HomeMy WebLinkAboutMiscellaneous - 114 OLD FARM ROAD 4/30/2018 (2) I 114 OLD FARM ROAD
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Locatio ��1n /41�. /tel
No. 71 Date 8
,.OR7M TOWN OF NORTH ANDOVER
I Certificate of Occupancy $
Building/Frame Permit Fee $ _ y
cnus CHUits Foundation Permit Fee $
s�
Other Permit Fee $
Sewer Connection Fee $
1
Water Connection Fee $
TOTAL $ ;
f � � S
t>- Building Inspector
14/, ? t�tg0 134.40 PAID j
Div. Public Works
i
PEWMIT NO.f Z -APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
`MAP KVO. Ci 3S I LOT NO.— �� 2 RECORD OF OWNERSHIP DAT�IBOOK :PAGE —
ZONE SUB DIV. LOT NO.
LOCATIONPURPOSE OF BUILDING �,.
geLele. 154 l Anile LQLNi��
OWNER'S NAME Q /O NO. OF STORIES Z SIZE
OWNER'S ADDRESS &� / ��6�1 BASEMENT OR SLAB
ARCHITECT'S NAME (� tt SIZE OF FLOOR TIMBERSX
ZYS� Z7Do 3RD
BUILDER'S NAME 1 oowas ge. e' SPAN A• /
DISTANCE TO NEAREST BUILDING 77 )_„,.[ DIMENSIONS OF SILLS (�`� --_
DISTANCE FROM STREET ��/ nr cr '• /l POSTS •=SY
DISTANCE FROM LOT LINES-SIDES REAR p X/7�/�" GIRDERS
AREA OF LOT {--- FROZE / GHEIG �6 THICKNESS
93,
S /p
IS BUILDING NEW 162-0
SIZE OF FOOTING X
IS BUILDING ADDITION q., ][ MATERIAL OF CHIMNEY
TT
IS BUILDING ALTERATION lJ�S IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TOREQUIREMENTS OF CODE �pC IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, if ANY CC.. IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE a
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES EST. BLDG. COST •�J 1� ��
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
A
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
c ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
//-/ / BUILDING INSP[CTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT Q>
F E E -�� OWNER TEL.# /L 7— 2(9?'?
PERMIT GRANTED CONTR.TEL.N — y>
Ig /
CONTR.LIC.# 0!7 ®o
69!9 ((�
s H.I.C.11 o/I�T�T
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 B 1 2 13
CONCRETE 8L K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER _
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
'14 '/t '/, FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDWD _
ASBESTOS SIDING _ COMMGN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK N MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR (� POOR _
ADEQUATE NONE
S ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.) _ +
GAMBREL MANSARD TOILET RM. (2 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING I I MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. &COLS. STEAM
STEEL BMS. 3 COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
a
UNIT HEATERS
7 NO. OF ROOMS GAS '
OIL
2nd _ ELECTRIC
B'M'T
1st 13rd NO HEATING
f
53-179
EA Bank 113
LYNN, MASSACHUSETTS No. 0493068
PAY :it i1i..� <'.�fi'i"Y? (`�::
..E.S i'�''tk h. NOTICE TO CUSTOMER
The purchase of an Indemnity Bond
Wit l be required before this check will
bereplaced or refunded i. t o e t R
TO THE is lost,mutilated or stole$ j
ORDER OF_72e
PERAONAL�'MONEY ORDER DRAWER
NOT MORE NON-NEGOTIABLE
ADDRESS
r
R
NORTH
Town
of
O
�ro dover, Mass., 19
T Q - LAKE
A COCHICHEWICK
PATE1)
BOARD OF HEALTH
Food/Kitchen
Septic System
BUILDING INSPECTOR
THISCERTIFIES THAT................................................................ 0. .......................................................... Foundation
has permission to erect.........A.4P. .... buildings on ..........1.0....014...........FAKM......... Rough
to be occupied as................................... .y..7.3... ...........K(.-reff, nl.....5C .................................
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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST S Rough
.............................. ... ......... .. ..... ...... .......................................
Service
BUI ING INSPECTOR Final
Occupancy .Permit Required t0 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.
Smoke Det.
31257
0 ? ACHERTG\
BOSTON+ ^tA 02108 1618ID
CONSTRUCTION S;:PS"VT:?C'R LIC'i.St `!�� � (� •n�+m
Number: Expires : Birt.hdut+_ .
CS 048684 11/2271997 11/22/1461 10)
Restricted To: 1G
THOMAS W M BERUBE L+etac n +JC: '?3, 101d sign on
16 STEWANT AVE ._ack, and lami-nate license card.
j BEVERIly fA 01 915 K;aep top for receipt and c anq,,,
of address
+
r --
4 -
�1ze Vomrnzaiuue o��actruaels
- Restricted TO: 1G 31257
={ + JEPrKFEFT OF PUBLIC WETy
COKTRUCTIOh SU"rERVISOR L7-C!NSE
F�aher: Expires:. Birthdate: lA - F Rry oc y
77 t ��r G 7 j?I, l n
CS 048684 1111,211997 11-2,..61 'G - ' 2 :_W.-r iozes
j ReStr:cied'TC: lG Fai.Cri nCCSSeSS a '.CrrE',. yr the
State
� w T,naAS W R _rR"Bp is cac.e `..Or rEvacatiar: r..i ...is __?E-Ee. '
' 16 S' `Ka1,T
s
FORM.0 - VERIFICATION 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*****************
APPLICANT:. Phone IFZ?-Za?1
LOCATION: ? Assessor's Map Number 035 Parcel
Subdivision && Lot(s)
Street St. Number
************************Official Use Only************************
LRECO DATIO S F AGENTS: J
• � / Date Approved
W /
Conservation Adm nlstrator Date Rejected
Comments
Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Ins a tor-Health Date Rejected
l-
Date Approved i
is nspector-Health Date Rejected
Comments d'''t Sc -e
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector Date
THOMAS W. BERUBE 16 Stewart Ave..
CONTRACTING CO. Beverly, MA 01915
Carpenter/Builder
Carmen & Debra Coviello
French Farm Road
Andover, Ma.
Job description: kitchen extension / family room `
Excavation and foundation:
- Pour a typical 10" thick 300 PSI concrete foundation.
- 48" below the grade on a 2411 wide 12" deep footing.
- Provide four vents for an air circulation.
Frame:
- Floor will consist of 2"x10" 16" on center with 3/411
T & G plywood (plywood will be glued directly to the
floor joist .
- walls will consist of 211x411 16" on center with 1/211 CDX
plywood over, any door or window openings will have a
double 2°x1011 built up beam over it .
- Roof will consist of 2°x10" 16" on center 5/8" CDX
plywood over them.
- Framing of roof will include openings for two skylights .
Other framing:
- Frame a closet in the new addition according to plans .
- Frame a small closet to the left of the new refrigerator
location and a half wall in the addition to form a mud
room.
- Enlarge the opening in the kitchen wall where the
existing slider is now, the new opening will be approx.
15 ' in width and will be supported by a 14° double
microlam.
Roofing:
- perimeter of roof will be dressed with aluminum
dripedge .
Coverage will consist of 15 lb felt paper with 235 lb
25 year asphalt shingles over.
The new roof line will be step flashed against the
existing second floor wall .
Siding:
- All walls will be covered with tyvex building wrap and
sided over with cedar cladboard pre primed.
- All trim on new addition will match existing house trim.
(508) 927-2099
THOMAS W. BERUBE 16 Stewart Ave..
CONTRACTING CO. Beverly, MA 01915
Carpenter/Builder
Deck: �2
- Build a 12 'x6 ' pressure treated deck with a 48" wide
staircase lea ing to ground level . The deck and stairs
will be supported with concrete.
- Cover the deck and stairs with 11x4 ) mahogany.
- Enclose the bottom of deck with pressure treated
boarding. `
- Build typical fir railings with balisters 6" on center
or closer.
Electrical :
- Run electrical to code with approx. 11 recessed lights,
one light work box, and two outside work boxes for
lights .
- Provide power necessary for moving any kitchen
appliances .
Plumbing:
- Provide baseboard heat as needed in the new addition on
a separate zone.
- Move the baseboard heat as needed in the kitchen to
allow for the new layout .
Insulation:
- Insulate the new addition as follows :
- 81, blanket in the floor with a vapor barrier over it.
- 3 1/2" high density in the walls and 8" in the ceiling
with proper vent over it .
Blueboard and plaster:
- Blueboard the walls and ceilings in the new addition
including the beams that support the cathedral and the
microlam supporting the kitchen opening,
Trim:
- Trim the doors and windows including the two closets to
match the trim existing in the remainder of the house.
- Closet doors will be 6 panel pine.
Floors :
- The floor in the addition will be white oak with two
coats of clear polyurethane.
- The floor in the mud room will be tile and will be
supplied by owners.
Kitchen alteration:
- Move the cabinets and appliances according to plans,
including the sink in the island.
- Remove the counter tops and install new formica counter
tops with oak edging.
- The counter top on the island will be granite both
material colors will be chosen by owners .
(508) 927-2099
C
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IV
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U� L�
-93) 5
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L5,0100
O.L D .'.
T�
A review of the Flood Insurance Rate Map,
� 4
C
a
/ (-j
-4 563N
v �
n
1150,0 Q
A review of the Flood Insurance Rate Map,
This :ri.Ji tgu6t?inSpZCiLJli t.tan i5 far iit4Ttgusr I��Oy��Q'aQ'e CurnncaniiyFunei ir'ulnuer '
purposes only,is not an instrument survey,and Mortgage
a a
is not to be used to establish property lines, Iris eetion6/1!5183)
fences,hedges etc.or to be used for any purpose dated has been conducted
other than its original intent. Plan and to the best of our interpretation this property
is located within the flood zone.
1 hereby certify that the building shown on this plan is �y`N OF N4. [.ocationJ Fl)Oy) 120
approximately located on the ground as shown thereon and o�� COSMO CyG 1,40, /-)f ,•lf y-) MA
that it conformed to the zoning and building laws.of the city or � DAMIANO � i 1 l., '1 /"I
AL)town of 1 l / CAPOBIANCO �' Scale:1 in.=x r t. Date,.2 r--' ' }
when const ticted an to.resections n re rd. 17704 Plan Reference
�FGISTER 'Z�Q
ti y�SUR�Ey MORTGAGE INSPECTIONS INC.
SUITE 311,265 MEDFORD ST.,SOMERVILLE,MASS.
� v
File 4 Job 4
Office Use Only
T t Ul7P C�IITIITITIITIIIIEI AzuE Permit No.
Occiti ani�& Fee Checked
�C�IZYtIIIEIIt III �llfIlit �fE2Tj P
r, 1 3/90 (leave blank)
BOARD OF FIRE PREVENTION REGULATIONS 527 C%M 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All-work to be performed in accordance with the.Massachusetts Electrical Cade, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
(Xyi, or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electricaiwwork described below.
Location (Street & Number) I 0111"nom–—f�z IgV
Owner or Tenant `r pllLM, +� �a �l� t�d
owner's Address
S
Is this permit in canjur.c;ion with a building permit: Yes Na E (Check Appropriate Box)
Puracse of Buiidinc ��� ~� Utility Authorization No.
Existing Service ZAmps -01 �(')UCits Overread Unagrnd No. of Meters
Volts Overhead _ Uncgrna No. of Meters
Ne,,v Service Amps _/
Numcer of Feeders and Amcacity ,n^
lccaticr, arc Nature of Proposed Eec:ncai :`lora
• ! Tocai
i No. at Transformers KVA
No. at L:gntcng Outlets ! 1 No, at "ct 7--as 1
No. Of Lighting Fixtures i Swimming ?aoi gr de_ cmc. _ ! Generators KVA
�lll�JJJJ No. of Emergency Lighting
No. at aleeectacie Outlets No. at Oil Surners Sanery Units
5
No at Switch Outlets 8 No. or Gas Surners FIFE ALARMS No. of Zones
Ota+ No. at Detection and
No. at Ranges No. of Air Ccnc. tens In' Devices I
Heat Total Tata+
No. at Oisoosals No.of Pu—ps Tans KW No. of Sounding Oevices
j No. of Seit Contained.
No. at Olsnwasners - ! ScaceiArea Hearing- �'/ Oetect:dnisouncing Oevices
Munic;cai Other
No, at Oryers I Heactng Oevcces <w
Local Connect:on
No. or NO. at Low `/aitage
Ballasts Wiring
No. of Water Heaters K`V I Signs A
No 'Hyoro Massage Tubs I No at Meters otat '?
OTHER:
INSURANCE COVERAGE: Pursuant :d the reduirements at %Iassacnusecs general Laws Inctucing c NO - i
l nave a'current Liapciity Insurance Potic•/ Camc:etec Opera;cons Coverage or ,ts suostantial eauiva+ent. YES aQ
nave supmined valid proof of same to the Office. YES _ NO _ it you nave cnecxed YES, a+ease nd+cate :he type of coverage cy
checxcng the appropriate Cox.
INSURANCE V, 3CNO = OTHER Z (P!ease Scec:ty) (Exciranan Oates
Estimated Value of E'.ec:nc ) Work 5 � Q�-' 8 �� Final
Werx to Start 10 l I inspection Oate Racues:ec: Rougn
Signea unser :he Penalties of perjury- LIC. NO.
=iRM NA,NIE 1Ltc. No. &2t
L:censee f��Gt ��� Signature
Sus- Tat- No. 53�1 j5b
Accress
t�}1c�C1;CL�aIJ �— Alt. Tel- NO.
OWNER'S INSURANCE—WAIVER: I am aware that th.e c:cerisee noes not nave the insurance coverage or Its sue t. Ow eaurvalen� as
ouirea ey Massachusetts General Laws. ano that my signature on :r.:s aermit aopncanon waives this redu)rament. Own g
(P!ease cnecx one)
7eiecnane NO. PE`MIT FE= S
iSigrature at Owner cr Agent)
Date..................................
L
528
HoRTq
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
,SSACH S�
This certifies that .... .. ... ...�.. 1�l ...... �... ... ..!; �......
has permission to perform .... ,,,,,,
wiring in the building of ....M4.n' ' •4•••dr�ret ..........................
at... -'N.s.................. .North-Andover,Mass.
Fee...310...e.... Lic.Ndr 3 z
�. ...............................................................
U ELECTRICAL INSPECTOR
Uy 10/18/96 11:57 40.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer