Loading...
HomeMy WebLinkAboutMiscellaneous - 108 HICKORY HILL ROAD 4/30/2018 108 HICKORY HILL ROAD 210,06_2.0-019 0000.0 I II I I I I f Date. ... . . a'l.... .. .. Of.NOFTN ,ti F? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �9SSACHUSE� This certifies that . . . . . . . . . . . . . . . . has permission for gas installation r ": ! . . . . . . . . . . . . . . yin the buildin/s of � � -+� l . . . . . . . . . . . . . . . . . . . . 5. at /. ' !. "`:... . . . 1. ; North Andover, Mass. GAS INS� Check# 5^i ; 7 MASSACHUSETTS UNIFORM APPLI (Print or Type) CATION FOR*PERMIT TO DO GASFITTING `�>v ✓ i ' -X__;Ja l/ fl ass. Date 20 Per it A Building Locatin Vit✓ . wners Type of Occupancy New❑ Renovation D Replacement/ Plans Submitted: Yes ❑ No D I Lu C7 ON. y 1 T1 7L gg� p O = C) � W w �w CL z ie 6 o 0: > � Z 0uj 0 t; SUB-BSMT O. ' BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR . STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR 'Ins tallirog Comp4Nameg4, Check one: Certificate Address p Corporation Business Telephone C) ..U ❑ Partnership Name of Licensed Plumber.or Cas Fitter irnvCo. INSURANCE COVERAGE: 'I have a currentll bllity Insurance policy or its substantial equivalent, which meed the requirements of MCL Ch 142. Yes � No ❑ If you have checked yes,please Indicate the type of coverage by checking the appropriate box. A liability insurance policy 0/ Other type of Indemnity ❑ Bond ❑ OWNER'S INSURNACE 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 onf s perm application waives this requirement S gna re o Owner or Owner's Agen Check one: Owner ❑ Agent ❑ hereby certify that all of the details and Information I have submitted for entered)In above application are true and accurate to the best of iy knowledge and that all plumbing work and installations performed under the permit Is e r this application be in compliance with II pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the tZe L B Type of t.icense. By Title Ci Plumber Sign re of L censed Plu ber or Gas Fitter Cityrrown ❑C as fi tter APPROVED(OFFICE USE ONLY) tt�ter License Number ❑Journeyman /V// N° 2671 Date.... ... ............... NoarM °ft"`° '•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSE� ���, , M ( C��, y /mac Ifo c Thiscertifies that .. .............................._..f..................,..................................... has permission to perform ........ ....................................... wiring in the building of !� ................................................., ......................... < vHe C `►�.� h �r......................� -;L_North-An orth-Andover,M� � :r.Feed L /... Lic.No.. l ../ / ,.�.... EELLE&MCAL INSPECTOR Check # ✓ WHITE:Applicant CANARY: Building Dept. PINK:Treasurer TBE00W0AffE4LTH0FMAM(;f E77S - Office Use only �j - - DEPARTMEIVT0FPUBMCS FMY Permit No. p Z BOARD OFFIREPREVEMONMDUUMTIOAS527CMR 12:00 'VJAPPUCATION Occupancy&Fees CheckedFOR PERW TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,$27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work d scribed below. Location(Street&Number) Q Owner or Tenant Owner's Address 14.1 Is this permit in conjunction with a building permit: Yes[ZINo (Check Appropriate Box) Purpose of Building : - Utility Authorization No. Existing Service U� Amps/2-0 [ Volts Overhead M Underground � No.of Meters New Service A) Amps` / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity f Location and Nature of Proposed Electrical Work GIra No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total / FIRE ALARMS ISI .of Zones To. /No.of Disposals No.of Heat Total / Total No.of Detection and Pumps Ton,/ KW Initiating Devices No.of Cishwashers Space Area Heating KW No.of Sounding Devices >i No.of Self ContainedX Detection/Soundng Devices No.of Dryers Heating Devic s� KW Local Municipal a Other Connections No.of Water Heaters KW No.of ! No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP ` OTHER IrtstranwCowt g RQstarYLaws I have a a>trag Liabtltty harmreY lndtd¢tg Cartplete Caaagecr As subsal egtlivalet; YES NO 11meahnadvalidptoofofsarneiDdrOffim YES M NO lf}ou hawdoiced YES,Ikasehdc*thet peofwmagebydxtitgthe INSURANCE BOND a OTI-)1R ftweSpe fy) ExpiafimDw Estirl�rtei Wait$ —69)`D1hVection n�iwakmswt F.W reduda /FIRM NAME G1IJ. 'd boalsm a / (./A/!C SWEAR LitxrseNo - , 31 l Business Te —,?.7l-w v2 A� /-,3 9 OWNER'S INSURANCE WAIVER,lam awa< *atthe Limm dm to the astravecomageordssubstartalgivabtas tt#eabyMassad,tsemcerteralLawS.4rz inn wdtit mysigt won this pem-appkabarwa�sthis reguimalt. (Please check one) Owner Agent Telephone No. PERMIT FEE Location No. y Date Z Z -1 3 NORTH TOWN OF NORTH ANDOVER Oi�«a° :a1ti0 Certificate of Occupancy $ } # Building/Frame Permit Fee $ j • s Foundation Permit Fee $ s�CHU SEP er Permit Fee $ 513 Sewer Connection Fee $ C, to `Zg� Water Connection Fee $ -� TOTAL C,( ►-3 Y ' Building Inspector 6564 Div. Public Works LaFation /GG�,.�•f� ��`- No. / Date NaRT►, TOWN OF NORTH ANDOVER • „ Certificate of Occupancy $ Building/Frame Permit Fee $ j CM�s t� Foundation Permit Fee $ e Other Permit Fee $ a Sewer Connection Fee $ ter Connection Fee $ ? 0 �oTOTAL $ ,© C) Building Inspector I 6558 Div. Public Works Location A00 /,o+ t No. Date 6-19- 173 yy NORTM TOWN OF NORTH ANDOVER Of�t� o r ,ti Certificate of Occupancy $ ti _ ; • Building/Frame Permit Fee $ ,SJACMUSEt Foundation Permit Fee $ Other Permit Fee $ 573 Sewer Connection Fee $ 1=0 c� Water Connection Fee $ Il_ TOTAL $ fEUIding Inspector r` 3427 � 7Ziv Ppb � � _ Div. P bli ork� PE �7' / APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. Sf� �/�PAGE 1 MAP 4-40. LOT NO. Z.' 2 RECORD OF OWNERSHIP iDATE BOlOK 'PAGE ZONE SUB DIV. LOT NO. ? { ( 1t W LOCATION Fc_uQ'ry tiuL `1 Io� PURPOSE OF BUILDING � G/ d }/ FUf OWNER'S NAME `'�" v �y i• NO. OF STORIES l SIZ'E1 '14'2160 I ,_r� �-+• OWNER'S ADDRESS l G i BASEMENT OR SLAB �a �� ¢3`�jy T ARCHITECT'S NAMES !� (7 O SIZE OF FLOOR TIMBERS IST �� ii) 2ND{� 8RD BUILDER'S NAME X11 ,rS/eE,s k _•, SPAN 1 11 DISTANCE TO NEAREST BUILDING t•-� I DIMENSIONS OF SILLS DISTANCE FROM STREET S POSTS DISTANCE FROM LOT LINES-SIDES +�`T�l REAR pry/�. GIRDERS ! AREA OF LOT L � ) RONTAGE (�A �+ HEIGHT OF FOUNDATION �^js THICKNESS �J IS BUILDING NEW yo S I.F.b_ SIZE OF FOOTING 11 r- Jj X / {IS BUILDING ADDITION 3-ie MATERIAL OF CHIMNEY 9 IS BUILDING ALTERATION n /6 IS BUILDING ON SOLID OR FILLED LAND + WILL BUILDING CONFORM TO REQUIREMENTS OF CODEyi_,� c•IS BUILDING CONNECTED TO TOWN WATER,dQ BOARD OF APPEALS ACTION, IF ANY N f"5.► IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION KR SEE BOTH SIDES +N�,i S �I' `V" O LAND COST ��`�+A 4 EST. BLDG. COST i Z/o6✓I /� oo LESS FM PAGE 1 FILL OUT SECTIONS 1 - 3iccpp�pp��c "�+� /�' EST. BLDG. COST PER SQ. FT.l PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FAV'ME PE-Off$ I6 "S Q 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 INSPE OR + DATE FI 9 BOARD OF HEALTH NATURE OF OW NE AUTHORIZED AGE t ' FEE 9�d � so 6.T7 a OWNER TEL.# 6&5-.S7 PLANNING BOARD PERMIT GRANTEDCONTR.TEL. t9 CONTR.LIC.#mss fj 777 BOARD OF SELECTMEN � J-� v BUILDING INtPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ 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 3 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. BM T AREA _ 'L 1/7 1/. FIN. ATTIC AREA _ NO B M FIRE PLACES t HEAD ROOM _ MODERN KITCHEN 1 4 WALLS I 9 FLOORS CLAPBOARDS i7iB 1 22 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"V'D r ASBESTOS SIDING _ COMIdCN T VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME L _ x'•ot'" 44 +43�ai sM i? BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME I �wMrr-- +r a.r.•!µ's� +"tta f r•= CONC. OR CINDER BLK. ymy ., r •P y r� STONE ON MASONRY WIRING iS <�:il Vii'"• -x `' H. STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GAB HIP BATH 13 M. ( GABLE MANSARD TOILET RM. (2 FIX.) T FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING 1 l TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR Y� TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE .. FORCED HOT AIR FURN. - TIMBE OLS. STEAM STEEL BMS. CC0131 HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS B'M'T � I 2nd I ELECTRIC 1 st i 3rd NO HEATING J 1 , FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** 711 1 APPLICANT: C�YI'IrIS d �p Phone 8�c7 3� LOCATION: Assessor's Map Number 6� Parcel Subdivision __ 141 c1Lkz lfi (/11 Lot(s) Street C_ 6 y-V ('7/(� / / St. Number ( ************************Official Use only************************ RECOMMENDATIONS OF OWN AGENTS: I—CWDate Approved ? 7servation Administrator Date Rejected Comments Town 1 Date Approved 91 � , — anner Date Rejected Comments HAgent Date Approved Health A g Date Rejected Comments Public Works - sewer/water connections / - driveway permit Fire Department d Received by Building Inspector Date PRoPosED 51TE PLA 1 J0 RTH AND OVER MA . 09 M LOT 2 S •oa 22� 1'7G± S� 1 ko * r �fQ 41'1pN •� 5d •v� oA�TH of �/ ���• o zHN Ay F. c� ORUI c KO ti NO. 20563 ti y F O/STEA�0�� n NAI EN��� Lq CERTIFIED FOUNDA TION PLAN LOCATED /N SCALE: 1".= DATE: g/so (R3 Scott L. Gi/es R.L.S. 50 Deer Meadow Road North Andover,Mass. O 2 • 8 12a o 3 Ll n 22) 0 � v� �JO• 0 � ice, i O� N 19 i 1� e" f VERT/FY THAT OFFSETS SHOWN ARE FOR THE USE F .. .. .THE OFFSETS OF THE BUIL DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE < i :*Y7rH;'THEZ0N/NG DETERMINATION OF ZONING �r3972 Q fC Y / � O BLAWS OF CONFORMITY OR NON-CONFORM/TY siEwE '' WHEN CONSTRUCTED. IANC s� ' `^WHEN BUIL T f CERTIFICATE OF USE & OCCUPANCY - Town of North Andover Building Permit Number 417 Date DECEMBER 8, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 108 HICKORY HILL ROAD (Lot #25) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/2 CAR GARAGE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Thomas D. Zahoruiko 185 Hickory Hill Rd. ` ADDRESS North Andover. MA i Building ctor f )7ft it Town �� dt f And d a .�1ftsli? ��.M7��4. *.ti No. 417 4 _ o `�'; Nort-h R., dover, Mass., /2 _1%* s TED BUILD BOARD OF HEALTH T Food/Kitchen PERMIT TO Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... . tAT. .7oundation �C /9—' /_7—"/7 has permission to erect.0000 rJMI!I�, buildings on,�Q. � e. ���I..�r. ............ Rough /i /� �3�mac' ��� �K� himney 3 o-lc (,c>C � to be occupied as..4e A.Al.0.05 /...L.�..O�.�rL..............1W1d 00.x.. .............. 4 k.............. � • provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final ty/L'g,3 GfC- 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. PERMIT FOR FOUNDATION ONLY PLUMBING INSPECTOR REGULATED BY PARA. 114.8-S. B.C. Rou �i VIOLATION of the Zoning or Building Regulations Voids this Permit. gK PERN/11�' E_`�:.)J P1__ 1 N ¢� N,1 �to"� FEE Pa�D,l� I _ r be•0 0 ELEC RICAL INSPECTOR a PERMIT FOR FRAME/Bbitdlk�SS CONS � rl�t ay 3 '` "4�'.�........ .. Service 9-i2 FEE PAID .........�................... .... -t ............ ........................... DATE: BUILDIN INSPECTOR h Final 0CCLTx111(;y .Ve i1ldt R'eciid.h-e-<_l. to �..�t'�'lt�1�' I�lLl�t�t.11c_j GAS INSPECTOR Rough,:5: It J)% Display in a Conspicuous Place on the Premises v Do Not Remove v No Lathing or Dry Wall To Be Done .,� Until Inspected and Approved by the Building Inspector. FIR DEPARTMENT Burner � j� �c�t �• PLANNING C 0 qtlNAL CONSERVATION `GI7 Street No. \\\ Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT