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HomeMy WebLinkAboutMiscellaneous - 10 PERIWINKLE WAY 4/30/2018I i r N_ O O � OD m Q o � OD z o m o � 0 North Andover Board of Assessors Public Access It f NonrN it w! ;M. ...+_.. • o� �ssACMUS� Click Seal To Return I Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 o roperty Record Card D—.1 In •71n/nIQ n MQ1 nnnn n rv.,mv) r ,, :... XT --4-h A.,a .. Location: 10 PERIWINKLE WAY Owner Name: ALPERT, MARK NANCY ALPERT Owner Address: 10 PERIWINKLE WAY City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 10 -10 Land Area: 0.63 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 3384 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 748,800 748,800 Building Value: 455,000 455,000 Land Value: 293,800 293,800 Market Land Value: 293,800 Chapter Land Value: http://csc-ma.us/PROPAPP/display.do?linkld=1889946&town=NandoverPubAcc 5/17/2012 N O N LL Q W J Y Z W a 0 U 0, 00 oQ CD J W �0 oQ d a- 76 c6 O O � O J O N O Y U O J m O co M CL cQ G ' 2y 4 to IOu O O ��• O� NN 1 7 'o -0 -0 O r � Oso -1 -1 iy m O2 �� N Z '� 00 t t •• O ;�, W �`1L, O O a0 RZ <,— MM O O:. bio NN O Zit O,O, H r O ' LL,O O Qpm WPO �N yL� �loi O LLoo �d a Zoo oo, Z�U ¢ ' � i z Ld Ln Ly. 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J'�,' m.Q Z° U 04 O0 iLL tLL O N ,> ( #U � Hlol a�(LD kui,Q. 2 zi tns�� ai'' Z «- o c G ! �F- U W o pax —1Q - c -o1,& 0 Y v)�Z00W>�LL ,NNIS) �zILLLL,U� a� to Location 10 1070rfluz-L'�Z��k UL,� V No. .3 3 3 C- Date ZO -/j CC) TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �rs MUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ f Check # 14247 Building Inspector WILLIAM J. SCOTT Director (978)688-9531 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 CHIMNEY APPLICATION AND PERMIT DATE /oz, LOCATION fn I OWNER'S NAME 121f eo , Fax(978)688-9542 PERMIT # C 333 BUILDER'S NAME W i l I j a m 8 a (Vre + - MASON'S NAME I ©n v P e r ro rV MASON'S ADDRESS qQ MASON'S TELEPHONE _ b 1j? -- ()4 L1c? MATERIAL OF CHIMNEY A r ! Gl- INTERIOR CHIMNEY EXTERIOR CHIMNEY NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH a t Y Will chimney or fireplace conform to requirements of the code and A° have rules and regulations been received:y eS DATE SIGNATURE OF MASON X CONTR. LIC. #_C)Sa ciLAI EST. CONSTRUCTION COST/CON CT PRICE 4014,Qj) j9 PERMIT GRANTED FEE ROBERT NICETTA, BUILDING INSPECTOR INSPECTED_ REMARKS BOARD OF APPEALS 688-9541 SOLID BRICK REQUIRED THIS PERMIT MUST BE. DISPLAYED ON THE PREMISES BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Location /i/o ;Z I/L, z,.,v, No. 333 - Date B-8-06 TOWN OF NORTH ANDOVER Certificate of Occupancy $ 'TS Building/Frame Permit Fee $ 'TS CHU Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / -7- 14C61 Building Inspector 333 7-3-0 " PE I lJ I 1 lef-E I HRRaBY Cmmy ro rm No¢ i �l HA aje, mir rm pvrk/. IS LOCAM ON VRX Lor AS SHORN AND nur IT Doas I ComploRM VMH rHR T'mun/ OF ND• AIQ0oVg-Pz0=j; RSODUUONS ARGARDDI/O ssmclrs FROM SMSTS & LOT LINRS' ' I FURrHRR cRRm7 nur rw rt;;,rq, Is Nor LOCAlRD IN ME FUDR FLOOD HAY.ARD ARBA AS SHORN ON F N PURL f 250oq � — ovo(,G DA�r�p we 2/ 19j; 1 0� SrSP _ ., _ Ls. DAflg Ate-.. - NOT FOR J30LMMY ON. BOUNDARY mp'ORMAnoN MUM FROM Z=r&G ACCORDS, ,A PLOT PLAN IN ANnoyee-I H44,5;,. DRAWN FOR l.eJ i LA. IAH fob-," p T 00,1EX OL1 YRRMACK RNOINRRRING SRRYMIS as PARK STRSSr ANDOVRR, YASSACHUSRrrS 01810 N2 2642 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING /� 'e, � �/, ...... �—//4�c This certifies that ......... ............. /-,)() ............. .. :: ................... has permission to perform ................. Aj�?.. � ..., //0,11 ... e ....................... .......... ... fwiring in the building of .......... . /�.. ........................................ at ..... A) ....... /�.'p ..... . North Mdover,-Metss. Fee... Lic. No. .... ... �,//- INSPECTOR Check # WHITE: Applic nt CANARY: Building Dept. PINK: Treasurer aejranteueat oa pu�lie Sa�ety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Official Use Only Permit No. Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12: 0 (Please Print in ink or type all information) Date d G U To the Insp for Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. r l Location (Street & Number 1 irA I W r rl'i/i S- 114-1/ /A � ,,'!'P/-' Owner or Owner's zfi L Is this permit in conjunction with a building permit Yes Pl— No ❑ (Check Appropriate Box) Purpose of Building 3; NG Utility Authorization No. L90 Existing Service Amps Voits Overhead ❑ Undgrnd ❑ Ne�nr Service Amps / Voits Overhead p Undgrnd Number of Feeders and Ampacity Loction and Nature of Proposed Electrical Work ..,/ No. of Meters No. of Meters / No. of Lighting Outlets No. of Hot fuse Total ransformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ tors KVA iFIRE No. of Receptacles Outlets. No. of Oil Burners mergency Lighting Units No. of Switch Outlets No of Gas Burners ARMS No. of Zone No. of Detection and Initiating Devices No. of Sounding Devices 6 No. of Ranges Total No of Air Cond Tons No. of Di osal Heat Total Total No. Pum s . Tons KW YJo. of Dishwashers S ace/Area Heating KW No./ of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW ❑ Municipal ❑ Other Local Connection No. of Water Heaters KW No. of Signs . No. of Low Voltage 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 equivalent YES = NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) Estimated Value of Electrical Work $ (Expiration Date) Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME �� E/� M A-� General Laws. And that my signature on this permit application waives this requirement. Owner uy� ILO auwianuai egmvaient as required by Massachusetts Agent (Please Check one) `� �� (Signature of Owner or Agent) Telephone No. PERMITTEE $ o, 3, 0 _ Town of `,SS�CMU5�4'. NORTH ANDOVER O BUILDING PERMIT INSPECTION REPORT PERMIT NO.: -3 PROJECT: 44DATE: UNIT NO.: FLOOR: WING: REMARKS: 9 6w, -D- lla z&—% BUILDING NO.:_ /-'(0 e"2tWf v /0 Excavation - depth and soil conditions Framing - Other: Date: 11 —1) _ ADO Date: `f�A� 00 Date: Inspector 44 � Inspector A Inspector Footings and foundations and drains - Insulation - Other: Date: 11 —C41 ` Date: 10 ~ 1�i`v� Date: Inspector Inspector0 Inspector Electrical - rough - Plumbing and/or gas - rough - Other: Date: �' a�toD Date: `- i Date: Inspector Inspector Inspector Electrical - final Plumbing and/or gas - final Other: Date: la— I q-00 Date: 1 a —,:)-0,� Date: Inspector Inspector lent —[J Inspector -ire Dept - il burner, tank, stove, smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: °Z'eq, (9 Date: /'-'t'(V'© C of O #`�� Inspector Inspector Inspector Form #995 Action Press, 665-7000 Date.A� -- /-? - - � No 450/1 TOWN OF NORTH ANDOVER te 0 PERMIT FOR PLUMBING T.0 Th�s certifies that ............... has permission to perform 1:� ................... pl" umbing in the buildings of R191; 6 r7r. f ................. at,. .1a ... Fee3&.� Lic. NOA� j Check # North Andover, Mass. ................... PLUM13ING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 300 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TQBO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS �� �� Date i o " t o'� 0 Building Location O ?e ; i w;1Y.� Owners Name `3"� e�t�LZ Permit #f-9/ r Amount Type of Occupancyl— New Renovation F1 Replacement Plans Submitted Yes No FIX TIRES (Print (Print or type)/1 Check one: Certificate Installing Company Name(s� tj,4 I P' M i, c� [a Corp. % g o d, LiPartner. . Firm/Co. Address ° ( ZP Pk.A t B Lr 2., Business Telephone -7 V-1 7 Si 3 - Name of Licensed Plumber. S+tV<_ 4Z 1,4v Insurance Coverage: Indicate the type of insurance coverage bykhecking the appropriate box: Liability insurance policy 2, Other type of indemnity 0 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 El 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 Massachusetts S)Ite Plum�t ing Cnchapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License License um erg Master Journeyman ❑ 3337 Date. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ;�' '1.'.'.'Z--. -'7*1 9 This certifies that 106 .............. has permission for gas installation ......... in the buildings of .... PA9 411. T —r ...................... at ........... North Andover, Mass. Fee. . 7// .... Lic. No/�.'/-/-. .......... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer C MASSACHUSETTS nt ]FORM APPLICATOR FOR PERMIT TO DO -GAS FITTING ��Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations t o P -e—r J w i'1 V Date _/ 0 /0 Qlwo . Owner's Name New � Renovation 11Replacement❑ Plans Submitted ❑ Permit # 3V / Amount S A (Print or type) %%�� Name -_ _ CJ at / Address R0,. � �W not 3 Business Telephone ;�-,,-/ Name of Licensed Plumber or Gas Fitter Check one: Certificate nstalling Company Corp. 4 ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ NO If you have checked yes, please Indic 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 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 Gal Coded Chap, 142 qf the General Laws. By: Title City/Town 1APPROVED (UFFIci- USE ONI.Y) Signature of Licensed Plumber Or G• Fitter Plumber Q 3� ❑ Gas Fitter License I umoer Master ❑ Journeyman .:l (Print or type) %%�� Name -_ _ CJ at / Address R0,. � �W not 3 Business Telephone ;�-,,-/ Name of Licensed Plumber or Gas Fitter Check one: Certificate nstalling Company Corp. 4 ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ NO If you have checked yes, please Indic 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 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 Gal Coded Chap, 142 qf the General Laws. By: Title City/Town 1APPROVED (UFFIci- USE ONI.Y) Signature of Licensed Plumber Or G• Fitter Plumber Q 3� ❑ Gas Fitter License I umoer Master ❑ Journeyman N2 2633 Date .... "90 . ...................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ..................................................................................... This certifies that ... has permission to perform . ................................................ wiring in the building of ... ........... .......... ......................... at.Z .......... N( ........................... ....................... orth Andover, Mass. ' 7) 4& —'� I/,/ Fee..�� ............. Lic. No X), ............ NSPECrOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer contnwnruQa[tit o� ii/��tuda� For Office use Only r-- Elf=cc�� �7 (Rev. 11199) 1.Jsjoarr`n+snf o��iro Jarvicad Permit Number: BOARD OF FIRE PREVENTION -REGULATIONS Occupancy & Fee __ L-5= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO SE PERFORMED WITH 7M MAssACHusim ELECTRICAL CODE 527 CMR/12.00) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: Gr/ -1 it City or Town of: ANDOVER By this application the undersigned gives notice of his or her intention to perform the electrical work described below. To the Inspector . of Wires: Location: (Street & Number) /© Owner or Tenant: Ru ,-r.o tf- i`2 Owner's Address: Is this permit in conjunction with a Building Permit? Yes We"'No oCheck A ( ppropriate Box) Purpostr of Building: ,.Q S c�,en Utility Authorization #: Existing Service: Amps ____/ _Volts Overhead p Underground.❑ #of Meters New Service: Amps / Volts Overhead ❑ Underground.❑ # of Meters: Number of Feeders and Ampacity: Location and Nature of Proposed Electrical C/ r 0 /lir / /� M ,- 14-7 --- — .,-� v+ Winebb Werveo Dy 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 t� BOND o OTHER o Pleases specify: ter, n P fY: Estimated Value of Electrical Work $_ ���/ , d (1' (When required by municipal policy) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 1 Willy, under the pains and penalties of perjury, that the Information on this application Is true and complete. Firm Name: —.5-11 Gx !, "f Otiv� 7 Licensee: Y /� ZD II/ lJ61t.ture: LIC. #_� ^� (If applicable, enter "exempt" umber li in the license nne LIC. Address: rX /� [ _/� yl J S TV Bus. Tel. # G / / Alt. Tal. # OWNER'S INSURANCE WAIVER I am awarethatthe Licensee does not have the liability i surance coverage normally required by law. By my signature below. I hereby waive this requirement. I am the (check one) Owner ❑ OR Agent o Signature of Owner/Agent: Telephone # PERMIT FEE: S,�r'�/ N2 2455 Date .... ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .- 71,�;4,� .......... I .......... ........ :� ........ .. ................................... has permission to performm ..... i .... ...... . ........ .................... .................. wiring in the building of ... ........... -i ........... at ............. ........... ....... ....................... ............ . North Andover, Mass. Fee.�� .............. Lic. No�411V,,�r ..... .. .............. R--ICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 11;Q—.\ THEC0MM0AWE+41�77I0F114SS 01U,SFM Office Use only ' DEPAJV31E 0FPUBUCS41= Permit No. BOAMOFFMPREVF.N'170NREGUTA770NNS270MI2.00 A71y� Occupancy & Fees Checked M V r f APPLICATIONFORPEI?AlflT TOPERFORMELEi=(� 'AL WO 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 Town of North Andover To the Inspe or of Wires: The undersigned applies for a permit to perform the electrical work. described below. PAAP PARCEL Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Purpose of Building t �/ lud L L r4jill / L Yes [ No k/i.Ltf tiG (Check Appropriate Box) Utility Authorization No. 68 q69 Existing Services Amps / Volts Overhead El Underground M No. of Meters New Service 00 Amps � L Id G Volts Overhead r-7 Underground No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �Lsl./\ �-Ijt-cL S;lyY cD Ui C No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KV A ground and No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumcrs FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and 1`b. 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 Local Municipal El Other_ No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Si Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER - 50, :1 IT, -1#'.711011'' i I:' • •: I' I 1► Signature artlialqiVdkd YES Y3mhmdrd®BYES,Pl mmdtcakllr mcfo wmFbydrdm>gthe 1•'I .II.•. �:11- • • J 1 'ell • Z andthadmysigrmtmcnttwpmi tgplimtcnww&*mNfmragmeant (Please check one) Owner M Agent �f Telephone No. PERMIT FEE rgna e o weer or Agent Location -/O--- -I," U-'1 ' kIA- W11 V No. 3-33 . 14 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ so 11)6) Check # 13,049 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: 333 DATE ISSUED: 0) ®� o SIGNATURE: Building Commissioner/I Tefor of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 10 Per!I Uj 1n Ick w16-- 3$ 01 1 i _ + # 1 O Map Number Parcel Number 1.3 Zoning lnformationZoning Information: 1.4 Propeaty Dimensions: fL13 5Aej F74- ., a7, 614Q 156-417 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 30 106 Le + l 30 1o 1.7 Water Supply M.G.L.C.40. 54) 1.5• Flood Zone Information: - / Zone 1.8 Sewerage Disposal System: Public L Private 0 Outside Flood Zone LAY Municipal G✓ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record ,46bo 7'� �� �yre�%� 0 44 TL),r (008oue, Name (Pri Address for Service: X Si, tore Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ (j i Mary" !0(Xrre- - Licensed Construction Supervisor: C a ft.{ License Number ) -7 i too re 5'j- S t • A)O • %i n 8ou-e r Address 10 Expiration Date $— fo 87— i 4 a Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone M W SECTION 4 WORKERS COMPENSATION (M.G.L. C 152 § 2546) 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 ....... No ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction p/ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �* ("Df\S+r,JC —ibnj C)T 5Ir-N le 0.miIOU)P_Wr\q 3 C a• r t;. Q r a C- G\ e d SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant OFFICIAL USE {}NL 1. Building (a) Building Permit Fee Multiplier 2 Electrical d (b) Estimated Total Cost of. Construction 3 Plumbing Building Permit fee (e) X (b) 4 Mechanical HVAC (� 5 Fire Protection (U PC 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 permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION `-- 11 /� A b bo H" I, W I\\ � A M G Oo f r e �, QCP—SAeh+ 1�1yn 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 (-,AJ i k� a m 8ar�e Print e x���� Si ature of Owner/A end" NO. OF STORIES t� I X0100 . - Date 4 SIZE BASEMENT OR SLAB CY) e—n �}— SIZE OF FLOOR T \4BERS GL ?( 1 X 2 NrT3 SPAN DIMENSIONS OF SILLS L4 )< DIMENSIONS OF POSTS LJ X (y DIMENSIONS OF GIRDERS L4 — a Y HEIGHT OF FOUNDATION $ THICKNESS / Q " SIZE OF FOOTING 10".Y X X MATERIAL OF CHIMNEY 43 r j'C IS BUILDING ON SOLID OR FILLED LAND 5o IS BUILDING CONNECTED TO NATURAL GAS LINE Q V e- . V, CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number �� o.re is-ao-o� THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. HT1,, CERTIFICATE ISSUED TO a) 0 L# ADDRESS /'y el `✓ A 6 z5z� C Building Inspector m m m m VJ 0 y d 'O CO) CD 0 Z y CL CO) P C � � C ®- y o O v CD CD O Q CD o CD W W C CD y C ® y c� CD rid G c?moo m X O •y O O'0 = _G E m N! cccia0CD m Z H �"o CA -moi. r► m 0 T �a,.a o �O m' p y N o i 0 ;1 a `oft o O �• a o ?o% is om: d m CIm y co, 3 a d D4C� 0Wr N m C� E �« H m ,0 W c CA m � CD CA � D cc C C41:40010A. g n r„' o Goc° a tr* I V! ,..r : O .00 0 :A j1 LN =C* :: m o. CDz p a i o = AA : Ift cn ccn -rD f D, o'ter Com ' "� w °c o C/) o CL C x r rD o Rip c,c 0 d NZ O Y� yy oSS� °4;N 1 1 O D O C CD os J 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 A111AV;1 �j/��1 n�� PHONE &ILZ – 2,l? ASSESSORS MAP NUMBER LOT NUMBER O? Map— SUBDIVISION /�[J 6 ` {i LOT NUMBER STREET ie�(� STREET NUMBER I 0 .. 18000mom ran.......................... .....dams OFFICIAL USE ONLY lm.amend..dd.....m..d..........mmm.dm.m.m.mmm■ ............................... RECOMAMNDATIONS OF TOWN AGENTS DATE APPROVED 2-o Q CONSERVATION ADMINISTRATOR DATE REJECTED CONOAENTS Ij &,r , DATE APPROVED DATE REJECTED DATE APPROVED FOOD ISP OR - HEALTH DATE REJECTED -'l DATE APPROVED �v � SI;P PECTOR - HEALTH DATE REJECTED COMMENTS e - PUBLIC WORKS - SEWER / WATER DRIVEWAY PE MIT FUZE DEP COMMENTS RECEIVED BY BUILDING INSPECTOR NS Ilk DATE APPROVED DATE REJECTED �e S' /%'e,a GROWTH MANAGEMENT BYLAW EXEMPTION STATEMENT TOWN OF NORTH ANDOVERBUILDING DEPARTMENT This form shall be used to assist the Building Department in their determination of exemption under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The applicant shall provide all of the necessary information as requested below. Permit Applicant Property address Map / cel co ��� -3 ao Applicant's Phone Number Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 ofthe Growth Management Bylaw. I also understand providingthis form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the building permit. Further I understand that my interpretation of the exemption status is subject to review by the Building Department and is only officially accepted when the building permit is issued. Based on section 8.7.6 ofthe North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more ofthe following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration or reconstruction of a dwelling in existence as ofthe effective date of this bylaw, provided that no additional residential unit is created _ The lot(s) was / were created prior to May 6, 1996 and are exempt from the provisions of section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and or moderate income families or individuals, where all ofthe conditions of 8.7.6 are met and or represents dwelling units for senior residents, where occupancy of the units is restricted to senior citizens through a properly executed and recorded deed restriction running with the land. For purposes of this section "senior" shall mean persons over the age of 55. This application is part of a development project which voluntarily agreed to a minimum 40 % permanent reduction in density (buildable lots) below the density permitted under zoning and feasible given the environmental conditions ofthe tract, with the surplus land equal to at least ten buildable acres and permanently designated as open space or farmland. The land to be preserved shall be protected from development by an Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism approved by the planning board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 and shall receive a one time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for a building permit ( all other permits from all other boards and commissions have been received and the project is in compliance with those permits), and the Development Schedule does not accommodate issuing a building permit in that year. One building permit will be issued per year per Development until such time as the development schedule accommodates issuing building permits. Applicant must submit an approved FORM U with this EXEMPTION. PLEASE PROVIDE ANY AND ALL INFORMATION THAT WOULD ASSIST THE BUILDING DEPARTMENT IN MAKING A DETERMINATION THAT THIS APPLICATION IS ALLOWED UNDER ONE OR MORE OF THE ABOVE EXEMPTIONS. BY SIGNING BELOW I ATTEST TO THE ACCURACY OF THE INFORMATION PROVIDED AND THAT THE ATTACHED BUILDING PERMIT IS ALLOWED AN EXEMPTION AS CITED ABOVE. FURTHER I UNDERSTAND THAT THE SUBMITTAL OF MISLEADING OR INACCURATE INFORMATION OR THE CHECKING OFF OF A ABOVE EXEMPTION WHICH DOES NOT COMPLY, WHETHER DONE TO MY KNOWLEDGE OR NOT IS GROUNDS FOR REFUSAL BY1-HELLUnrNG DEPARTMENT TO ISSUE A BUILDING PERMIT. PLICANTS SIGNATURE DATE THIS FORM TO BE ATTACHED TO THE BUILDING PERMIT APPLICATION Town of North Andover of No RTF! qti 1 61 o Building Department o 27 Charles Street North Andover, Massachusetts 01845 978 688-9545 Fax 978 688-9542 09 `°` c) c) �•Q A°R�reo SSACH US� 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, s150a. The debris will be dispsed of in /at: 50,1ie"91,"Wo P< --i o c ,, '&-c Facility location Signature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Z MAScheck COMPLIANCE REPORT Massachusetts Energy Code MAScheck Software Version 2.0 CITY: Lawrence STATE: Massachusetts HDD: 6235 CONSTRUCTION TYPE: 1 HEATING SYSTEM TYPE: DATE: 6-30-2000 or 2 family, detached Other (Non -Electric Resistance) DATE OF PLANS: 9/10/99 TITLE: PROJECT INFORMATION: 10 Periwnkle Way LOT -10 NORTH ANDOVER, MA 01845 Abbott Village COMPANY INFORMATION: WILLIAM BARRETT HOMES 1049 TURNPIKE STREET NORTH ANDOVER, MA 01845 COMPLIANCE: PASSES Required UA = 803 Your Home = 762 ' Permit # ' Checked by/Date Area or Insul Sheath Glazing/Door Perimeter R -Value R -Value U -Value UA CEILINGS 2100 38.0 0.0 63 WALLS: Wood Frame, 16" O.C. 3588 15.0 3.0 240 GLAZING: Windows or Doors 866 0.350 303 DOORS 42 0.350 15 FLOORS: Over Unconditioned Space 2100 19.0 100 BSMT: 8.0' ht/7.0' bg/0.0' insul. 187 0.0 41 HVAC EFFICIENCY: Furnace, 86.0 AFUE COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in sections 780CMR Builder/Designer Date /N VAw �F,wE.V. duo I jV. = IcC..q ,c* 92. %('ilM' ruyruueal41'- o� lfcuucu l cutella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 052241 i r Birthdate: 10/10/1952 Expires: 10/10/2001 Tr. no: 7876 Restricted To: 00 WILLIAM K BARRETT, _ 1049 TURNPIKE ST.«. N ANDOVER, MA 01845 Administrator The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers' Compensation Insurance Affidavit Please Print Name: Location: City Phone am a homeowner performing all work myself. 01 am a sole proprietor and have no one working in any capacity EZIam an employer providing workers' compensation for my employees working on this job. Company name: Cn1bKNcxAyoko qe- Deo, Carp om - A bbo- OPV. Cord. Address Id f -i q Tvrli k r- S% City' A -)n AA con uei r7-) a. Phone #:g 41- oZ 30`2 6 Insurance Co. G Cea.' M epi Can) Policv # PAC f 8 l a 5 a a Company name: Address City Phone #: Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. Ic C Print Official use only do not write in this area to be completed by city or town official' ❑ Building Dept []Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone #. ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION J.WILLIAM HMURCIAK, P.E. DIRECTOR TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 0 , 11).7►l/9iii ' ' 9 ►/ 1 DATE LOCATION l TI wf vt �( (Ja BUILDER phone OWNER t phoneQ —2 THE NORTH ANDOVER SUPERINTENDENT OF OPERATIONS MUST BE NOTIFIED OF THE GRADE AND SETBACK FROM STREET. CALL THE SUPERINTENDENT'S OFFICE BEFORE FINISH GRADING AND SURFACING FOR APPROVAL OF SUCH ENTRY. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Telephone (978) 685-095G Fax (978) 688-9573 1546 APPLICATION FOR SEWER SERVICE CONNECTION North Andover. Ma e 3) 9, Application by the undersigned is hereby made to connect with the town sewer main in l ir%e Com' treet; subject to the rules and regulations of the Division of Public Work `h f The premises are known as No. /to ! L rte, tiL/yI l , Zi/�� Street Contractor Address ( eApplicant's Sig nature PERMIT TO CONNECT WITH SEWER !MAIN /J The Division of Public Works hereby grants permission to (!/( ,-t[, Ci to make a connection with the sewer main at subject to the rules and regulations of the Division of Public Inspected by Date Street vision of Public Works By See back for rules and regulations APPLICATION FOR WATER SERVICE CONNECTION ' North Andover' mass. e �j� Application by the undersigned is hereby made'to connect with the town water main iri' �htlf�FYl�-t� 'Street, subject to the rules and regulations of the Division of Public Works. S�t��'� ' The premises are known as No. Street or subdivision lot no. 02 c ,..,�: , .J ,. , ,,, :i r`. 1 3 � V r 14 t Owner Address Contractor Addre :. �: i -r. :{tis c ri•`:'Af `•, E ` n.. '.,,t s,. .i : .j„ �,.r•`' 3.i "! t" ;i.-! �:%;'.. Applicant's Signature o PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �! ` !�` �� to make a connection with the water main at Street subject to the rules and regulations of -the Division of Public W rks.' Bo d.of Public Works By Inspected by Date See back for rules and regulations 4 N2- 3880 Date.... ......... ............ TOWN OF NORTH ANDOVER RECEIPT t4t ...... This certifies that .......... t hasp............................ ..........Zee). go ............................ .................... ID for Receivedby ........................... ........ .................... Department........................... C ...... I., ........... 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O� FI NF_ HOMF-5 SNCEfi111E: CII. o J015T PLM VrMff: T161H, MY151OM5: OjL��'� f S f 90 0 O F TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY: OPer' I DATE REQUESTED FILED/READY FOR INSPECTION /,5-/m kq 021 /00 CLO . SING DATE ON PROPERTY: 1 �2 lon FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND PERMIT SIGN -OFFS MUST BE COMPLETED WITHIN THIS. TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARD $20000) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL'APPLICABLE CODES, SIGNED ROUTING CONSERVATION PLANNING DPW - WATER METER NOTE. DPW MUST INDICATE THAT WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYlINSPECTION, REQUEST DPW. Signature