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HomeMy WebLinkAboutBuilding Permit #637 - 67 COTUIT STREET 5/29/2002TOWN OF NORTH ANDOVER 1BUILDING DEPARTMENT 1 APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ; Cili4H : bf' 4(hTk 1E. u9C AHI BUILDING PERMIT NUMBER: / DATE ISSUED: O SIGNATURE: Building Commissionerfi for of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property .Address: 1.2 Assessors Map and Parcel Number: COTU SIT. Dc�.�•0 010 Map Number Parcel Number 1.3 Zoning Information: 1 1.4 Property Dimensions: 1.6 BUTLDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Retzpaired. Provided Re red Provided 1.7 Water Suppty M.G.L.C.40. 34) I.S. Fly Zone Information: 1.8 Sewerage Disposal System: Public 0 Private 0 1 1 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (PAddress for Service Wt, Signature Telephone 2.2 Owner of Record: � Name Print Signature Tele Address for Service: SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ icensed Construction Supervisor: tdress ignature 2 Registered Home Improvement Contractor ompany Name jdress mature Telephone Telephone License Number Expiration Date Not Applicable 0 Registration Number Expiration Date SECTION 4 - WORKERS COMPENSATION (M -G -T. C 157 s 2-WM 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 ......17 No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other N Specify ©6 LI I LC,J.,llFllull Vl rlupu.7cu WurK. SECTION 6 - ESTIMATED CONSTRUCTION COSTS Estimated Cost (Dollar) to be Completed brmit applicant 1 Q� phItem 15 xr C �t y, ttK 1. Building 6 (6 (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (,) X (t,) (37, � -� 4 Mechanical HVAC 5 Fire Protection 6 Total (1+2+3+4+5) Check Number --T SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Hereby authorize My behalf, in all matters relative to work authorized by this building pennit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION to act on 1. 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 Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TI HERS 1 ST 2 No 3 RD SPAN DM ENSIONS OF SILLS DD ENSIONS OF POSTS DDAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CI-IIIANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ft— FORM = U -'LOT RELEASE FORM a� 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 ( 38t0 ASSESSORS MAP NUMBER (x�>-O LOT NUMBER 6 SUBDIVISION LOT NUMBER O y to STREET W50 (T 5T- • STREET NUMBER OFFICIAL USE ONLY ......................................................... ....... ......... RECONE"EN'amDAsonTIOmj_ OF TOWN AGENTS ommommmmmmmmmmm A�CA�k44 DATE APPROVED CONSERV ON ADTA &US TRA TOR DATE REJECTED COMMENTS TOWN PLANNER CONRVIENTS DATE APPROVED DATE REJECTED DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED SEPTIC INSPECTOR - HEALTH CONEVIENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED COMMENTS _- RECEIVED BY BUILDING INSPECTOR DATE INSTALLATIONS LINER CHANGES P.A. Pools? Inco dove �xount� �ool"es�eia�iiis REPAIRS SERVICE _ .4'./. GTools t inc. 28 Keeling Pod WAefield, MAO 1880 pl:: % 51/245-9102 6:781/245-9103 P.O. BOX 264 WAKEFIELD, MA 01880 PETER A. WHITTEMORE PH: 781-245-9102 PRESIDENT FAX: 781-245-9103 on of your above ground swimming pool. ccc.avauui,I wonrwnra-e-perrormea'wm tne'um,6r avbiiWst. A bobcat is a small skid steer front end loader. It is a very heavy piece of equipment that will typically leave marks on the lawn wherever it travels. Sand will be delivered to the center of the excavation site with a large dump truck that will also leave marks on the lawn wherever it travels. All sites must have access for both a bobcat and a dump truck. Dump truck dimensions are 10.5' wide by 10' tall. Bobcat dimensions are b.5' wide by 7' tall. Extra charges will apply to ferry sand with the Bobcat. Excalation services for the pool site will be S 125. If a pool/deck package was purchased, excavation services will be 3175. This amount will be paid to the excavator and deducted from the amount owed to P. A. Pools, Inc. The homeowner could also incur additional charges by the excavator which does not involve P. A. Pools, Inc. Examples are (1) Grade of yard is more than one foot out of level. This may result in an additional charge. (2) Excessive rocks & debris may result in additional charges as well. (3) Ferrying of sand, stone or any other materials from one place to another will have charges. Any of these additional charges will be the homeowners responsibility. P. A. Pools, Inc. also may add additional charges in unique situations. Such as, working with or around an existing deck or structure. Installation does not include water, electrical work, building permits or disposal of packaging. Installation does not include any post -installation landscaping or back filling around the pool. We do, however, recommend that as soon as possible, after installation, that the area immediately surrounding the pool be filled with a suitable material to prevent erosion of sand from underneath the pool. We recommend crushed stone or gravel. We do not recommend bark mulch. We also suggest that you place a protective barrier such as landscape fabric or plastic sheeting between the pool and the backfill material to prevent the backfill from scratching the pool wall. Also, marble or pea stone could be added on top of the crushed stone or gravel for a better Look. Please call the store to schedule delivery of your pool as soon as.P. A. Pools, Inc. gives you an installation date. While every effort is made to stay on schedule, installation dates are subject to change due to the weather, material delays or any other unforeseeable circumstances. P. A. Pools, Inc. will accept cash, certified bank check or personal checks only. P. A. Pools, Inc. does not accept credit cards of any kind. ALL payments for installation or services will be made, in full, at the time of work completion. For pool installation, completion occurs when the water level rises above the bottom seam of the liner. For services, completion occurs when the job, contracted to do, is completed. Also, drop in stairs require weight for stability, the homeowner will be responsible for any such material. P. A. Pools, Inc. will try their best to Install the liner with as few wrinkles as possible by setting the liner with a vacuum. However, It. Is not unusual to develop small wrinkles as the pool fills. P. A Pools, Inc. is not responsible for removing these types of wrinkles. Please make certain that paperwork is complete before pool boxes are emptied & thrown away. P. A. Pools, Inc. will collect filter information and pool warranties, to be given to the homeowner. G°�rata�ra..ac�.est«a ri h w a v ° z Q o w° U w a :w w P E a�' 79cn w x z a ' w z w A a rn o U)cn v n uj z I R 0 U) w w Ir TOWN OF NORTHANDOVER OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street NORTH ANDOVER, MASSACHUSETTS 01845 Robert Nicetta, O`tt�ED +tio Telephone (978) 688-9545 Building o� °� 1 °� FAX (978) 688-9542 Commissioner June 20, 2003 Robert Memmolo 67 Cotuit Street North Andover Ma 01845 Dear Mr. Memmolo: Please be advised that in researching our records, it was revealed that a permit for a pool was issued on May 29, 2002. I am assuming that the pool is in place. The Building Department records do not indicate that inspections and sign offs for the pool permit were ever conducted. Please call the office between the hours of 8:30 and 10:00 AM —1:00 and 2:00 PM in the next few days to schedule an appointment for inspections. cer , Michael McGuire, Building Inspector B'1)AkD 01" . VPL-'ALS 6889541 BUILDII -GS 688 9545 C0NSLRV, Vi10N 688-9530 11LALT11688-9.540 .PLANNING 688-9535 I '-I 0 SAC04U This certifies that Date.... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING .............. has permission to perform .............. plumbing in the buildings of ..................................... 1.-2 ........ North Andover, Mass. at ... .......................... Fee t .... Lic. No-25-,-?r!'l .. ..... :!� ....... PLUM B11 N �G�4'W�S tCTOR -a 4CT Check # 13 :f-, 6 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS _r Dat (11-24L03 Building Location 6 / C__( ��i� mil Permit # 7 G �c�—��-� Amount c�t;. Owner J New E2 Renovation 1:1 Replacement 1:1 Plans Submitted Yes ED No ❑ FIXTURES (Print or type) �' / Installing Company Name l /i!Q' 0,)" 1/G Check one: Certificate 13 Corp. ElPartner. 0 Firm/Co. Name of Licensed Plumber: C,9rzejj 6<611faww Insurance Coverage: Indicate thetype f insurance coverage by checking the appropriate box: Liability insurance policy .Other type of indemnity El Bond Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 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 setts St P u ing Code and Chapter 142 of the General Laws. By: Signatureicensear Type of lumbin icense Title ,�, City/Town icklNumver Master El Journeyman 1j APPROVED(OFFICE USE ONLY LJ 3 LL 6 1 1 /,7 e) Z—, Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ...... ..................................................................................... has permission to perform ....... ................. .................. * ........... /-? - - I--, v wiring in the building of .......... : ....... -, - - , i"&— --I ................................................................. ......... ............................................. . NorthPmdover, Mass. at ..... ............ Fee.A� .............. Lic. No. Y.'R,�7 . ................ / ........... .... —.1 .................... ELECTRICAL INSPECTOR Check # Official Use Only gyri' �yy� Permit No. �4/ Deet 4 P-0115410 Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date k To the I pictOF of Wires: Town of North Andover The undersigned applies for a permit to/) C0perform the electrical work// described below. Location (Street & Number b f ng--w—L /�-(•�` Owner or Tenant -� 4 AU�U` z� Owner's Address Is this permit in conjunction with a building permit Yes td No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits New Service Amps Voits Number of Feeders and Ampacity Location and Nature of Proposed Electrical OVerhead ❑ Undgmd ❑ No. of Meters Overhead ❑ Undgmd ❑ No. of Meters INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent0.", NO = hie submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the typerage by checking the appropriate box. INSURANCE = BOND = OTHER=.(Pleaase Specify) (Expiration Date) 4E�/ !mate Value of Electrical Works ` 4loo OyfyT Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: �/o a FIRM NAME 110�G l�/( / —*1 LIC. NO. NO. Bus. Tel Address Alt Tel. No. r OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner I Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above % In 11No. of Lighting Fixtures Swimming Pool gmd rnd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of itch Outlets No of Gas Burners Total FIRE ALARMS No. of Zone No. of Detection and No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of6iposai No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heatinq Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent0.", NO = hie submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the typerage by checking the appropriate box. INSURANCE = BOND = OTHER=.(Pleaase Specify) (Expiration Date) 4E�/ !mate Value of Electrical Works ` 4loo OyfyT Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: �/o a FIRM NAME 110�G l�/( / —*1 LIC. NO. NO. Bus. Tel Address Alt Tel. No. r OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner I Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent)