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HomeMy WebLinkAboutMiscellaneous - 106 BEVERLY STREET 4/30/2018 (2) 106 BEVERLY STREET f �� / .. 210!009.0-0053-0000.0 I I i 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the 111 permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32, an electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of.ongoing construction activity,and may be-deemed-by_the.Inspector_of-Wires abandoned.and-invalid-if_he—. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or.the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. tule 8—Permit/Date Closed: Y- �Zj **Note:Reapply for new permilf [01Permit Extension Act—Permit/Date Closed: Date../......... ....... w • AORTH ,;�`'°:•. TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SsACHUS tt _ This certifies that .... ......................................................( `- . . ............................. has permission to perform ' ..................ar:......:.I.................................... wiring in the building of .. ..................................................... at./ .1�....... /I .�^ :' /' ... .. ,North Andover,Mass. Feed.-,.y......... Lic.No.Ae'l' �............. � 7 LECTMAL INSPE f Check # 92Z � L.ornrroruvaas.r. of iita�.;achu6aLG5 �..--•-• --- - , 9 �'] Pennit No. `L a 2epa�rrrimanl o/}ire Sarvice3 ' Occuparc-r and Fee Checked 5dAR0 OF FIRE PREV5tiTi0N REGCJLA i IONS ([Rev. 1/0%j (lesve blank) I APPLICATION FOR PERMIT_TO PERFORM ELECTRICAL WORK All work to be performed in accordance with Loc vfassachuseas Eiec cal Code(tif=f). 52'-CMR 12.00 (PL_ISE P:�v"T L.V L'�K OF. 7-YP"AL L T �Vv,,___ RM, TION) Date: .1 Civ, or Town of: To the/rsreX r ,f R'ires: B this apDhcaCion the undersigned gives notice of his or Fier intention to perform the el =-Ica;Work desC^.^.'.Q:below. Location (Street & Number) 0,,,%'ner or TenantLl ' Telephone No, 'gS=�j � Owners address Is this permit in conjunction with a building permit? Yes ❑ No (Check appropriate Box) Purpose of Building�w� ,�: Utility authorization No. all- Existim-Service Amps / Volts Overhead ❑ Undgrd + No.of.Meters New Service .Amps i Volts Overhead❑ L ndgrd T7 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r Corro!etior of:he fol!owir.�:came �2:ca;veot is me lr SDeC:or of�7res. No. of Recessed Luminaires No.of Coil:Susp.(Paddle)Fans I No.of Tomi 1' (Transformers KVA No. of Luminaire Outlets +No.of Hot Tubs lGererator s KVA I !No. of Luminaires JSwimmina Pool Above U in- is o.of Liner;enc; i;nan; i' grnd. arnd. IBatter:•Units No. of Receptacle Duties 'No.of Oil Burners iFIRE.?LARtiIS �No.of Zones !No. of Switches Nurners 'o.of Gas BNo• of yet2ction and (' Initiating Devices 'No. of Ranges No.of Air Condi Tons lNo.of Alerting Devices No. of Wast. Disposers JHeat Pump i Number f Tons ! _ \o,of Seif-Contained ! Totals: !----I i" -' DetecrioNAlerting Devices Na. of Dish crashers . ;Space..�rea Heating — MunicipalOth ILW (Local Connection [ice No. of Drvers !Heating.appliances r Securir:Svstems:, t I'W No.of Devices or Eouivalent N0. of eater ' No.o, No. of 1 Heurers are:- KW cions Ballasts Data Firing: No.of Devices or Equivalent elecommunications Wiring: No. Hvdroma5saae Bathtubs !No. of:Motors Total HP No.of Devices or Eouivatent :OTHER: PGt Lvlf v^�^�t:✓l iGG1 r Vis y7 er'ar gi ?re_� Esa z ate^, trical Work: (When required by municipal P �Y•, S lrspectic s to be,-equested m accordance with ,,IEC R it L0;. and upon completion. ;" e pe�� ance _:_;ccmcal workmay issue t_niess INSi:R�tiCE C �'E GE: Unless waived t;e owner, no e :.it for r::-: . ecrec'_ ides proof of liability ins,_ran„- incltdino" empiet-depe2ton" �vera`e its;ubstantaicivaient. i .mderslgned c_r'ifies that such covemQe is in force.and has exhibited proof of same to t!-,e"mit issuir.H Oti1C". C-7C{ON : iNSI'R-kNCE 2 BOND r] OTHER 7 (Soecifv:) I cer if, under the pains and penalti s of perlwy,that the information on this application is;rue and complete. 71104NAME: , LIC.NO.: Licensee:C17^e 6t! Signature LIC.N0.: i.Zyyrs/4 ,C::C.e. en;zr ' 2mpt" r tte i c2r z rsum.C�r;yyrr..��L Address: ;,u t�liC� a a3 5n Bus.Tel.No.: 6/';P'9Sq ' Alt.Tea.bio.: a `?em ti1.u.L. _. i S. ,-ol,security work r: t;.:es Debarment of?'ul is Saf-ry"S"Lice ;e: Lic. No. O'VV ER'S INSi:RANCE WAIVER: 1 am a:va-e that the Licensee does not have he iiabilitt•insurance cov.- .1ge nortrzlly ed oy'.c By my signature btlew,!1:_.eco waive Lhis requirement. 1 am ti::(c eck []owner �owne-'s agent. S O-vner anent ignature Telephone No. PFRtiIIT FtE: S —' • Department of Illdilstrial.4ccidertts Office of Investigations 600 Il'asltillgton Street v Boston, J 1.4 01111 +'? 111wit:ruass.gov1dia WorkeW Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly �alTle i.$ttsiuessOrgallizatiou;Ttldiridual): -f• � �(ec rt Cc_ ^ Jam Adch•ess: I 3 C — City./State/Zip: 060 Phone : Are i oil an emplo�•er' Check the appropriate lox: 1. I am a employer with 4. ❑ I and a general contractor and I Type of project(required): employees(filll and"or part-time)• have hired the stab-contractors 6• ❑\ew construction '.❑ I aryl a sole proprietor or partner- listed on the attached sheet. 7. ship and have no employees These sirb-contractors have Remodeling workino for me in any capacirL. kers' comp, employees and have workers, 8• ❑Demolition pm worinsurance comp. insurance.` 9• ❑Building addition ❑ required.] `• E] N'e'e are a corporation and its 10-F Electrical repairs or additions I am a homeoNvner doing all work officers have exercised their myself. [No workers` comp. right of exemption per MGL 11•❑ Phunbnrg repairs or additions insurance required] * e. 152. §1(4).and we have no I'•❑ Roof repairs employees. [No workers' 13-[] Other comp. irrstuarlce required.] �-Anv applicant that checks box=1 inust also fill out the section below showing their workers-corupensation police information. I'I01neOwners Who submit this affidavit indicating they are doing all work and then hire outside contractor must suUnut anets-affidas-it u;dicatui^such. Contractors that check this box must attached an additional sheet showing the uvue of the sub-contractors and state MiT hera n w not tlto>e indene;hasu employees- If the sub-contractors have employees.tiles-must provide the workers comp.polic}number. I ant all employer that is providing workers c0111pellsati011 il1S/Ira11eP fOP 1111'PI11p10)'PPS. BPi01V IS elleOh 'olid information• p et Job site Insurance Company Name: _ Policy=or Self-ins. Lie.7: G � Expiration Dare: •7 !C Job Site address: City State/Zip: Attach a cop`of the worker's'compensation policy declaration page(showing the policy number and expiration dare}. Failulre to secure coverage as required under Section 25 a of MGL c. 152 on of criminal fore lip to S1.500.00 and or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER penalties nd a1fine of!Up to S?50.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DLA for insurance coverage ven'ficat, I 0 hereby eertifi•under the pains alld penalties of perjlr •t1la information Provided ab P Is tate and correct. Simatttre: Date: ( 7 1� Phoneµ: e Qjictial Ilse 01111: Do not itrite ill this area,to be collapleled bl cill or to►vll official. Cit\-or Toi�m: Permit/License# Issuing AuthoritN (circle one): L Board of Health 2. Building Department 3. CitT'/Town Clerk 4.Electrical Inspector Plumbing Inspector, 6.Other 5.Plumbp g Contact Person: Phone#: NpRvy O 4t4�CD'b.��O �e�-m �P� NORTH ANDOVER BUILDING DEPARTMENT oRATEO,�*�,�5 ,1600 Osgood Street ��sACHIl6�4 North Andover Tel: 978-688-9545 Fax: 978688-9542 .BUSINESS FORM FOR TOWN CLERK DATE: NAME: O l dC"al- ADDRESS:. ZONTNGDISTRIOI: TYPE OF BUSINESS: BUIL,DINGLAYOUT PROVIDED: YES A.VAILA13LEPARKING SPAMS:, IUIjA-- ZONING BYLAW USAGE: YES10 BUILDING INSPECTOR.SIGNATURE BUSINESS FORM PORTOWN CLERK 2.40 Home Occupation(1989132) An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondaTY to the use-of the building.for Living ptuposes. Home occupations shall include,-but not'limited to the following uses; personal services such as furnished by an artist or instructor, but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the conduct of retail business,or the manufacturing of goods,which impacts the residential nature of the neighborhood. 4. For use of a dwelling in any residential district or multi-family district for a home occupation, the following conditions shall apply. a. Not more than a total of three (3) people may be employed in the home occupation, one of whom shall be the owrier of the home occupation and residing in said diwlling; b. The use is carried on strictly within the principal building; c. There shall be no exterior alterations, accessory buildings, or display which are not customw with residential buildings; - d. Not more than twenty-five (25) percent of the existing gross floor area of:the dwelling unit. so used, not to exceed one thousand (1000) square feet, is devoted to•such use. In connection with such use, there is to be kept no stock in trade, commodities or products which occupy space beyond these Emits; e. There will be no display of goods or wares visible from the strut; £ The building or premises occupied shall not be rendered objectionable or detrimental to the residential character of the neighborhood due to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any; other way become objectionable or detrimental to any residential use within the neighborhood; g. Any such building shall include no features of desiga not customary in buildings for residential use. i 4ignature t For— ,;4c;2 � 96c A.-M,./MP ✓ Time� M. WHILE YOU WERE OUT M d�lt s Ate_ Of ❑Phone ❑Fax c 2-1J 13 Mobile SuJuw y - Area Code Number Extension TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR//CALL SPECIAL ATTENTION *y Message .� �/ef✓� �Gs uJ/.1 rs c A/ /o (ZAors T� tls� S,�in z ,®brit Signed rr PHONE CALL FOR r(,�-� A.M. -rDATE J TIME P.M. M la.� OF �� �y r PHONED RE17 TURNED PHONE YOUR CALL AREA CODE NU ER EXTENSION MESSAGE L PLEASE CALL WILL CALL AGAIN CAME TO SEE YOU WANTS TO SEE YOU S I D U iniverSal 48003 Ion A� Be L) / s No,, 3o0I Date 6' MaRTh TOWN OF NORTH ANDOVER Cf tt� o ,ti 41 D + Certificate of Occupancy $ 'SscHUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ - 1 Check # i Ui Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 77777777,7 Tis Selci�ioa#or "11Y1se OSI BUILDING PERMIT NUMBER: _ ©o DATE ISSUED: 6r— SIGNATURE:SIGNATURE: Building Commissioner/I~ for of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: /06 bo q 53 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: ,23, yao /,�o Zoning District Proposed Use I Lot Area(so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.5. Flood Zone Information: 1.8 1.7 Water Supply M.G.L.C.40. 54) Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 1`C� C�-J aII,/� tk ` 1 V .. 5' Na tint} Address for Service ature Telephone 2.2 Owner of Record: Name Print Address for Service: z Signature Telephone M SECTION 3-CONSTRUCTION SERVICES 3.1�Licensed ,Constp:C-tion -]n Supervisor: Not Applicable ❑ --{ 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.......❑ No......iiir 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: 01 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Com leted by permit applicant 1. Building U D C f (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR 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 I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name �+ Si lature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS 1 ST 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE � a Town of North Andover of tAORTH �f%„R° 16 ti y ;it- ' 'a O Building Department o 27 Charles Street '` M North Andover, Massachusetts 01845 (978) 688-9545 Fax.(978) 688-9542 4SSACHUS��. DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit'# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a. The debris will be disposed of in/at: Facility location r ignature 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. i i I i(r 1 I 'I Ii �llf= LrNlt))ta9ttl�f�[/1 a�'�fa.�uxclrUaet�r BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 051796 Birthdate: 08/18/1958 t Expires:08/18/2002 Tr.no: 1614 i Restricted To: 00 RICHARD WILLIAMS 106 BEVERLY ST �. � i N ANDOVER, MA 01845 Administrator I i 3 NORT#j Town of �:.V 0 No,30a 40 o�L.A P dower, Mass., �e 'y �q ORATED P'910 4y S H E _ BOARD OF HEALTH PERM. IT T D . Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.. A.C.C.1.40.. .. ./V .c ......todh.a.Arj................ Foundation has permission to erect.....��!V S �. g ZM r 44............. . ....... buildin son ..... .... ............... ..............................�.................. Rough to be occupied as.... �tl. t• ...... p4 � Otr r` v ��� w�� �y Chimney providedt the person acceptIng s 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. a 0t1 4— a b4t^ I OKI- k PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. �[ 9 00000, Rough PERMIT EXPIRES IN 6 MONTHS 9�' Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................................ Service 410 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 BeDone FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. a SEE REVERSE SIDE Smoke Det. Sep-25-00 10:20 P_01 EASTEFN SAVINGS B. NK fib EstablishPd 1905 + X C 1 To: Company: , 652 - Time: 1 ' nate= - Number of pages (including cover) Fax Number: -I� - 0164hone Number: l A- V 1 /J 666 C'o'mments: r"C 0 Q, From: Susan M. Dunphy, Loan Processor Phone: ( �C) - - �� -1 Fax: 10 Corhoratu HcadApsmicts. Lwottki: Hlai;i I1 I;;n NIcC'orlulck Road. tiwtc 10n1 1.111111 Valla. Man laad 2 to'I Town of North AndoverIkon=k OE �tiio , 'SQ. Office of the Building Department Community Development and Services Division c X 27 Charles Street North Andover,Massachusetts 01845 9ss�cE+u5 D. Robert Nicetta Telephone(978)688-9545 Building Commissioner Fax(978)688-9542 October 27,2003 Richard&Nancy Williams 106 Beverly Street North Andover MA 01845 Dear Mr. &Mrs. Williams: Please accept this letter in response to your query on the on going construction on your home. I have researched the files and have the following comments in regards to the project. 1) A building permit was issued on June 14,2001 for the completion of the 2nd floor of the dwelling. 2) The work has been on going since this time albeit ever so slowly which is common in cases where homeowners have obtained their own permit and especially when contractors are working on their own home. 3) The appropriate inspections have been completed up to the last inspection for the insulation of the dwelling on June 28,2002. The next phase of inspections will be the final inspections from the electrical,plumbing,fire and then building inspector,in that order. I hope that this letter will satisfy your needs at this time. Should you have any further questions,I may be reached between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at 978-688-9545. Respectfully, 114" "'o Michael McGuire Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Date............�,...............f.... NORTp TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACNUS This certifies that . .ter- ''.............. r ---...................................... r has permission to perform ..K- }. ;✓.u. —............................................. wiring in the building of..../<..........1� -*.............................. at......./.� ......... --t-f-- / .............. ? ................... ,North Andover,Mass. Fee. ...... Lic.No. ......!!..... ............. -/(; C ELEMICAL INSPECTOR Check # "'/ TIEOOMVONWE4LTHOFAf4ys4aiusEm Office Use only DEPARME NTOFPUBLICSAFETY Permit No. BOARD 0FFIREPREVENf10NRB9JL4T10AS5270M120 —'--'— UVA4 Occupancy&Fees Checked PPLICATTONFOR PD MIT TO PERFORM ELECTRICAL 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) Dat vZ U � Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) 1,04, AI�f�pA I J Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes 1Z3--N6"'L_j (Check Appropriate Box) Purpose of Building Ani (e- Utility Authorization No. Existing Service Z O Amps f UVolts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground No.of Meters Number of Feeders and Ampacity /!J d Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures -2 O Swimming Pool AboveBelow Generators KVA anderound No.of Receptacle Outlets No.o(Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets :l No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones 1 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 Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER v h�trxtoeCoraage Ptttstnttbthe>'egtatattais�t.na�aalLaws [ha%ea=ftLjah*hMN=POkyni&ECMO*OP=bcm C0&aWCr9SS tbsfal>4alqtivalat YES NO IfA%,est>bm&dvMpiafof§m1othe0ffiD-- YESLTJ NO W)mtatedmJwdYES,pleaseitrli*&tAxcfineagebydmkrgthe / i INSURANCE � BOND � O11$� � vemeSpeafy) i��L ��E�yln ES nUedVal dUecticalWok$ WaktoStatt hq)ectwD*RaWesWd Rough FbW Sigttedunder�iePt�esofpajtey. i FIRMNAME / Lioa�seNa r yC�E/t/ i^ oC/ Lioe�eNo /$9�C� t Liocrsae I I Ct m D f7 N G k Sigr>anae — Bti nmTel.Na _ Addm /14,r- 1A AhbV Py A1tTelNa 9'7�f.Cly OWNER'S irs.A1RANCEWANFR,I.amawatethatthelio=&a nott>nvetheit ra=wmM!a-ilss>bsbr>riale*ndatasttaadbyMbadumCtenawl.-M "tatmysignaWncnthispetrntappbced'anwai.tsgasmW'm at (Please check one) Owner a Agent ,- Telephone No. PERMIT FEE$ i S-19-2000 7.34PM FROM CORMIER"ELECTRIC 978SS721dd P. 1 Dens CormitV cwfflier EWWC 80 Sunray Street Laavwenc®. MA 01841 (978)557-2144 May 18,2000 Mr. James D®Colia North Andover Elecftal Inspector North Andover Town Hal North Andover, MA 01845 Dear Mr, DeGoW: On SOW, I insp xl the second floor apartrnerd at 106 Beverly.Sb wt,No&Andover_ Present were landlord AAs. Jsasft, trey atiomey, the tenant, his wide, his 3hree chkhm, his attorney. an appraiser and the buitdidg contractor. The reason for my visit was to advise on a job in the gerage emu of the Property_ In my opinion,the work that needs to be stone in the garage area is riot of an immediate nature. This job should not be attempted until the current tenants of 106 Bevery Strmet have moved off of tho property. There is an ongoing dispute between the tenant and landlord and unfinished etectrical work Inside the property. There are no working smoke detectors and triers Is open wiring. The job is in a Mate of incompletion and if f were to attempt to work on the property,even though it is in the gauge area, l feel that I would be opening myself up to potentially being held linable for the statue of unfinished work inside the property. I would.be more than happy to comply the job requested of me as soon as the current tenants move out. The open ho$tittty between tenant and landlord combined with the incomplete and unprofessional t job inside the property present a risk for my company to gat involved. Thank you. Denis L. C A�er Cormier Etodric DC:dd CC, Mrs. Jessick i MAY -sign �. PLO P (--o Rj t-,AoFLTGA(2, a PURPOSES —54, WV- VSE 01.11..`�(� t AC�DRESS loYR-EEC, �_o2Tl-I I�NpoV�.2. MO RTG AC O R• N Y o►J t c� �-- o P G e C��o •D01.1�aliGi! S. Y���.AN�va , EsQ, ii 400 Co NC. , , cotilc. r PLAT �G'Ae,UUDL I✓) iI li 120,0 - DEVEQ-LYSTRZCz, {; SCALE.: 40 UA-•E :lo(ld(61 i ii .j . I 1 �a�rl�-Y h • ��� •'ro t Sho wry l7areoj?-, tlqa-� Fie w �• sf�own. C�F-SV = 136-A 40 9, 115 CooLop ". . , 1 j PLAM n QO2 W T-4 Tt+L �7r �s�nT canis the _ 2sU ..M!2 aAr.. I wl Yl Ar/rt a 'Z'r is plan i asE-c1. l oc� ��,�'a r- "c: . ,► �o ROBERT , li n ub�icr`cords incl �C GIIIETT � av b%physt�a/ zvic%�ncc.' � %t l�f't-4- �. ��-t�-G�t,��v , � c000wlh N atf nd is prLxJyc-aJ !5}ricf R-Ot�> -R T G. C-�00DWIPI,{�.L.S. I� c 1 /q 4S!40 Jrrc�ica�or o ,�cr�,: 82 CE�4TIZAL- 5TP CE—Ir OEFiCF.S OF: _ _� . : - yTOWII•Of .- :-�..-_-._ - _ ',120 Main Street ---- ,PQE'u-S •4 .�►: NORTH ANDOVER =� North Andover. BUILDING tet '�;e M�SSaChtisetts o 18-15 CONSERVATION DIVISION OF HEALTH =- PLAINNI�c PLANNING 8� COliyiWITY DEVELOPMENT KAREN 1FLP.NELSO`\ DIRECTOR - In ac;rrtlance with the nrc.isic_s t S �� z condition of Building Pe:n it Numbers that the -�e -is resulting irern this work sh211 be disnosed o: in a nrcne:i fi: :•s; scud ;ast. i�,csa. :aci: rs by MGi. c ili. S TSCA The debris will be dispose:! cf i.^.: Jif:,ate:e Of PC MIL Applimm Sr 3a Date -' i NOT:: Demolition permit fr= the Tou3 of North Andover must be obtained for this project through the Office of the Building Inspector. 1, 1 4.. f ' aoi-VN1sINIw0V _ 6ZIZ0 VW NMO1S31 o�ucv�7 , 1S NIvw sot swullIM 08VH318 - 96/90/90 u01leatdz3 9 ``- 8Z�9tt 1011,11"6 � � • V 10tla1N00 1N3W3AO8dW1 3WOH COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY OF ONE ASHBORTON PLACE patlut»te;0ossy"n daufrani - MASSACHUSETTS BOSTON,MA 02108 1jargeohasstts State MY_lld/a6 Cods Is 68#80 hrrorsoit011 EXPIRATION DATE ' L:11—E N;-'f= of this lice0". /1'-9,s (--*O STR.t UPERVI'=OR CAUTION 1 RESTRICTIONS •�J EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST kt THEFT, PUT RIGHT THUMB )t) [33 J 06 _ ll 796 PRINT IN APPROPRIATE BOX ON LICENSE. !f R I l-•1-11AIRI W I I._I_:f I''ai`1'=: BLASTING OPERATORS 17 4t-i MA IN 1.. PHOTO(BLASTING OPR ONLY) FEE: ::HF1Fil._F:'c;Tl:::►wr.i r1F1 c i;_1 22'_� e 100. 0c) NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB: 7 JUN 0 7 1994 THIS DOCUMENT MUST BE I " CARRIED ON THE PERSON OF I SI TORE OF LICENSEE SI NATURE LINE THE HOLDER WHEN + OTHER B N EN D P S-RIGHT TNUM PRI i GAGED IN THIS OCCUPATION. ,� E . Location Zo (2� ' 3p-� Iia. � � Date TOWN OF NORTH ANDOVER$ a Certificate of Occupancy $ i Building/Frame Permit Fee $ j Foundation Permit Fee $ s�CHus t Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector { 9 i Div. Public Works a _ PER'%trr NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE MAP 4-40. 9 LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE I SUB DIV. OUT NO. �I LOCATION / / �, PURPOSE OF BUILDING �j �.Pc,f ell IZjL� OWNER'S NAME NO OF STORIES SIZE +- OWNER'S ADDRESS -057 / ±r1��C S�, � �O/'D /"(/� BASEMENT OR SLAB ARCHITECT'S NAME /7 . �IIS��J //�J SIZE OF FLOOR TIMBERS IST Tf 2ND 3RD BUILDER'S NAME ii L� Owl /} SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET t�"", (�Q;��__ �� POSTS DISTANCE FROM LOT LINES — SIDES ! REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Alo SIZE OF FOOTING X IS BUILDING ADDITION Ivy/�� MATER:AL OF CHIMNEYj�; `V IS BUILDING ALTERATION TY�C—P`+ IS BUILDING ON SOLID OR FILLED LAND l WILL BUILDING CONFORM TO REQUIREMENTS OF CODE E%S IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER /Lo S IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST a. SEE BOTH SIDES EST. BLDG. COST �lC SA.a1 PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER$45. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED I ! BUILDING INSP[CTO! SIGN RE OWN R/OR� IZE GENT W FEE OWNER TEL N PERMIT GRANTED CONTR.TEL# 19 CONTR.LIC.# © 5-1? H.I.C.x l l(a 3 v BUILDING RECORD T' 1 OCCUPANCY 12 - - SINGLE FAMILY SroRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY j� OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d• I 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HAROW D PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ '/ '/r l/ FIN. ATTIC AREA N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH __ _ ASPHALT SIDING HAROVJ'0 V �_ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK CiN MASONRY ATTIC STRS. 3 FLOOR I_ i - - - -- - BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ADEOUAATE I-1 NONE 5 gOOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT I I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 3 GRAVEL STALL SHOWEP -- ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST V PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS V AIR CONDITIONING RADIANT H'T'G ., .: .. UNIT HEATERS GAS 7 NO. OF ROOMS FOIL 2nd _ NO K E B'M'T 1�� 3rd I NO HEATING /1 NOR.i. ` . F .. 0VM Of Over .1� . to � ._L ` o dover, Mass., 19 ACOCHICHEwiCK 7� D""ATED � F A� 5 BOARD OF HEALTH 4 Food/Kitchen of ERMIT Septic System BUILDING INSPECTOR THISCERTIFIES THAT............................................... /. .1 .......................................................................... D � Foundation has permission to erect...-.10�/... buildings on .....fid. ....... .O. .. Y .........�.4......... Rough tobe occupied as..........................C�...............r.. . ............................................................................................ Chimney ,,,provided that the person accepting this permit shall in ever aspect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Law 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION S ART ELECTRICAL INSPECTOR Rough y. ... .......................................:.................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. BUILDING DEPT. TOWN OF NORTH ANDOVER SEPT. 08, 1999 I RESPECTFULLY REQUEST TO HAVE MY NAME REMOVED FROM BUILDING PERMIT#220 FOR 106 BEVERLY STREET.N.ANDOVER,MA �1 4RICH4ARD WILLIAMS 106 BEVERLY STREET M ANDOVER MA enn BUILDING DEPARTMENT Town of of .- An over n North Andover, Mass., 19 BUILD F BOARD OF HEALTH PERMIT TO Food/Kitchen Septic System a BUILDING INSPECTOR THIS CERTIFIES THAT........ .. 1C.-K.............................. ....J.'�................................. .... .................................... Foundation , /....... r:.........,.�.'f.......... has permission to erect..:�.:4:'`.e�::.�..1 .... buildings on :.........� �...... :.��.�1.�.......�� .. Rough � to be occupied as.... '+!'} .!1'�..�../. .......................................................................................... Chimney ..................................... provided that the person accepting this permit shall in every eect 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough ?.\T 6 ."V!O N l 1. !S Final SUN T . SS CO N STR U C-fl O(�T S ,)_� I-�S ELECTRICAL INSPECTOR �� Rough ..�... ... .......................................:..................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises -- Do Not Remove Final No Lathing or Dry Wall To Be Done proil ected and Approved by the Building Inspector. Burner FlRE DEPARTMENT S 11maw Street No. Smoke Det. BLNLDiNG DEPoARTMENTj _ _ a N2 Date... .....I.4Z..-..I,- /..... ..... ..... .... RT" TOWN OF NORTH ANDOVER .03 0 swift 4 . "o PERMIT FOR WIRING CHU Thiscertifies that .............................................................................................. has permission to perform ......... .................................................................. wiring in the building of.................. .............-.— ........................................ at- /.............. ...............-I:- ...... ... .... ..... ... . .... .. ..No rh Andover,Mas. Fee,6-,�. . ...... Lic.No.�. ..... ..............I .... . ,...../:.r... ..... ELECTRICAL INSPECTOR Check # 4 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer -� THEC0MIIOAWIE,4L7HOFAL4MCHUSE77S Office Use only 0 DEPARTMFVTOFPUBLICSAFETY Permit No. 3119 ' BOARD OFFREPREVEVHONRWMTIOAS527C11R12:00 —i � Occupancy&Fees Checked APPLICATION FOR 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 Town of North Andover To the inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) a I e Owner r Tenant _ j f/ Owner's Address Is this permit in conjunction with a building permit: Yes a No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Ampsi� Volts Overhead a Underground No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work �D No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA and10 6&W round 17 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 t�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 Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• InsturveQAeage.ftaw tbtbetapuTxrtisotT&mdus&G=r.lLaws Iha%eaamertLiabtldyhst==PobcynxhdrgCrnnpIe9e Cmeageorilssksbi>i c4ivalat YES ED NO IhaaeaibmlmdvabdpmofafsEffmiotheOffm YES r'—J if}cuhawdvdwdYES pVemitriir*thetAxcf byd the N"ANCE 17 BOND M MIER Q Vkwespeffy) E�a6atDnme EtmEkdVakrdUmftxalWdk$ WcrktDSlmt Ing)ectioriDa eReWested Rwgh Final Signedunc1x'&Rmlh scfpajuty. FIRMNAME i/j�� LnwNTa Lica=i�i.&en D atiepao Signanne _.,e � Limmiso � Btsa>essTd.Na r Adc�ess.1... u S Alt.TUNa 97q` (°S 7 '3 j OWNER'S1N5URANCEWAIVER;Iatnawa d=t cLit=dxsmthmdrirara=oxwgetrilssulia aVivalatasWiredbyMmdm r CmmalLaws anddEiMsigttattgecnth'spwrdappfimb twaimsthistegttasneM (Please check one) Owner Agent Telephone No. PERMIT FEE S 35 l Town of North Andover F NORTH OFFICE OF 3�°�'" ",6 °0 COMMUNITY DEVELOPMENT AND SERVICES ° 27 Charles Street o ; North Andover, Massachusetts 01845c5 WILLIAM J. SCOTT 9SSgCHU Director (978)688-9531 Fax (978)688-9542 March 13,2000 Mr.&Mrs.James Jessick 106-106A Beverly Street North Andover MA 01845 Re: Fire Department Requested Inspection Dear Mr.&Mrs.Jessick, Please be advised that I am including with this letter the correspondence of December 14, 1999 requiring the electrical panels be moved from the tenant side of the building. Its has been three(3)months since this letter was sent. This issue must be taken care of. Therefore, I'm requiring that this work be completed in 60 days. You have until May 15,2000 to finish the work or the Town will seek court action against you. You have the right to appeal this decision to the Board of Electricians Appeals Commonwealth or Massachusetts Division of Registration-North Cambridge-Street Boston Ma 02202. Very truly yours, James DeCola, Electrical Inspector Enclosure JD:jm File: 106-106A Beverly Street BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 �f Town of North Andover f NORTN OFFICE OF 3�O at 1 yO L COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street North Andover, Massachusetts 01845 �' ..•'`�y �/II.LIAM J. SCOTT .1Ss,cNuse� Director (978)688-9531 Fax (978)688-9542 December 14, 1999 Mr. &Mrs.James Jessick 106 106A Beverly Street North Andover MA 01 Re: 106-106A Beverly St. Fire Dept Requested Inspection Dear Mr.&Mrs.Jessick: After inspecting the electrical panels at the above address, I found two(2)violations,which must be corrected immediately. The National Electrical Code 1999 1. Article 100—Definitions Section A General states: Accessible,readily(readily accessible)capable of being reached quickly for operation renewal,or inspections without requiring those to whom ready access is requisite to climb over or remove obstacles or to resort to portable ladders,etc. 2. Article 230 Section 72 Access to Occupant In a multiple occupancy building,each occupant shall have access to the occupant's service disconnection means. Please have your electrician apply for a permit at the building department and call for an inspection when the work is complete.Call me at 688-9545. V truly yours, James DeCola, Electrical Inspector JD:jm Retum Receipt P186 642 100 File: 106 106A Beverly street BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 fown ot Anaover. 0 aCL t ' I o dover, Mass., 3e 19 T� ILDBOAk6Q€ HI\ HI.TH A r� Food/Kitchen u I septic System -, PEr MIT TO BUILDING MPEC'rOR HISCERTIFIES THI i ............................................... ...s'. .t.c�... ................. . . .................. r� f rFoundation as permission to erect.. ":L(2k1F.�.4';�=L. bulldings on'. ,. ,. ..k'........ .. ....... .` .. . ... Rough i Abeoccupled as.......................... .......... ..�.c3..�?�4.,! !......................... ................ .......,...............,......... Chimney MwIded that tine person aoeepting is ,/..!� permft s shall in e�re�F�epact conform to the fermis of the application on title to nis office, and to the prOVISlons o1 the Codes ane By-lawt relating to the Inzpectlon, Aiferati� and Construction of F"°� luiWings in the Town of Horth Andaw. PLUMBING INSPECTOR 110LATION of the Zoning or Building Regulations Voids lifts fermis. J hough PERMIT EXP S LN' b MONTHS Find LL UNLESS CONST UCTION� ARTS 4 ]ELECTRICALIlVsPBCTOR i Rough (' BLIMING,MWCTOR Final Occupay y Permit h equired to Orxupy Building GAS wsPEcroR Display in a Conspicuous Place on the Premises �'I Do Not Remove' O. No Lathing or Dry Wall To Be Done FIRS DEPARTMENT Inspected and Approved by the Building Inspector. O Fume j 5trec: No. O V) I N L l CL (1) V3 Location w 6 r No. Date Y MQRTIy TOWN OF NORTH ANDOVER Certificate of Occupancy $ SAC NUS Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ / TOTAL $ Check # •i I 3� ' s^ter^ Building Inspeclor f TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING T �-1W Sectio»for Wxid.-Use©ni BUILDING PERMIT NUMBER c2 clp DATE ISSUED: �` ����d 9 SIGNATURE: Building Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION 1.1 Property address: 1.2 Assessors Map and Parcel dumber: O 00 a o Map Number Parcel Number (V 1.3 Zoning Information: 1.4 Property Dimensions: n Zoning District Proposed Use Lot Area sO Frontage(ft) 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40.5 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record 17—Ac,4/ Na Print Address for Service ature Telephone 2.2 Owner of Record: Name Print Address for Service: z M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Li� sed C nstruc. Supervisor: Not Applicable ❑ r 1l�E ��%fiy►^� S Licensed Construction Supervisor: 0 S I O 2 �. 2 l p�� License Number Address C j- -.4l ( �"7 75 > Expiration Date nature Telephone r 3.2 Registered Homm mprovement Contractor 1 Not Applicable ❑ Ca--(n v Company Name / 6 rn �n 0j�( Registration Number r Address -N lft ' (Y /_ — Lj O Q r 3 z Expiration Date ^ Si9nat Telephone u) 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....... SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Description of Proposed Work: 44 X�JJ 4 4 L^� cam. C1 i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY. :, Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X (b) 4 Mechanical HVAC ai 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 permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Si ture of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIvMERS 1 ST 2 3RD SPAN • DIMENSIONS OF SILLS DIMENSIONS OF POSTS DN ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CFIIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE c 5- y • FORM - U - LOT RELEASE FORM 15-0 �Ive INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from oards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT S C,� �rN i �/� `��,vi PHONE f,3 ASSESSORS MAP NUMBER OG 9 LOT NUMBER oaS, SUBDIVISION �^ LOT NUMBER STREET /0 4 O-Q-A44 7� STREET NUMBER Assam OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS I■ ■....■ ..■ ■.............■■■■■■■■■■■■■■■■■■■■■■■■■.....■' ■ ............ V-, DATE APPROVED CO SERVATION ADMINISTRATOR DATE REJECTED CONII�QENTS N� � �� �V/1" DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED COMMENTS PUBLIC WORKS—SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE ' MORTGAGE INSPECTION PLAN/ AT /0 6 BEVERL Y S TREE r N0Rr7-1 ANDOVER, MA. N0. ESSEX REGIS TRY OF DEEDS.' BK 572/ PG. 20 it 11 PLAN NO. 402/ CERTIF/ED T0.' FIRST EASTERN SAVINGS �C) SCALE.' l"=40' DATE.'SEPTEMBER /7, 2000 ds 711-;34-1q cP /95.0 4n W ' CONC. ro / DECK n �Owc. LOT Q) I)NOS �- N /l06�� CONC. 23;400 SFf /0E4 DECK Qz- Wro 195.0 1 NOTES.' /) THIS /S NOT A PROPER 7-Y SURVEY, DO NOT USE THIS PLAN TO ESTABLISH PROPERTY LINES OR 70 ERECT ANY STRUCTURE. 2)PROPERTY LINES ARE DETERMINED FROM COMPILED INFORMATION TO BE USED FOR MORTGAGE PURPOSES ONLY, CERTIFICATIONS.' BASED ON MY KNOWLEDGE, INFORMATION AND BELIEF, I HEREBY CERTIFY THAT THE PERMANENT STRUCTURES INDICATED ARE LOCATED ON THE GROUND APPROXIMATELY AS SHOWN AND ARE CONFORM/NG TO THE ZONING SETBACK REQUIREMENTS OF THE APPL ICABL E MUNICIPAL/Ty WHEN CONSTRUCTED OR MAY BE EXEMPT PER MASSACHUSETTS GENERAL LAW CHAPTER 40A, SECT/ON 7, AND THAT THE STRUCTURE SHOWN IS NOT LOCATED INA FLOOD HAZARD Z0NE PER FEDERAL EMERGENCYMANAGEMENTAGEACyMAP.' COMMON/T Y NO. 250098 EFFECTIVE DATE.'06-02-93 ZONE.' X JOHN ABAGIS B ASSOCIATES, PROFESSIONAL LAND SURVEYORS /37 CHANDLER ROAD, ANDOVER, MA. (978) 688-4899 APFLiVANT.' WILLIAMS NO.4518 ✓/re �a»inaanu�ercll�r of', l"'Aw'lts t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 051796 Birthdate: 08/18/1958 Expires: 08/18/2002 Tr.no: 1614 Restricted To: 00 RICHARD WILLIAMS _ 106 BEVERLY ST N ANDOVER, MA 01845 Administrator o =S HOME IMPROVEMENT CONTRACTOR Registration: 116328 r Expiration: 06/06/2002 Type: Individual RICHARD NILLIAMS RICHARD NILLIANS (G to �&96 BEVERLY ST ADIvMSTRATOR N. ANDOVER NA 01845 I a Y NORTH LED � own of over No. 290 T LA _ d over 11ilass. ADRATE D P'P�,��� S H � BOARD OF HEALTH PERMIT T D . Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......RVk * oVAq;Y �v , . .�.s...... . ....... ....�. � s ..... ..................................................... Foundation has permission to erect..... ........................... buildings on .....l.O.. ........��.....'..+V."f^ L y...... -....... Rough .... . t0 be occupied as.....,i4..6#voA Cvroi. f %JOO' N ^f .6 � yq R,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. CY/C3 S PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough A`'J* %M PERMIT EXPIRES IN 6 MONTHS Final &1 N OtNLESS 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.