Loading...
HomeMy WebLinkAboutMiscellaneous - 109 SUTTON STREET 4/30/2018Q \ Office Use Only use LnlnnlnnMfaJ0 of �Ialigar �usrfls Permit No. ` o i9evartmient of .11thl'ct _afrtg Occupancy & Fee Checked eU 3190 (leave blank) ' 4 ` BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 �� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (XK or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) / a � 9 a-TFQ V 9'7;i -e Owner or Tenant ;52,2 e C/eivFT Owner's Address 109 CZZ_72�� fT�2�e� Is this permit in conjunction with a building permit: Yes &.__�' No ❑ (Check Appropriate Box) Purpose of Building �—P��-p�- Utility Authorization No. Existing Service Amps Volts Overhead r❑ --II Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead Undgrnd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and 9 tons Initiating Devices Heat Total Total No. of Disposals No of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Local F Connection (Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the reauirements of Massachusetts general Laws _ I have a current Liability Insurance Policy includin o eted Operations Coverage or its substantial equivalent ES _ NO = I have submitted valid proof of same to the Office. . ES _ NO = If you have checked YES. please indicate th pe of coverage by checking the appropriate box. �/ — 9 INSURANCE — BOND = OTHER = (Please Specify) -- — / (Expiration Datet Estimated Value of Electrical Work 5 �© ©�r Work to Start h'—/, ` .S Inspection Date Requested: Rough Final Signed under the enaities of perlury: 13 FIRM NAME `G.tG LIC. NO. Licensee Signatur LIC. NO. t " 3 / Bus. Tel. No. SG�I �CL?iSC6 Address � � eL� Alt. Tel. No. !;:-g + � i� 6'gG OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own Agent (Please check one) Telephone No. PERMIT FEE 3 (Signature of Owner or Agent) x•6565 Total No. of Hot Tubs No. of Transformers No. of Lighting Fixtures Swimming Pool Above, In- grnd. I grnd. ❑ Generators KVA No. of Emergency Lighting n No. of Receptacle Outlets ,,L No. of Oil Burners Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and 9 tons Initiating Devices Heat Total Total No. of Disposals No of Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Local F Connection (Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the reauirements of Massachusetts general Laws _ I have a current Liability Insurance Policy includin o eted Operations Coverage or its substantial equivalent ES _ NO = I have submitted valid proof of same to the Office. . ES _ NO = If you have checked YES. please indicate th pe of coverage by checking the appropriate box. �/ — 9 INSURANCE — BOND = OTHER = (Please Specify) -- — / (Expiration Datet Estimated Value of Electrical Work 5 �© ©�r Work to Start h'—/, ` .S Inspection Date Requested: Rough Final Signed under the enaities of perlury: 13 FIRM NAME `G.tG LIC. NO. Licensee Signatur LIC. NO. t " 3 / Bus. Tel. No. SG�I �CL?iSC6 Address � � eL� Alt. Tel. No. !;:-g + � i� 6'gG OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Own Agent (Please check one) Telephone No. PERMIT FEE 3 (Signature of Owner or Agent) x•6565 2343 Date .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... P r�'.Jv� . #. �x .......... ... . . . .... ................ : ....... .......................... has permission to perform ........... ................ wiring in the building of ........... ......... ................... at ...... / '.2 6o rST V . ........................................ . North Andover, Mass. 6.0 Fee Lic. No. ...................................................... 1: ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Date..... .................. ........ ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ..................................................................................... ��4� ................................. has pennission. to perform .... L ...... : ......... ........................ wiring in the building of... e-orbx-�- -4'., ha� A ......... r ................ ................................................................................ at ...... North Andover, Mass. Fee .... 12� ...... Lic. No. ML . . ....... 96CMCACINSPEOrOy Check # 12127 =`=y +fie, C,orrtmoruueaft� o� �//ussac�e� ;�,,-, a1.JeParfinercf o�.}ire �ervices BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. — / til Occupancy and Fee Checked [Rev. 1/071 (1,., hlanl l APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All :pork to be performed in accordance with the Massachusetts Electrical Code (�C) 527 CMR 12.00 ,ISL PRI `� T I._V LVK OR TYPE ALL .LVFORI LATIO-V' Date: Citi or -Town of.UP4M To the I rector of Wires= -,his application the undersigned gives notice of his or er i tendon to perform the electrical work described below. ,ocacion (Street & Number)y �/� )- ner or Tenant )-nier-s Address s this permit in conjunction with +a building permit? 'urpose of Building ''timing Service Amps / Volts dcw Service Amps vumber of Feeders and Arupacity Volts ovation and "Nature of Proposed Electrical Work: Yes ❑ No ❑, Telephone No. (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Completion of the following table may be waived by the Inspecror of Wires. No. of Recessed Luminaires _ No_ of CeilSusp. (Paddle) Fans No. of - Total Transformers K'� A No. of Luminaire Outlets No. of Hot Tubs . Generators KVA No. of Luminaires AboveIn- Swimming Pool grnd. '� grnd. ❑ o. o Emergency Lighting Battery Units No- of R-eceptacle Outlets No. of Oil Burners FIRE ALARTNIS No. of Zones No_ of Detection and No- of 5@itches - leo. of Gas Burners Initiating Deices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices Heat Pum Number Tons' KW No. of Self -Contained Ido- ofWaste Disposers Totals --- �.` -..__......__.---- ................ Detectron/AlertingDevices �o. of Dishwashers SpaceiArea Heating KW Municipal �� ❑ Connection ❑� No of Drvers Heatin.gAppliances KWecurity Systems:* No. of Devices or Equivalent o. of �Z'ater KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent Telecommunications Wiriung: Hydromassage Bathtubs No_ of Motors Total HP No. of Devices or E uivalent OT RER: Attacn aaazzibnai aetau y v' w may....-. ••�--"� -� J -- -- s inr:ced `%aloe G Electrical Work. (W hen required by municipal policy_) ^'Gni: Start: ` Inspections to be requested in accordance with MEC Rule 10, and upon completion. IN S U Ct�NCE C VE. AGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless ::nc licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent- The ccrtificS that such coverage is in force, and has exhibited proof of same to the permit issuing office. ON& NSURANCE ❑ BO -NM ❑ OTHER ❑ (Specify:) I certifj, under the pains and penalties ofperjury, that the information on this application is true and complete. FI RNA i AN'tJE: -5ellxi 6 22� LIC. NO.: Licensee: - �, c z Signature C_ NO.: 7s c;, hCobfe, enter " eCen1pt"` in the lice se n mbe •',1�T�`e. �,/� ! n Bus. Tel. No.. .address: "^rt , r /1��iY LV! � It ( gym ` ' I Alt. Tel_ No. �= L` en' of blit Safety "S" License_ L, . No. work regm. epa. OXN N F R' S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally rc a ui -cu icy la :. B .:r:, sinature below, I hereby waive this requirement. I am the (check one) ❑ ow-ner ❑ owner's anent. Owner .�genc PER1HT FEE:. til rnarure Telephone No. st' �4 i The Commonwealth of MassachusettsPrrnt Form Department of Industrial Accidents Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Lighting Retrofit Services Address:234 Ballardvale Street City/State/Zip:Wllmington, MA 01887 Phone #:978-988-7800 Are you an employer? Check the appropriate box: Type of project (required): L✓J I am a employer with_ 4• E]I am a general contractor and 1 6. New construction employees (full and/or part-time).* have hired the sub -contractors '. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees working for me in any capacity. [No workers' comp. insurance required.] 3. ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t These sub -contractors have employees and have workers' comp. insurance.+ 5. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, § 1(4), and we have no employees. [No workers' comp. insurance required.] 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roof repairs 13.M Other Lighting Retrofits *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Hartford Insurance Company Policy # or Self -ins. Lic. #��_� �`-> Expiration Date: 04/13/14 Job Site Address: V9,(% J U (f J1 City/State/Zip: Exa a "A Attach a copylof the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under. Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby a lift under the pains and penalties of perjury. that the information provided above is true and correct. f 1111 n . , I Y / II � _ . Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: 1�. f- I Location C No. Date zt- -! io -, �,, TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ S CH Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # C�) 9 k, v- 15997 /Y V (CA'-'_ Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING TbH{dT�iBIIC,QHi W .._ .,. ... BUILDING PERMIT NUMBER: DATE ISSUED: 11` p x C:21 451 R I SIGNATURE: Building Commissioner/1for of Buildings Date SECTION I- SITE INFORMATION 1.1 Property Address: v �- 1.2 Assessors Map and Parcel Number: v k 000 i Map Number Parcel Number 1.3 Zoning htformation: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide RegWred Provided Re gwred Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record R 6 � C4 A -C 61I.L-eukety //0 Sty /k�L S� Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Ion^-, k')oYlto Licensed Construction Supervisor: t Address 3 Signature Telephone Not Applicable ❑ b��!lz License Number Expiration Date 3.2 Registered Home Improvement Contractor r Not Applicable ❑ Company Name �t /0 Gc lf-e !L l r L Registration Number y Address-- —� 0Expirations Date Signature Telephone MU M z O O z M 90 O r v M r z G) 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 ....... ❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) TAddition 11 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant t?FF'ICIAI USE ONLY 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction d 0 v 3 Plumbing Building Permit fee (e) X (b) i70 --� 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/AUTHORIZZE�D AGENT DECLARATION 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 1&7 o yi � Print Name Signature of Owner/A 9ent Date f NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I ST 2ND 3 SPAN DHAENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS 1tEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 00 z S �a k �A v '-0 2kil- co O co CD V CD CL O y � C I O Q � m cm G3 CD CD Eft CO 3� O M O CL a- Qi Q C y C ccC CJ J -v CL V3 C3 zCD 0 CL C..3 y C C� 0. c o =arc o a . D C, L3 0 O N o V V H d C tp O Z a z O � w p c x w � JB Oo w $ : U • c� o0 *NAVA, ice; :Z ca :mom :i z z ?� O N a o c� rC1� N C13 O w A Ecoeo z w Z U C m z L = o v cm � O N f9k. 0-4 O 0 A w V N cc Or - c � m : 0 x n ~ O uv sO+ N mO Z WMD •+ A u N 'E - CLt Z oc o Q C3 CD ie Qo Q CO)uj d G ib 00 id w D0 V ro F® °D aClb- CL=*- 49 i O v p Oa .-C G p G p � G cz OG G O w V) w U u, w w' w cn w rz u. w cn cn �A v '-0 2kil- co O co CD V CD CL O y � C I O Q � m cm G3 CD CD Eft CO 3� O M O CL a- Qi Q C y C ccC CJ J -v CL V3 C3 zCD 0 CL C..3 y C C� 0. c o =arc . D C, L3 O N CoO C V V : d C tp O Z c 47 c O � c JB Oo � $ : C j • c� o0 *NAVA, ice; :Z ca :mom :i H O N rC1� N C13 O Ecoeo w C m L = o O L cm � O N f9k. O 0 m V N cc c Ocm CL c � m : 0 n ~ O sO+ N mO Z WMD •+ A F. N 'E - CLt Z oc 3 `r °i c C3 CD ie Qo Q CO)uj d m 5 ® '= H.= _O F® aClb- CL=*- 49 �A v '-0 2kil- co O co CD V CD CL O y � C I O Q � m cm G3 CD CD Eft CO 3� O M O CL a- Qi Q C y C ccC CJ J -v CL V3 C3 zCD 0 CL C..3 y C C� 0. • Dromal 0 Page of Free csumates 105 Haverhill Street Fully Insured Methuen, MA 01844 THOMPSON'S ROOFING (978) 691-1355 Shingles — Slate — Rubber Roof Single Ply — Copper Work PROPOSAL SUBMITTED TO PHONE DATE Bob Carberry 10-04-02 STREET JOB NAME 110 Sutton Street CITY, STATE AND ZIP CODE JOB LOCATION North andover MA 01845 ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Install new .025 aluminum drip edge around roof line Apply iceand water shield 3 ft. up all at.ong edges Reshingle with a 25 year 3 tab shingle 45/h4V'C� Install new flanges around soil pipes and d vent pipes 4liokr- 6o,41 Install new ridge vent Removea,11work related debris 9' 25 year warranty on material 10 year guarantee on labor construction lic. #060112 improvement#128612 Option: If you decide to upgrade to a 30 year Architect shingle it will cost $600.00 more*** e PrOP00t hereby to furnish material and labor — complete in accordance e with above for specifications, the sum of: Seven thousand two hundred ------- dollars ($ 7,200.00 . Payment to be made as follows: on completion All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving Authoriz extra costs will be executed only upon written orders, and will become an extra charge over and Signatu above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note: This proposal may be / cn -ri by Wn I,m 'c 1--.nre ,a....,,. „.. - days. /J . Acceptance of propozar — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the Signature work as specified. Payment ill made as outlined above. Date of Acceptance: %� n �� Signature CERTIFICATE OF PRODUCER PELHAM INSURANCE SERVICES INC 122 BRIDGE STREET PO BOX 960 PELHAM LIABILITY INSURANCE NH 03076 - INSURED Thomas Doyle DBA Thompsons Construction & Roofi 8 West St. Salem NH 03079 COVERAGES DATE 05-02-02 (MM/DD/YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: WESTERN WORLD INSURER B:LIBERTY- MUTUAL INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE TERMS. EXCLUSIONS AND OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS THE POLICIES DESCRIBED HEREIN CONDITIONS OF SUCH POLICIES. AGGREGATE LI IS SUBJECT TO ALL LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY Cx] COMMERCIAL GENERAL LIABILITY NPP770609 C 04-17-02 EACH 04-15-03 FIRE DAMAGEE(�An one fire) CE $1 050,000 e person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000 0 [X]POLICY [ ]PROJECT [ ]LOC PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABILITY C ] ANY AUTO COMBINED SINGLE LIMIT C ] ALL OWNED AUTOS (Each accident) $ [ ] SCHEDULED AUTOS BODILY INJURY C ] HIRED AUTOS (Per person) $ [ ] NON -OWNED AUTOS BODILY INJURY C ] (Per accident) $ C ) PROPERTY DAMAGE $ GARAGE LIABILITY [ ] ANY AUTO AUTO ONLY - EA ACCIDENT $ [ ] EA AUTORONLYN AGG $ EXCESS LIABILITY [ ] OCCUR [ ] CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ C ] DEDUCTIBLE C ] RETENTION $ $ 5 g . WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY WC2-31S-314995-019 [x] WC STATUTORY [ ] OTHER 04-21-02 04-21-03 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE -EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Job: Roofing job CERTIFICATE HOLDER [ ]ADDITIONAL INSURED: INSURED LETTER: CANCELLATION ROBIN TOPHAM 9 FAITH RD WINDHAM (7/97) NH 03087 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUT IZED REPRESENTATIVE G` �u _ Page 1 of 2 TOWN OF NORTH ANDOVER .-..Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee" $ Sewer Connection Fee $ Water Connection Fee $ TOTAL /0 $ k/ 72r - Z-17 Building Inspector Div. Public Works /. 4T NO 1 �(o APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. I 2 RECORD OF OWNERSHIP :DATE BOOK :PAGE I ZONE SUB DIV. LOT NO. F LOCATION iC3 q S'j , g `l 1i mss- PURPOSE OF BUILDING Woo D �. �. — OWNER'S NAME�c � e� p� , m� �e J \)�7 NO. OF STORIES SIZE ,� C� J OWNER'S ADDREESeS( �/' r� �1 �, TCS a .11 A� �qdl -�-, N` •Y BASEMENT OR SLAB S14I� A ARCHITECT'S NAME,�y,,, [di SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DIMENSIONS OF SILLS POSTS DISTANCE TO NEAREST BUILDING too 0 DISTANCE FROM STREET � DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT /'1 p� Af /� S `/ IaJ!^ FRONTAGE �gq, f-, O'7 HEIGHT OF FOUNDATION l_3 I THICKNESS ,C —6111/ IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY "ap wczy IS BUILDING ALTERATION %C_� ZZ IS BUILDING ON SOLID OR FILLED LAND f eX WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Yes 7 IS BUILDING CONNECTED TO TOWN WATER Y d °3 BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER a - IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR c FEE a 2- 4—Z--) PERMIT GRANTED"d y l 19_ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST z 0061 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM 0O SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL. # G �� CONTR. TEL. rY t03) CONTR. LIC. At C71b 6- H.I.C. k — BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY -- S.-ORIES MULTI. FAMILY OFFICES APARTMENTS __ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH B 1 2 13 PINE CONCRETE CONCRETE BL K. BRICK OR STONE HARDWD PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL y, y, FIN. B M AREA ATTIC AREA _ _ N_O B M -FIN. FIRE PLACES,.. " _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 �— � — �— DROP SIDING CONCRETE WOOD SHINGLES EARTH HARDVJ'D COMMON ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAMEHl ASPH. TILE— BRICK ON MASONRY. r _ _ ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. WIRING STONE ON MASONRY STONE ON FRAME- •- SUPERIOR I� POOR — A DEOUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBREL FLAT I HIP MANSARD SHED BATH (3 FIX.) TOILET RM. (2 FIX.) WATER CLOSET _ _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING I.' _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD ,JOIST PIPELESS FURNACE ' - FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS."- - HOT W'T-R OR VAPOR WOOD RAFTERS ' '� _ -AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ It 13rd ELECTRIC NO HEATING s THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT A�ND`DISTANCE FROM LOT LINES AND EXACT DIMENSIONSiOF BUILDINGS., WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. . 1l,} I rI lT L4 O\ it 0 73 �1 0 �J CS C N w O cc,cc v E Rco � z a. rc Z CO CO ' t o cm CO) ra ^. ¢ o VJ: L • mCi< 07 1=21 Cm G .. C Q O C 1. y 0 r eACD C007,6 u mco E m m m c O o B+ O 0 co v i O _ m m Cc CD CK eon Gm Q m w y C m o J'��' Cl-'� O J O Q t = o C3CL J C p Q w' �'� H Z V Q sit _ �6 'tZ' O O Z f �r o ..._ �... V COD LL' • V O i ccco . _ = Ha.. 4D LU co cc W V> •`gip m C Q. -xC � O _.� ttr .aa.me.. s COD eA O r =� ca Cc aw ., _... a _. .. .. '.�y'o' Y..a. .. � -. .. . v.- x._.. .. _.. _ .. .•........... .•...-•ii c w aco 4 z z a o A z z w d s vu d w a a OC Z>.cc C 00 r Qr m W �°° m 5 G OJ 0 w� w° d U z a w a U) w w cis cn �1 0 �J CS C N w O cc,cc v E Rco � z a. rc Z CO CO ' t o cm CO) ra ^. ¢ o VJ: L • mCi< 07 1=21 Cm G .. C Q O C 1. y 0 r eACD C007,6 u mco E m m m c O o B+ O 0 co v i O _ m m Cc CD CK eon Gm Q m w y C m o J'��' Cl-'� O J O Q t = o C3CL J C p Q w' �'� H Z V Q sit _ �6 'tZ' O O Z f �r o ..._ �... V COD LL' • V O i ccco . _ = Ha.. 4D LU co cc W V> •`gip m C Q. -xC � O _.� ttr .aa.me.. s COD eA O r =� ca Cc aw ., _... a _. .. .. '.�y'o' Y..a. .. � -. .. . v.- x._.. .. _.. _ .. .•........... .•...-•ii 0- ^c x' -- :. `S,.R-"x-. .y # t t�- :✓ i �„ii'4-�.'#- ,:-AYi.E y.`.+F .vc• `-^PT'K Fki*+. + '.r•� V —,z.� s a rxv.v t� _ I1� TOWN OF NORTH ANDOVER A ,__. - - _ ,M.„u . :..o•C krT.F.[X ..�:L ht f^^4°`1fa^t T a- Jo MASSA HUSETT Ti- y v - S : - - :. ..moi... -.sem J£:"t' _?F..t .-'X.0", ....€%'..<.;:ls.�--:.•'� � _ - � - BOARD OF = APPEALS ' _._ - Sebastian C. DiSalvo, Trustee -* Rs _ DiSalvo. Realty Trust * = ;,_ Petition 9004-95 c/o Ralph. Joyce _-.- = 95 MainStreet - . pw..._......G.,.-,......�.-a-...,mss._. North Andover, MA 01845 '' ar• -sr.,-« a.Kaswu•.s- - M""'u ._.� ._ .. - . The Board.: of Appeals held a regular meeting on Tuesday evening, January10, 1995 and continued to March 14, 1995 upon application of Sebastion DiSalvo, Trustee of DiSalvo Realty Trust requesting a Special Permit under Section 9.2 Paragraph 1 of the Zoning Bylaw so as to permit the extension of a legally existing non -conforming structure in order to .wise the roof line over the existing office space to allow the present storage space to be utilized as office space on the premises of 109 Sutton Street. The following members were present and voting: Walter Soule, William Sullivan, Robert Ford, Scott Karpinski and Joe Faris. The hearing was advertised in the North Andover Citizen on December 21st and 28, 1994 and all abutters were notified by regular mail. Upon a motion by William Sullivan and seconded by Scott Karpinski, the Board voted unanimously to Grant the Special Permit so as to permit the extension of a legally existing non -conforming structure in order to raise the roof line over the existing office space to allow the present storage space to be utililzed as additional office space. The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.1 of the Zoning Bylaw and that such change, extension of alteration shall not be substantially more detrimental than the existing non -conforming structure to the neighborhood. _ Dated this 16th day of March, 1995. Board of Appeals - Walter Soule, Acting Chairman pw..._......G.,.-,......�.-a-...,mss._. _ r'.0 -._ '' ar• -sr.,-« a.Kaswu•.s- - M""'u ._.� ._ .. - . Any appeal shall be* -f iled = . ~ '• ''' }., within (20) days after the date of filing of this TOWN OF NORTH ANDOVER ;. Notice in the office - MASSACHUSETTS of the Town Clerk. BOARD OF APPEALS y; NOTICE OF DECISION Date .. KaL rch .1.6,..l 9 9.5 ....... Petition No...# 0 Q.4- 95 ........... January -10,-1995 Date of Hearing.. March- -14 ,' ' 19'95 Petition of . Sebastian..C...DiS.alv.o,..Trustee...c%o..Ralph..Joyce.,..Esq....... . Premises affected 10.9 . S.utton..Street............................................... MW Referring to the above petition for a variation from the requirements off.... under.. . Section 9.2 , _ .Paragraph 1..of. _the _ Zoning. Bylaw . .. . . ................ . so as to permit extension. -of .a -legally existing.. non -:conforming. structure in order to raise the roofline over the existing office space to allow the present storage space to be utilized -as -office -space, at,1,09, 'Sutton St After a public hearing given on the above date, the Board of Appeals voted to ..Grant.... the Special Permit and hereby authorize the Building Inspector to issue a permit to Sebastian C. DiSalvo, Trustee, DiSalvo _Realty. Trust..... . for the construction of the above work, based upon the followin; conditions: The Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.1 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming structure to the neighborhood. Signed l , /a& ^ , ' /A ' P .. Walter Soule , . Acting . Chai.rman William Sullivan Scott . Karpinski .... • . . .. . Joseph Faris Robert Ford .................... Board of Appeaia repri'drt id far, tltage dt deter, 2) tsible f6i ����. and ihb confra�c ooadltipn pdbr t0'prciol3bil } ,tru*4s,tritrsx bd tnf 4)'A",pp dOd,gussOte metddef during the roploo dMahe �#1 wood,*! AAY f f k�t t C �1 14� A. f z A,tU. t ' g% y 44,.. s D � r � ' �#Y 1J • i� 6 M +� t, U .yk�Y:iF ft � � f yy µ•. ; repri'drt id far, tltage dt deter, 2) tsible f6i ����. and ihb confra�c ooadltipn pdbr t0'prciol3bil } ,tru*4s,tritrsx bd tnf 4)'A",pp dOd,gussOte metddef during the roploo dMahe �#1 wood,*! driivirtg may not be reused at ..._ut ih� 141Opraval of the i VS1 deston' will y r`h,,3,' mist rh�c:tncomptienca with this �i ttt o r�l1J(iori' 'ife ri tin /hw Orn—fift . -A, v__...! _ .._ _. , �e ti't3� piu�iw(f>�tt;tr' ��oP tb� {ring.. . td 4e a Iated on • twing+ Avoid damao or mavemant'of it -pair {r sptltea riff lie such as to avoid unusual splitting ot:fitQ oft iC I iue manuracturees spocInrafions AAY t �1 driivirtg may not be reused at ..._ut ih� 141Opraval of the i VS1 deston' will y r`h,,3,' mist rh�c:tncomptienca with this �i ttt o r�l1J(iori' 'ife ri tin /hw Orn—fift . -A, v__...! _ .._ _. , �e ti't3� piu�iw(f>�tt;tr' ��oP tb� {ring.. . td 4e a Iated on • twing+ Avoid damao or mavemant'of it -pair {r sptltea riff lie such as to avoid unusual splitting ot:fitQ oft iC I iue manuracturees spocInrafions 5m ,a, a ell . nR� I C, Box 947. Alined TO 207-2*75 ME WATS: SWI - OO}V � •p� B y �' �k i; get, } z P, { a. r¢ iµ� 4 4 PV N j +ls� J _ lui Aj�r. k p, +:}'+i. Rio, Y Ot n a r 3Se!N �. rBl r S B for is4app 0n any ath as.:. Z) W84 #s repposlbGa for thq structural 44 drayyln , and the contractor must'var(ly thg '00.4top con t(ppn p69rt0'pr6ceed(ng with repa(rs. t,` i th# i 3) A(t trussesmust be (nstal(ed or , J t } t, cturnot p(uMD 4)( plywood 94001s oftdlor scabs mud(,; (n�if } cls �tutinQ the ,((apatr pmcogdy, ra. i s f i erid d(atancewipe distancc�,gnd gs 8) t�ite� �fX�egtltc!� # bre-'Ai�FD'1 t } �: , r �r +stir. a w ! U 95 U 6—'2r: a fi.y! t i � 4 �a 3� ( F 1 err 3I , F rxd t j s i �f r t r�j t opt be rouso o t°Rr the Wad( �cj: t the patul.cii(� w r MWI ent of repair k�tiuSt{al�,i,11! fhc no t ! �pp•�Etie�tlon� � � � � w T* 0? 2 x07. 8;:--� `# , Ott; wnTs aaa• aaoyt6 auc•ara3t �:. t•gsix , , A 1. GUSSETS ARE 3/4" PLYYV00q (ro ly, �cP.1j ' 1 EACH 8101! OF TRUSS 2, CLUE OWSS&TS IN PLACE WT" .4 11+4" ibkAG OF GLU4 A40NCS EACH MEMBEF�� 9. NAIL. GUSOETS IN PLACE NTH AT 2.1/2" 04., STAGGER Rta, OF IQ# po NOT NAIL INTO METAL Co mm- ter1 4' 1) This repair is for "T" Na, reproduced to usage on any othe�111134 trsitu�1?P defiant. 2) WSI Is rasponsigi'a for the structure h ad of iia r�apwtr Qty#� drawing, and the contractor must'vorify a c0dition prior ta'procaeding with repairs oi't cQ R 3) ill tntsos must bo Installed or returns ue pl}�I Prior t , ! 4) All1 ! P YwOQd ussetd and/or scabs mv�t p j -w 40 �s I i rnatsrtals durling1he rAPair proceeduro. 5),"rhp ead distaince, ad distanda and ss WOOD• 6j Pup, if required, to�ba APA-AFGQi91� 4 7 rn y 1110# bit reus'e$ory rv1 of the I n rQMPII#nce wNh his ! OInst the aqugl e' s 1 unusual spli K , .j , i -f Location 1j)C1 S (; C) A) No. IL / Date Check # / ; 7 9, 13769 Building Inspector TOWN OF NORTH ANDOVER 0 16. Certificate Occupancy $ of CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / ; 7 9, 13769 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING S a mow. - _ -. x .. : s .,, ._.. .X::: , a i ..: BUILDING PERMIT NUMBER: DATE ISSUED: / •m• v SIGNATURE: C Building CommissionerA for of Buildings Date SECTION 1- SITE INFORMATION �,p 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ®Mn. 0 ob Map Number Parcel Number r 1.3 Zoning Information: jj��,���� r /� Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Fronta e 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. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood pone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record 0. SoIyl9 Regi- Tfos l®g So+lo-e. - Name (Print) Address for Service Signator Telephone a -AJ -1V z — 6 C7:28 3) 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: ,R rr-e S :_ —IP— 5' -j A Licensed Construction Supervisor: Address �,,,,ra (,S �c �- Signa re Telephone Not Applicable ❑ C S 0,5' L+ 7 13 License Number Co 6 a o oca Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name �J Registration Number Addre o a a O D 3 Expiration Date Signatke Telephone SECTION 4 - WORKERS COMPENSATION (RG.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 ....... ❑ SECTION 5 Description of Proposed Workcheck all applicable) New Construction ❑ Existing Building X Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other; Specify Brief Description of Proposed Work: cud �92 e!f g t0nm r - SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant r �pFFIeIALWUS tQ�II,Y it, 1. Building °O (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 Signature of Own er/A ent Date NO. OF STORIES SIZE n BASEMENT OR SLAB SIZE OF FLOOR TIlv1BERS 1ST 2ND 3PD SPAN " DIMENSIONS OF SILLS DIN ENSIONS 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 • 01 ;� £8610 bW 0131,ISd01- _ _ '7 i} 1S 17IH g d1 S31 aolyalSWIkv � 9W77300W3H W S3W�f � ��.�,, � '; � 9W101I48 d1S31 �7 66/bI/II UOIIVJtdx3 96ZOZI uo 80 ' ad/1 dDtJdd1WOJ 1W3W3nDdstBad dNl 3MOH n4a s N w O z cz O� ¢� o A GG d v u aG o wE L In cn a cn ° w z z -4U A G O w° T v U G w ° w C7 w�' w uz ¢ U w tw CG° cn �+ w o U z GO G (� rL w w A w k. C m 2 �, cn v D o cn m` CL ca L ce �O O y c cc 0 cm m cm c S m o` n C C N CD L O Z ¢O J 0 !O CO O CD 0 Z O v H H CDi co t/ CD C CD V cc raw CO2 0 Q .CL CO) C O C..) R C _cc d i O v Co a COD c CD CM c oCD c o m m 0 CD O � �CD D o O d CL cma c ev ev J .O O O Z co O. COD C 0 U) LliU crW w ccW LLI C/) m c o O O 1 �: d7 y yO r C • C-3 LA V, a c � cv m c L o o m Ea U; •' LL` . o m ,_ m �J " m �'E r CIO r� c 0 m� * m CL y LC _ m m o �3 y mm • • — m to W kEm sm c r�oo y C Z ,D :mLo n � W ev LL C -0 NC W r .E .0w o, V m m n '0 sO y m N �O _ cc m` CL ca L ce �O O y c cc 0 cm m cm c S m o` n C C N CD L O Z ¢O J 0 !O CO O CD 0 Z O v H H CDi co t/ CD C CD V cc raw CO2 0 Q .CL CO) C O C..) R C _cc d i O v Co a COD c CD CM c oCD c o m m 0 CD O � �CD D o O d CL cma c ev ev J .O O O Z co O. COD C 0 U) LliU crW w ccW LLI C/)