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HomeMy WebLinkAboutMiscellaneous - 10 BRIGHTWOOD AVENUE 4/30/2018IN st Location No. Date 9 Check # 12497 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee Other Permit Fee TOTAL ng InspeTlY L HORN � O i ^o M CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 706 5/25/2006 Date: March 13, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 10 Brightwood Ave MAY BE OCCUPIED AS Single Family Dwelling 2nd Floor Addition IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Richard Murray_ 10 Brightwood Ave �North Andover MA 01845 Building Inspector N m m m x CA y m I v H C � ca CM) CD Q n Z y CL o n' 03 O CL y CD o p d� O Q =r �d CD CD CD ao ao � C O CO) O dv y S.0 C=D � v CO) O CD z O CD C/) C = —0OQ N no <m y mCl n0 m Z H m .+ C 3 m g- H 0 NO m N CL „y d O OZ CD �O m N 0 y N o = ' -4 tom` m a rd y 3 T; co � p t O Z;;- n • �/ O C9 n W _y. a o m :C ' FL co c v' CD m N :' �� - o o. O ' W O H i COD q �''0 y C a:` Q PAO o Cob .�s:_,E � m w� IE m : A H i0 C,N 7 O m CD 0 0 CD o� y mo` S m:> md• • CLte. n n o w=' O O 7 C/) C 0 OZ ® O rd y nC T; n r Cn v' 1• j W .� i q �''0 � PAO z N � to omi 0 0 c I Location 41 No. Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Its - ... Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 19 1'4 7 -Building lnspector�/' • CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 463 Date: M _Mh 21, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON —j55.1. Osgqod Stream MAY BE OCCUPIED AS Warehouse iffilt Manufacturing-Mficrowwave EnLy IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUS.9TTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY. APPLY. Certificate Issued' M Cow .1551 Osgood Street North Andover. MA 0 184 Building Inspector I 0 I 6 W cz �o 1 4 v et G 1 z ki 3 (vt �I 7 zi o :.. U T � cm a 0 0 � o. - p, C D m .s c cd 'A 0 p i O _ mo f� c E n ++ L /—•1 :gym—' r4 � Lm G+ y = v 3 �• CU _ -cam.. aK � N ccCD y� v W O or m CO N Q-0-411,00 CD C W 43CM-8 OQ .S W^ � CCO 1-+•� O cc y O cc 0. Ci•�Z O � n = O C r IV W CC 1+=••�Z .... C •- mo Z °C E E = 00 •N o C.3 10oma= g C** n O O = = cyv a�y•3 C F- �nO.m a O 0 I°' o' _ h Na O O m on 0 CD CL �3 O G i c—vv o a h 0 cc _ Ci Vn c C — _ d CO) G uj uj W W LLIW C4 ..F c� u V)Cd w ow O C p G C� bo 0 G G w cn w w U w w w vi pG w" j = cn cn �I 7 zi o :.. U T � cm a 0 0 � o. - p, C D m .s c cd 'A 0 p i O _ mo f� c E n ++ L /—•1 :gym—' r4 � Lm G+ y = v 3 �• CU _ -cam.. aK � N ccCD y� v W O or m CO N Q-0-411,00 CD C W 43CM-8 OQ .S W^ � CCO 1-+•� O cc y O cc 0. Ci•�Z O � n = O C r IV W CC 1+=••�Z .... C •- mo Z °C E E = 00 •N o C.3 10oma= g C** n O O = = cyv a�y•3 C F- �nO.m a O 0 I°' o' _ h Na O O m on 0 CD CL �3 O G i c—vv o a h 0 cc _ Ci Vn c C — _ d CO) G uj uj W W LLIW C4 71� Date... 7A 5 /0 40RT#q 41 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..... ��4. .............. has permission for gas installation ........ in the buildings of .... . VA ........................ at N %t tj 4�' North Andover, Mass. ........................... Fee..Y.'7—. Lic. No../.P.',).4?7. .......... GASINSPECTOR Check # 5 /1'- 3 � Ilk Y MASSACHUSEFIS UNIFORMAPPIKATONFOR PERM TO DO GAS FTrrLNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 941 J / 0 ^ Building Locations �` f 2 1Af W, SIO 4-7' Permit # Amount $ Owner's Name rc M V (� New Renovation Replacement ❑ Plans Submitted ❑ Check one: Certificate Installing Company Name or type S �'!`G Y": .1 L �/ Corp. a-36-7 �G �. Address _P, V ` i3ox 1-13o / ❑ Partner. ( G W LOG to Business Telephone 9 7 g — �, y o — D $ I ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: . I have a current liability Insurance policy or it's substantial equivalent. Yes 13No ❑ If you have checked yes, please ind'cate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and mtormatton i nave sutxmttea kor entereu) in aoove appucauon arc stun ai,u acwraie io me 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. City/Town VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber ® Gas Fitter License Number Master ❑ Journeyman � Ij w z a w a o U o x w o H E~ U �" z F z O x o w< a o x o E z W F U t~Hxwa z aa AaM Z ow o H w F"w H a 0 E-4 H C` , N z . C4 o x w z o U O W A a W F+ r~ o SUB -BASEM ENT BASEM ENT 1ST. FLOOR f 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH . F L O O R �d� 7TH. FLOOR H. FLOOR STIILLij Check one: Certificate Installing Company Name or type S �'!`G Y": .1 L �/ Corp. a-36-7 �G �. Address _P, V ` i3ox 1-13o / ❑ Partner. ( G W LOG to Business Telephone 9 7 g — �, y o — D $ I ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: . I have a current liability Insurance policy or it's substantial equivalent. Yes 13No ❑ If you have checked yes, please ind'cate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑. Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and mtormatton i nave sutxmttea kor entereu) in aoove appucauon arc stun ai,u acwraie io me 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 Massachusetts State Gas Code and Chapter 142 of the General Laws. City/Town VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber ® Gas Fitter License Number Master ❑ Journeyman Date. �/ !:�./ �-r OF NORTH ANDOVER of, 0 PERMIT FOR PLUMBING 4ArAD SAC144US This certifies that 4 r, .................. has permission to perform ... ................... plumbing the buildings of ir . Z . I ................... at ... .3. North Andover, Mass. Fee. V. 0 .—Lic. No.. . I . L9 0 . -t'.7-L t ............. Check # PLUMBING INSPECTOR 66'10 6 tft MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN (Type or print) NORTH ANDOVER, MASSACHUSETTS ✓L 1 Date Building Location t' f aS K -f W ooal/ Owners Name the AA Vy i'i a Permit # Amount Type of Occupancy )L P:�N'1^Mc New 0 Renovation [a— Replacement 0 Plans Submitted Yes ❑ No FIXTURES (Print or type) ' • ' ` Check one: Certificate Installing Company Name W S� �-1 �m % �� -Corp. o*L 3 6 �e Address P ° `) ` 0-'x- '130 11 Partner. i wIcsby2-4 tl-i �1 !7 Business Telephone i s_ 6 Al a of n Firm/Co. Name of Licensed Plumber:yw 'q'.�-( hG S+�'r— V"( Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [�� r Other type of indemnity 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 11 Agent 11 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 Massachusetts State Plumbin�Code and Chapter 142 of the General Laws. ^1, _ OVED (OFFICE USE ONLY Type of Plumbing License ®7 ❑icense Numoer Master00 Journeyman 5972 Date.? -3- 'zr ............................... TOWN OF NORTH ANDOVER 0 '0 PERMIT FOR WIRING use �v �fl .I 'd j This certifies that .... / ICA41-1- ........... ... .......... r .................................................... ha permission to perform e-rvm-.1-19 . ........................................... wiring in the building of ..9 ........................... ............................................... at./�. ..... ...................................................... . North Andover, Mass. Fed -16,–A..0 ..... Lic. ................ .............. I t /ov A**L INSPK��6r Check A Jim UU1t+ VU[v yyrduan yr 1rnt1JLV1Unvua.a 1 u �•• w �-� � �� DF.ffiIffA1E T0FPUBIICSAFE7Y Permit No. BOAMOFFMPREVFIMONREGULAHOM5VCMR12AD i' Occupancy &Fees Checked /(PLEASE APPLICA77ONFOR PERMff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of ire The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) � L �� ,�. ��.,_ \--, o V,�,m�� - Owner or Tenant - Owner's Address \o�,���� Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box) Utility Authorization No. ;3,53027 Purpose of building �/'� _l 11A C\ h' Existing Service 1119 Amps 1—TP Volts Overhead Underground No. of Meters New Service Amps Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets ✓ No. of Hot Tuba No. of Transformers Total •� KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No. of Receptacle Outlets / / No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets �j (J No. of Gu Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP O"ttER- hmrareCovaaW PlaStla iDdrtegtmanmbcfMqsmdimmGmniiaws IlrmaamWiiahklinuano Fb yirtcu&9Cnn i* Corawcritssuh9arial*ydi®t YES ED NO a Ihavesubmoadvafidpwdafs3nelodz0fi= IfyeutEwdtadBdYES,pteas niicaletherAxcfo vwFby INSURANCE BOND GUIER Estirrla9dValleofEbcbxal Wak $ Wbdws>at hpocimDweReWe0d Rmgh rMa Sglledtlrld rTrPierscfpe ju FiRMNAME m o 4- L�4 4'-y LiomwNd C I S Li=m Signahae Lioa>sr�No . BtlsinessTelNo:-.. -- . - AlLTdNo. OWNER'S INSURANCEWAMI;Iamm=thattheIia=doesmthamthem%%m eamrVorissub9aWegtdvalatasmpedbyMwsadmMCenaalLaws andthatmysigigkuecndispwndffhcatcnwanesthisragtn mt ick vne�— O ner Agent� J% Telephone No. � c SQ'5 33o PERMIT FEE $ Signalure or OwnOf A 91 er7 11W (.,U[Y nuiv Yrr mLi n Vr 1r�aarxt.nv u�L l u DE11tff14 W0FP WK&4FE7Y BOARDOFFIR MVEMONRDGEVXONSS17aMlzW Permit No. — -4 9,,, Occupancy & Fees Checked APPLICATIONFOR PE ?W To PERFORM ELECTRICAL, WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 1C(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) �y Owner or Tenant Owner's Address \C. -t Is this permit in conjunction with a building permit: Purpose of Building Ugle'AL 4 Existing Service Q Amps /_9 b Volts New Service Amps / Volts Number of Feeders and Ampacity To the Inspector of Wires: Yes � No (Check Appropriate Box) Utility Authorization No. 027 Overhead ' Underground1:3 No. of Meters Overhead [M Underground [M No. of Meters Location and Nature of Proposed Electrical Work —1� No. of Hot Tubs ta.�-:ars �Qc� co�mt No. of Lighting Outlets p J Swimming Pool Above BelowKVA No. of Tnnsfonnen Generators Total No. of Lighting Fixtures No. of Receptacle Outlets r No. of Oil Burners round anal KVAe e�— No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers No. of Air Cond. Total FIRE ALARMS No. of Ranges ,. of Disposals Tons No. of Zones No. of Heat Total Total No. of Detection and o. of Dishwasher PUMPS Space Area Hearing . Tons Initiating Devices .� No. of Sounding Devices Heating DkviceaDetection/Sounding No. of Self Contained Devices .� o. of Dryers o. of Water Heater KW KW Local Municipal Connections 0 Othe_ t. No. of No. of . Hydro Massage Tubs I Siam No. of Motors Bail" T ..I un dc -n ftdvaFaey�uas3reiDft i>dirgC�m�e� Cam Ofitssfa�rrialec}kvakrt YES NO va6dp bmofsamebd1e06tot; YES L(.�_�j ff)ouhxmcf adodyES,ple='dC*Q1etypeof by Bq" mDtlle Sm brach nDae Estorlal dVakreofam&a Wcdc $ riderTiNukoofpoW lend AME ---;;-7/,, L.t .. `� LicaneNa C 1 y SN 3 ire LimftNo Bdn=Tdxa Liz {[1�1Z'SII�ISURANCEWANIIt,Iamawaedratihelxst�do�notlt�ethe> ark AkTe1.Na Lr..~fratrrry9grra�aeonthispettrit�teq�itern�t 0D�' sibsiaioalegeivala�tastr+cltnedbYGatt3allaws mer Agent I Owl Telephone No. 330 PERMIT FEE $ N19—n—aMre or uwffe-r 0 5979 Date .... f-. J.. -. Qf ......... ...... .. . ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . ..... —has permission to perform ......................................... wiring in the building of ................................................... at ...... .......................... . North Andover, Mass ITW ........ Lic. No.lo',�,7 Fee F9 ...... ................... ELEcrmcAL'. Check # 1761511*� A.PPUCA77ONFOR PERMITTO PERFORM ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS MIC" (PLEASE PRINT IN INK OR TYPE ALL INMRMATION) Town of NoRh Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street di: Number) Owner or Tenant No. v // ry & Few Checked o� MAL WO. / CMR 12:00Da �s ` To the Inspector of Wires: Owner's Address t7" Is this permit in conjunction with a building permit Yes q3,No a (Check Appropriate Boa) Purpose of Building A-M/T70- Utility Authorization No-74a2a.&S Existing Service t7 Amps /,-Aqa Volts Overhead Underground ©' No. of Meters New Service Amps olts Overhead Underground E3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W L 4 M oV e M WTWo401 No. of L.iandns Outlet / No. of Hot Tube No. of Transformers Total ` KVA No, of Lighting; Fixtotes/n Swimming Pool Above Below rl Oernraton KVA 1�/ and No. of Receptacle Outlet ,/1 V No. of Oil Burner No. of Emergency Lighting Ba tery Unite No. of switch Outlet No. of on Burner FIRE ALARMS No. of Zom No. of Ranges No. of Air Cond, Tota Tats No. of Detection and No. of Disposab No. of Had Total Total Pumps Tom KW Initiating Devices No. of Sounding Devices i No. of Dishwasher Space Ata Heating KW No. of Self Contained Detection/Sounding Devices Lacs Municipal Ott No. of Dryers Hesting Devices Kw D Connections p No. of Water Heuer KW No. of No. of siffis Bailssis No. Hydro Massage Tubs No. of Motor Tota HP bimmCo1d'. Pdwwodcx#aw*d tmmd119ftCrQsl81i89Yg IhWaQ taW1Liebtityhamtaei�iC,YiditCM#—* -t0,2iidaglivalmt YES NO Inmea,6tr�ledveidprodofs�nebf�C)m� Yl lfynttntrrea�eaQetiYHS,pkWki rAXcfcoywVby dreddrgite bac � FZURANCE FV9 BO amm L^q—j Die E9&nrtdVAZdEbctaical Werk $ Whk1O, att DeleRogtrertad Ra>gb w Q C,44 L L And flRMN,4kNZ tZot rcc-f K-4- 0 4-Ow �t�LLts"�ta2_ Stgrtagge Lim aeNo. i �. LtcatseNo ,4 irk- T • 'y�I 1� Cas► -tet lK�ll �¢ . Btt bl INa f - f d&= -% OWNIIt'SII�Si.1RAI�WAIVIIt;IsmawaelhatlheLicense r let lheir�anea�o�ageor�s�6�dnlegivalaitasrtx}iedl�,M�fir�IsCraraalLawa acdthatmysgneraatitiispearit�picakavwiKatistequitsmt (Please check one) Owner Agent n Telephone No. PERMIT FEES Location. -4 VtE�- No. Date TOWN OF NORTH ANDOVER certificate of Occupancy s CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL s Check # 6567 Building4fisp ctor Location No. Date ,401tTol TOWN OF NORTH ANDOVER 0 0 Certificate of Occupancy $ ...=4A. ela Argo Building/Frame Permit Fee $ CH Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ��JL/ 13537 B"dd� �Ctor -� - o � rr Ln a - m-_ Ln r7 R1 N — p r y c Nrn o z Z m p y N Vmi = n frA y M N ( 1 V m _ Ln Z. c O Z Z ^mi c N p p C1 K O Z IO Vt N (a y - c - J o c > m c N C = m •,� -zi cIcc S 4 " z � � > r z J _ • z N C r` iii m N = C C C N_N d Z — N C d 'd d > N m = j Z > h1 p y 0 C ? C < C G c C M O m p m z O z O z O z 2 r o � o, O OZ 4P O� O CA O O w O r-q 0 O A -N+ � O d O m v > `, • i-n z � '� -t 0 ;y Ln ;-i c z z z N n = n z n ,� y. N •� '+' N r R7 "' C — 'i1 o • > "�'' b C i ->a O a N in m C m ry p y rn _ z � y � z •i -� r •• a _ s N c A 3 � v r •� O '� r m > z y a N 3.1Ct n t. Ln �S ti W r�l � I Z C-7 to W 7 a o n � n t C/) m m C/) D C7 y d CO) CO) CD n Z CA CL o �. r c O y .moo o C7 CD CD 0 Cr CD co o co c CO y' CD O CO) A04 CO 'v COw O I CD O O � CD 0 CD CA n 0 z� cn n 2 �d OIN011\ 0 z in m Cn O cn o 9 Q CO) O t?' N = 7� ao �.m y -i �mO CL m '' C7 Z tm„ Q C7 cn m n Sro CO) co) ft ....= --0m T CD O CD y C y N O m = =r m ca > > CA O m A cc < d C �_ d CO) to O ? ? CD r c a CD CA CA ca d C* 5. < OCL •� �.., Q V to C9 : (� t0 .+ m NGO` CA T CD .-► CD O to . J� P ..0 O a CO) o co .� co) CD r' r� Cy CD wo .� nom• � � CPS, CA 1 t. O O m Cn O cn o 9 7 O � 7� 0 1 (7 'z7 0 cn C/) Cf) n n to �!V, z 0 omq 0 C Location le 6 16 A> s— No 7e) Date 1400tTo, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ --ftftv Check # 6 227 5 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, EEtRVATF OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: /yD 6 DATE ISSUED: SIGNATURE: Building Commissioner or of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number. a° ttt Map Number Pared Number 1.3 Zoning Information: IA Property Dimensions: CA 4(fs., 7800&F) Zonis District Proposed Use Lot Area F tt 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R Provide Required Provided Required Provided .X) a� s id 3a ss 1.7 water S ly M.G.L.C.40. 54) 1.5. Flood Zone Infomvtion: Zoae Outside Flood Zone 1.8 sewers system Municipal ❑ Public t Private ❑ Oa Site Disposal System SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT ' 5 2.1 Owner of Record = Name (P 'qt)- Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si a re Tel hone - SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable Licensed Construction Supervisor. License Number Address Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone 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 it. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Workcheck aIl applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ T terations(s) 9 -Addition Accessory Bldg. ❑ Demolition Other ❑ Specify Brief Description of Proposed Work: Ale4d S'*ut GA -y ovt- fd ,�•�� �7ao,�, . 3 1 SECTION 6 - F.STIMATFI) CONST21TC77ON M—M4Z I Item Estimated Cost (Dollar) to be OFFICIAL USE ONLY Completed bpermit applicant - 1. Building (a) Building Permit Fee— eeMulti Multiplier lier 2 Electrical dBO. (b) Estimated Total Cost of P O Construction 3 Plumbing Building Permit fee (a) x (ti) r D 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 00 Check Number ar1a.iiV11q ,a VW114MxAVlnvnu.AllVPr 1V nt UUMY MKU WHLN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 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 NO. OF STORIES BASEMENT OR SLAB d�S� �tt�jrJ Ir SIZE OF FLOOR TIMBERS 1 SPAN sZO' DM ENSIONS OF SILLS DIMENSIONS OF POSTS DMENSIONS OF GIRDERS HEIGHT OF FOUNDATION FV 11 SIZE OF FOOTING MATERIAL OF CHININEY 1 IS BUILDING ON SOLID OR FILLED LAND ' IS BUILDING CONNECTED TO NATURAL GAS 1 U Date SIZE Tao 54 F r R7 " - -3`.x8' Town of North Andover Building Department 27 Charles Street North Andover, MA. 09845 D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542. Fax HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION 1 O A , Number Street Address Map / lot "HOMEOWNER Name Home PRESENT MAILING ADDRESS l O,: ���•, _.� ,, sj�„ - 5 >t— % Iw Work Phone City Town State Zip Code The current exemption for "homedwners" was extended to include owner -occupied dwellings of two 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 108.3.5.1) 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 or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one -home in a two-year period shall not be considered a homeowner. 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 APPROVAL OF BUILDING OFFIC North Andover Building Department Tel: 978-688-9545 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: A*Y YPPfL> -'S <4f/ .Z;vG (Location of Facility) Signature of rmit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector f�6 2 �( LA, �l1 %/Z Pt qL,4,� �t i N M M M M v M v _v H d C � 'v O CD a z y CD r •O n � CO o CL _• y •'� CD o p CDCL O .� c� =r d CD CCD O D C CD CD y CD �O y CD I � v CO)CD O CD z oCD CD M VJ n O cn C 9 zz cn O 0 CD %Ajq*-4lkAon[ 4 ,,,. CD O m cn vii H 0 9 , cnon 0 r�r � �• VJ O Q N ao�m y Mam � no m r m aC �W Z G w o' � C) ro crura Tl y _CS �m o o �=r aOmCA o y o i CD m o a Cv It �., Al C p s W Es �. O m acog to c S :'� Cd C O O y d �om:1 .� m •r Btct� Bt m 3 CA co CA I CA nd :` Q 00 0 N 5 9 CD m :•► H i0 :� �yQ:0 3 � D .� 1 O 0 CD %Ajq*-4lkAon[ 4 ,,,. 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