,I 11 ,I 1 11 ,1 tl ,1 11 ,1 1 11 ,1 11 ,1 1 II ,1 1 11 X I' 11 N ,1 II ;1 I 11 it I 11 jl 1 1 11 1 11 1 11 1 1, 1' 11 1 kL IL II , 1/ 11 11 , II 11 11 1, 11 O a I "0C , 11 'Lf\ LU in' :;C)x ' 11 II � 11 , 11 11 1, 11 1' I 11 1 3 ROOF FRAMING PLAN Dere:1621-03 RevlmO: 0—BY AJ 1-800-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, 3 9 A-PA"S' 4 mc ' 11 1 1 11 11 1 I 11 11 1 I 11 III 1 11 11 1 111 11 t I 11 11 1 1 11 11 1 111 11 1 111 11 1 1 11 11 1 1 11 11 1 I 11 11 1 1 II 11 1 t 11 11 1 1 II 11 1 1 II 11 1 1 II 11 1 1 11 Ilt 111 11 1 III 111 1 II 111 1 II 111 III 11 1 1 11 111 1 II 11 1 1 11 111 III 11 I 1 it 11 1 1 11 11 1 1 11 11 1 111 11 1 1 11 11 1 1 11 11 1 I 11 111 1 II 11 1 1 11 11 I �y 1 11 11 1 Existing 111 11 I III til 111 11 i 111 11 1 1 II � 1 1 11 1 III 11 1 1 11 I I I11 11 1 1 II 11 1 11 It 1 I 11 1 I II 1 11 I 1 11 1 V x I II 1 11 I N 3 tV � 11 I 11 1 N 1 11 I I I jl I I 1 11 1 1 11 I 1 1 11 1 CEILING FRAMING PLAN Bcele 3�1�•.,• Dete<10-2103 Revimd: Dann Hy: AJ 1-800-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, I AM r0"A.K 6kINi"A 29gr A♦phalt shingle♦—`� 2x8 Rafter 16"OC V2"GDX Ma1e.Mf Exlatrng 2xB Jai♦t IA"Oc 1/2"cox sheathing 2x4 I6"OC Vtnyl siding !to Match 2-2x6PT A ♦ • a 6"3000p&1 Reinforced Concrete Slab D� t -p D s SECTION A F4 . d p 1O" D"40-21-03 Rovr♦ed: Crown By: AJ 20- 48'6olow Grade -soo-Zol-9555 MIDDLESEX CUSTOM CARPENTRY INC, Location 301 A cka t s. Ay °-- No. Date" � M�RTN TOWN OF NORTH ANDOVER Ne �o Certificate of Occupancy $ a �E��' Building/Frame Permit Fee $ s�cHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # a Building Inspector i I -- -- • � yORTt{ O'Sc.eo ,a'q�O 0 ' � Town of North Andover _ Building Department -. r 27 Charles Street �4SSACHUSEK`h North Andover MA 01845 Tel: 978-6889545 HOMEOWNER LICENSE EXEMPTION Please print. DATE SCP TZ, U V �( JOB LOCATION 3 9 /1�>,}wts A 11 11,10 7-r Of P0ocft, /'114 Number Street Address Section of Town "HOMEOWNER 9APA-M.r 14(16 Q&j j4 ,o-W0d&,r7,L 920 ;?g S'94-f qyo Number Home Phone Work Phone PRESENT MAILING ADDRESS S .-`i--- City Town State Zip Code 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 HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one to six family dwelling,attached or detached structures ac- cessory to such use and and/or farm 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, a form acceptable to the Building 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 No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note:Three family dwelling 35,000 cubic feet, or larger,will be required to comply with State Building Code Section 127.0 Construction Control. I / Of gORTp 1y TOWN OF NORTH ANDOVER PERMIT FOR WIRING Acmu Thiscertifies that .................. .+..,:.. J!.. ............................................. has permission to perform wiringin the building of....:............/...........:..................................................... at:., ,�..........r-�--��.�-..�..–I �' `�`"=................. .North Andover,Mass. Fee :...-u..... Lic.No: � 1 „�S... :7....... ELECTRICAL INSPEC-MR 06/15/9914:47 25.04 RAID l f 1 V C- C-A 0 V� � P Date.1....l .... ..... N° 1 1 � �; NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING � r ACMus 2 This certifies that .................. ............................................. ry � has permission to perform ..-.; .'•••--,_ —z wiring in the building of ...................................................................... at:22..........(:...- rr.�.a - ................. .North Andover,Mass. Feel..-"...... Lic. ....... / ELECfR1CAL INSPECTOR 06/15/99 14:47 25.00 RAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer i Location No. Date b ' NQRTN TOWN OF NORTH ANDOVER 9 Certificate of Occupancy $ �N�s<� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ b Check # 8 167 '18 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING t..:.;`... Ym"� ..'fi• Y' .,•,i+ `A',°�'Fi•::�s.�`��'h"zuk.�'.�,��..:.,�F� ,�v.��V �jkf��Ai; � I'M, BUILDING PERMIT NUMBER: I DATE ISSUED: 1 3 SIGNATURE: c Building Con"ssioner1Ijs2Lztor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: A PAYS AVE- �S Q l A- �1 b OO`2 �A i\ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: i &.9 District Proposed Use Lot Areas Frontage fl 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.LC.40. 54) - 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT r 2.1 Owner of Record _ �✓� rs k 1��-111 j_i 3 C/ A -1)/A �s A v e. Name(Print) Address for Service: 261-1-37 nature Telephone 2.2 Owner of Record: � c Name Print Address for Service- Signature ervice:Si nature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: C License Number Address 49 Expiration Date Signature Telephone A � 32 Registered Home Improvement Contractor Not Applicable ❑ b 99 Company Name 11 Registration Number r . Address r Expiration Date L.Signature Telephone M1 � •T. 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.......0 No.......0 SECTION 5 Description 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: :ltA4L (;AR (iLG SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be s x� (}F (sIAUSE+�ONSiF r Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of © o) Construction / 3 Plumbing Building Permit fee ta)X(b) 4 Mechanical HVAC a 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ,as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION r, property as Owner/Authorized Agent of subject T p1 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 i a"'e of Owner/A ent Date O.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1sT 2 3 SPAN DIMENSIONS OF SILLS ►� D 11ENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND BUILDING CONNECTED TO NATURAL GAS LINE FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits fron Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *APPLICANT FILLS OUT THIS SECTION APPLICANT �S ,V�Q� PHONE / If 11 3 C7 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET q ST.NUMBER l '`* '` ►** "* ►'"'"'* *x**OFFICIAL USE ONLY *** ,t RE MMENDATI S OF TOWN AGENTS: 'R) NSERVATION A INISTRATOR DATE APPROVED /7 0 DATE REJECTED COMMENTS s TOWN PLANNER DAT APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED. DATE REJECTED COMMENTS 'UBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT IRE DEPARTMENT -CEIVED BY BUILDING INSPECTOR__ DATE -- i vised 9197 jm JL %J VV L I %.Px Ali i JL.&JL%ww%..,r Y %w jL No. " q �� 0 3 0 dover, Mass., cocnicnewicn`\ RATED IST BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ........ .... ... ........... Foundation a. Lhas permission to erect...� .6 buildings....................... ...................... .......................................... ...................... Rough to be occupied as....... Co 1% f Ar& A Chimney . ............................................................................................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection Alteration and Construction of Buildings in the Town of North Andover. vis& � /to � ,*&I so= PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough . .......... Service .. ................................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Existing I 1 1 1 I 1 { I I 1 I I 1 t t 1 1 1 I Q 1 1 I I 4 1 1 1 { I 1 t d. 1 1 4" 3000pef Refnforced Concrete Slab 1 I 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 { Ic I - .O ,a 1 a. 1 1 { i11 I I 16 f Anchor Straps 3' OC I I 1 1 1 I I 1 1 1 1 i 1 G 1 1 Bl I I 1 tT 1 1 1 f 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I-------- ------------------------------------------ ------------------ D, I I 1 ---------------------------------------------------------------------------- 20i-0ll FOUNDATION FLAN 'scale m.bl-1' Date:44-03 Revised: Draun 8y: AJ 1-800-201-9555 MIDDLESEX CUSTOM CARPENTRY INC, - Lt� - °` y `� Essex North County Registry of Deeds 381 Common Street Lawrence, Mass ch Oi840 05/28/03 _ JAMES MAHAN KB # 16 Rec: .. Type PLAN '50,0 DOC. 31445, Ce P. X0.44 R. D. 540 Copies Lso # 17 Rec: Type CEtT rI0,00 DOC, 30446 . C. P. 20.00 i R. D. 5.00 Total 151,50 # 18 Payment Cash 151.50 THANK YOU! Thomas J. Burke Register of Leeds • North Andover Building Department Tel: 978-688-9545 i I DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: la/vb1� WAS 0,F3ys7CW 9. ,60-57 ► si I/rr&iT.yira 02/-.9 4-7 Z�g (Location of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector Z 6, 6 7 '✓aa � 55/ 9 /� �5e �� ozv Date......7111 ...3 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING S SAC US This certifies that ...... ......................................A/.................. has permission to perform zff�q1Z.-" wiring in the building 0 ..........M..q..... .... ................................................... at......3y. ,421�.IV5North AndoytP, Fee...7J Lic.No. INSPECTOR Check # -/n - ,1,)kv 45 : 9 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11!991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC)�57 MR 12 00 (PLEASE PRINT IN INK OR PEAL INF RMATION) Date: City or Town of: To the Inspecto of res: By this application the undersigne gives notice of his or her inte 'on to perform the electrical work described below. Location(Street&N� ber) , Owner or Tenant 0 Telephone No� _02-14— Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: —Installation of Security system 1 Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o.of itLmergency ig i g rnd. Zrnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained a Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kit Security Systems: No.of Devices or E uivalent No.o Water KW No.o No.o Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uiva'lent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of El ctrical Work: r (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the sins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Security LIC.NO.: 1 rIf I Licensee: John S. Bassett Signature LIC.NO.: 1533C (Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No.: 603 594 5928 Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Li*see see does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent � � Signature Telephone No. PERMIT FEE: ` $ ,0;• 7 Town Of North Andover F NORT►, Office of the Zoning Board of Appeals 3a F A I Community Development and Services Division ` 27 Charles Street North Andover,Massachusetts 01845 SSwcHuS�s D. Robert Nicetta Telephone(978)688-9541 Building Commissioner Fax(978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2002 date of filing of this notice in the office of the Town Clerk. Property at: 39 Adams Avenue NAME: James Mahan DATE: September 13,2002 ADDRESS: 39 Adams Avenue PETITION: 2002-033 North Andover,MA 01845 HEARING: 8/13/02&9/10/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, September 10,2002 at 7:30 PM upon the application of James Mahan,39 Adamsl`Avenue,North Andover,MA requesting relief of a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 for right side setback on an existing porch and left side setback for a proposed garage;and for a Special Permit from Section 9,Paragraph 9.2 for the extension of a pre-existing,non- conforming structure on a pre-existing,non-conforming lot to allow for a proposed garage within the R-4 zoning district. The following members were present: William J. Sullivan,Walter F.Soule,John M.Pallone, Scott A. Karpinski,Ellen P.McIntyre,George M.Earley,and Joseph D.LaGrasse. Upon a motion made by John M.Pallone and 2nd by Walter F. Soule,the Board voted to GRANT the dimensional Variance for relief from Section 7,Paragraph 7.3 and Table 2 of 3'from the west side setback and 1' from the east side setback on the condition that the applicant provide a revised plan and mylar indicating the setbacks from the chimney and the covered stairs per Plan of Land 39 Adams Avenue,North Andover,MA prepared for James Mahan by Frank S. Giles II,P.L.S. #41713, Scott L.Giles,Frank S. Giles Surveying,50 Deermeadow Road,North Andover,MA, 01845,Date:June 4,2002,Revisions:Sept. 11,2002. The Board finds that the applicant has satisfied the provisions of Section 10,paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Voting in favor: William J:Sullivan,Walter F.Soule,John M.Pallone,Ellen P.McIntyre,and George M.Earley.Upon a motion made by John M.Pallone and 2nd by Walter F. Soule,the Board voted to GRANT the Special Permit for relief from Section 9,Paragraph 9.2 for the extension of a pre-existing,non-conforming structure on a pre-existing,non-conforming lot to allow for the proposed garage,per above revised September 11,2002 Plan of Land. Voting in favor: William J. Sullivan,Walter F. Soule,John M.Pallone,Ellen P.McIntyre,and Geor 'M- Earley. - CZ, ;- CD _ J _ Page 1 Of t_J Board of Appeals 688-9541 Building 688-9545 Conservation 688)530 Health 688-9540 Planning 688-9535 Town of North Andover of Noerp� Office of the Zoning Board of Appeals 3 `S Eo ~0 � ,r �a.r e,se O o • m a Community Development and Services Division # i 27 Charles StreetW. North An0over,Massachusetts 01gcKUSus.845 �9Ss^T14 ��y E D. Robert Nicetta II clephone(978) 688-9541 Puil�li�rg Conrrui:ssin»e. Fax(970)658-9542 Furthermore,if the rights authorized by the Variance are not exercised within one Q)year of the date of the grant,it shall lapse,and may be re-established only after notice,and a new hearing. Furthermore,if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced,it shall lapse and may be re-established only after notice,and a new hearing. Town of North Andover Board of Appeals, William I Sullivan,Chairman Decision2002-033 Page 2 Of 2 Board OfADocals i 38-9 4i Buill ding 688-yj4i onsarvation 6z;�"',95=0 540 Plannnin ,%ORTF/ Zoning Bylaw Denial Town Of North Andover Building Department 27 Charles St, North Andover, MA. 0184. 5 Phone 978488-9545 Fax 978-688-9542 Street: 3 q. - a m Map/Lot: G Applicant: a'•a rh a?� Request: 1 6 xoZ A n� � Date: J Please be advised that after review of your Application and Plans that your Application is DENIED for the following;Zoning Bylawreasons: Zoning -R - ItemNotes Item A Lot Area Notes F Frontage 1 Lot area Insufficient 1 Frontage Insufficient 2 Lot Area Preexisting e S 2 Frontage Complies 3 Lot Area Complies . 3 Preexisting frontage 4 Insufficient Information 4 Insufficient Information g Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area ro 3 Use Preexisting 2 Complies 4 Special Permit Required e S 3 Preexisting CBA 5 Insufficient information 4 Insufficient Information C Setback H Building Height 1 All setbacks comply 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies •`i(=5 3 Left Side Insufficient e S 3 Preexisting Height 4 Right Side Insufficient es 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setback( )s 1 Coverage exceeds mA 7 Insufficient Information 2 Coverage Complies aximum D Watershed 3 Coverage Preexisting 1 Not in Watershed C g 4 Insufficient Information 2 In Watershed Sign 3 Lot prior to 10/24/94 N 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 1 Insufficient Information 3 Insufficient Information E Historic District I( Parking 1 In District review required 1 More Parking Required 2 Not in district e-S 2 Parking Complies y e S 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parkin Remedy for the above is checked below. Item # Special Permits.Planning Board Item # Variance Site Plan Review Special Permit tr~3 Setback Variance Access other than Fronts e Special Permit Parking Variance Frontage Exception Lot Special Permit Lot Area Variance Common Driveway Special Permit Height Variance Congregate Housing Special Permit Variance for Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special-Permit Special Permit Non-Conforminq Use ZBA Large Estate Condo Special Permit Earth Removal S ecial Permit ZBA Planned Development District Special Permit Special Permit Use not Listed but Similar Planned Residential S ecial Permit Special Permit for Si n R-6 Density Special Permit — Watershed Special Permit Special Permit preexisting nonconforming The above review and attached explanation of such is based on the plans and information submitted. No definitive review and or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information,or other subsequent changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the Building Department.The attached document titled`Plan Review Narrative"shall be attached hereto and incorporated herein by reference. The building department will retain all plans and documentation for the above file.You must file a new building permit application form and begin the permitting process. ?/#e/� J�idil;i'ng Department Official Signature Application Received Application Denied Denial Sent: If Faxed Phone Number/Date: Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the applicationi permit for the property indicated on the reverse side: gv Ck N �S-C C jar\09 U C-/U pti C Y r/ Ij C,9A, 7aA M 04- (4�0C � S Cle- -e4XA C le— LC2 OSecQ 16 e 2 0) j Referred To: Fire Health Police Conservation Zoning Board Plan Dgartment of Public Works I Iq i t: Commission#Historical Historical Other BUIL MMi DING DEPT � J Town of North Andover OtNORTH Office of the Zoning Board of Appeals R K Community Development and Services Division 0 V'E ision 27 Charles Street c(ttf� ISL 2? A North Andover,Massachusetts 01845 4 CHU D. Robert Nicetta Telephone(978)688-9541 Building Coninfissioner Fax (978)688-9542 Any appeal shall be filed Notice of Decision within(20)days after the Year 2002 date of filing of this notice in the office of the Town Clerk. Property at: 39 Adams Avenue NAME: James Mahan DATE: July 16,2002 ADDRESS: 39 Adams Avenue PETITION: 2002-033 North Andover,MA 01845 HEARING: 7/9/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday,July 9,2002 at 7:30 PM upon the application of James Mahan,39 Adams Avenue,North Andover,MA requesting relief of a dimensional Variance from Section 7,Paragraph 7.3 and Table 2 for right side setback of an existing porch and left side setback for a proposed garage;and for a Special Permit from Section 9,Paragraph 9.2 for the extension of a pre-existing,non-conforming structure on a pre- existing,non-conforming lot within the R-4 Zoning District. The following members were present: William J.Sullivan,Walter F. Soule,Scott A.Karpinski, Ellen P.McIntyre,George M.Earley,and Joseph D.LaGrasse. Upon a motion made by Walter F. Soule and 2,d by Ellen P.McIntyre,the Board voted to allow the petitioner to WITHDRAW HIS PETITION WITHOUT PREJUDICE,and resubmit for the August 13,2002 meeting. Voting in favor of the withdrawal: William J.Sullivan,Walter F. Soule, Robert P.Ford,Scott A.Karpinski,and Ellen P.McIntyre. Town of North Andover Board of ApI eals, William J.St Uivan,Chairman Decision2002-033 BOARD OF-APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Location ctj of idr�k-o S s UT-- No. Date s „0RT1q TOWN OF NORTH ANDOVER a Certificate of Occupancy $ i « ; : Building/Frame Permit Fee $ �'�b'"•''�1�' Foundation Permit Fee $ Ss�cHuet Other Permit Fee $ Sewer ,Connnf*tion Fee $ R( n�4r�`ection Fee $ TOTAL _ $ .5 8 3 3 �'J P�DOv��O Building Inspector I '' RSH _ L`EC { 1J r ;PS�RR�� Div. Public Works r PERMIT NO. _APPLICATION FOR PERMIT TO BUILD*** ****NORTH ANDOVER, MA MAPNO. �C LOT NO. 2. RECORDOFOWNERSIIIP DATE BOOK PAGE "LONE J V SIID DIV.LOT NO. a¢ss Gtl� Gi_ G rl G E LOCATION �p4h � PURPOSE OF BUILDING OWNER'S NAME ��� NO.OF STORIES SIZE OWNER'S ADDRESS QA/S j, r BASE41ENT OR SLAB �AS0'9--A�/� ARCIIITECT'SNAME SIZE OF FLOOR TIMBERS Z� !L 1 IJ 2ND 3R _ 111111.DER'S NANIE SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA OF LOT VfiO FRONTAGE o v Cr HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW D SIZE OF FOOTING X IS BUILDING ADDITION ryd MATERIALOFCIIIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER S IS BUILDING CONNECTED TO NATURAL GAS L.IN INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST zyo io 0/- PACE PACE I FILL OUT SECTIONS I-3 EST.BLDG.COST PER SQ.FT. EST.BLDG_COST PER ROOM ELECTRIC METERS M UST BE ON OUTSIDE OF BUILDING SEP]IC PERM IT NO. l'*rl-ACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED Bl'BUILDING INSPECTOR RIHLDING INSPECTOR r� DATE FILED / OWNERS TEL# L127 % !!! ` G CONTR.TEL# SIGNATURE OF^^^O^^^WN�F.R OR AUTHORIZED AGENT 4w, *'04 CONTILLICII FEE $ [PIERMITGRANTEDV/ C3' s 19 - Revised 5/5/99 Jm wen pf 61 illy 0 MA114 -- - ? 4- --j- 1 t -i- -F-I f + + t } + + + + + + + -- + i t i _ LLLII - I yu n��ly ; . Str a h��►?J1 ii -a w °{� - Z`Z 177 %j 8 j 18jL 10 10i I , 1 • } I ! I f i I I I I i i I � I I t I f I Itf i I Town of North Andoverf ,0RTH 1 OFFICE OF }<o `` 6 �0o COMMUNITY DEVELOPMENT AND SERVICES 0 % 27 Chanes Street w North Andover, Massachusetts 01845 1•°'•-• VJILJA_M J. SCOTT SACHU'- Director (978)688-9531 Fax (973) 688-P5421 In accordance with the provisions of MCL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MCL c 11, S 150 A. The debris will be disposed of in- IV I*STE hAqofc049Y1- (4- 41-1 IaPy 0110E t-61"04 V6WW Al y 150.66011.o�of (Location of Facilit`j) 6-jo r, Signature of Permit Applicant S'- qq Date NOTE: Demolition permit from the Town..of North Andover must be obtained for this project through the Office of the Building Inspector BOARD OF A.PHALT S 688-9541 BUILDING 688-9545 CONSERVrMON 683-9530 HyA.LTH 683.9540 PLAN-..JINC 688-9535 C9 R T►y 'own 4 ` o of Q� dover No. roc_ ;E Q dover, Mass., `1 ADRATED 5� BOARD OF HEALTH Food/Kitchen PE , & MIT T Septic System THIS CERTIFIES THAT....... BUILDING INSPECTOR ........... ........... .. ..... .. .. .��......................... ..... Foundation t'_. has permission to ems.... .. ...... . buildings on ..... ,. .....,�.. .� 4N.4A V�. Rough to be Occupied as......�<.1..... ..�...� ...................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms........of....the.......application..... ..... ......o..n...file. ....in.. Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough RICO 131107PPERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUC O � ELECTRICAL INSPECTOR u` Rough 1 ............................................................. ....... ................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy .Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.