HomeMy WebLinkAboutMiscellaneous - 117 BRIDLE PATH 4/30/2018 (2) / 117 BRIDLE PATH
210/104.0-0089-0000.0
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NORTPI TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
Building/Frame Permit Fee $ S ~�
Foundation Permit Fee $
J�CMIM�E
Other Permit Fee $
Sewer Connection Fee $
W nnection Fee $
ISM Building Inspector
.��w�C'!
cclloz'-� Div. Public Works
PERMIT NO. 3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE M
` MAP d40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK "PAGE —
ZONE ' I IV. LOT NO.
LOCATION ' PURPOSE OF BUILDING SC.TLe_jGR C
OWNER'S NAME lLp- S. O tJ NO. OF STORIES SIZE X t G�y
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME .�� SIZE OF FLOOR TIMBERS IST ��I0 2ND - -3RD
-
BUILDER'S NAME 1 ! _ �L i l�/ SPAN ► y, < ����
DISTANCE TO NEAREST BUILDING ���.` DIMEN I INVIO SILLS
DISTANCE FROM STREET ?7 1 " TS I
DISTANCE FROM LOT LINES-SIDES Vn c REAR " - GIR ERS - `w
AREA OF LOT 1 ` INC FRONTAGE 1 `jam' HEIGHT O FOUNDA ION *ED
THICKNES
-
IS BUILDING NEW A,' SIZE OFFOOTING XIS BUILDING ADDITION � MATERIAL OF CHIM EY
IS BUILDING ALTERATION .� IS BUILDI G ON SO ID ORND ;
V�b.
WILL BUILDING CONFORM TO REQUIREMENTS OFA DE '�/ IS BUILDI G CONN CTED TOT WN WATE ,l
`( N r
BOARD OF APPEALS ACTION. IF ANYh IS BUILDI G CONN CTED TOT WN SEWE
e MA �r
to 6
ti 4h IS BUILDI iG CONN :CTED TO N kTURAL GA 1 LINE
INSTRUCTIONS nr(N 3 PF OPERTY It,IFORMATION
LAND COST
SEE BOTH SIDES PCT. Ri na
`.
PAGE 1 FILL OUT SECTIONS 1 - 3 . EST. BLDG. C2ST.JCR S �---�
ST ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING PP OVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
t DATE FILED
BOARD OF HEALTH
SIGNATURE OF OWNER OR AUTH RIZED AGE T
7
F E E
PLANNING BOARD
PERMIT GRANTED LJ�A
N � /
9 C7
q BOARD OF SELECTMEN
OWNER TEL.#
CONTR.TEL.# (rag-S'335'
CONTR.LIC.# 53 `;!l -9a- '' 00,
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY J_JOFFICES 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's', PINE __ • Q�
BRICK OR STONE HARDW D
PIERS PLASTER
DRY-WALL
UNFIN.
3 4BASEMENT 11
f U
AREA FULL FIN. B'M'TAREA _ V
7' 1/2 1/1 FIN. ATTIC AREA
NO BM FIRE PLACES _ y
HEAD ROOM _ MODERN KITCHEN _ n.1_
4 WALLS I 9 FLOORS (/
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE ——�_ /
WOOD SHINGLES EARTH J
ASPHALT SIDING HARDV,'D //IL
ASBESTOS SIDING _ COMMCN — u
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY _
STUCCO ON FRAME +
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING L
STONE ON FRAME _ �✓7
SUPERIOR I� POOR _ k(�V ��pL"
ADEQUATE I NONE / W Qv
5 ROOF 10 PLUMBING C,tV b J S G.-
GABLE HIP BATH (3 FIX.) 2 s
GAMBOEL MANSARD TOILET RM. (2 FIX.) _
FLAT SHED WATER CLOSET
ASPHALT SHINGLES LAVATORY
WOODISHINGES KITCHEN SINK _
SLATE` NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING ( 11 HEATING �x
WOOD JOIST PIPELESS FURNACE
_ FORCED HOT AIR FURN. L, _� 'I
TIMBER BMS. &COLS. STEAM l7 G v j^
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 _ ELECTRIC
1st 13rd NO HEATING
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BOARD OF HEALTH
PERMIT T LD
f4A
..
THIS CERTIFIES THAT ..0 ..�,.C .... ......................................
P �.�.d g /./ � �j• •. .M
BUILDING INSPECTOR
has ermission to erect ......buildin son .. I!�'
Rough
Chimney
to be occupied as. .,.�.� ..... iii .. :.... ..�.,.'. ............ Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit.
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
UNLESS CONST TION STARTS Service
Final
....... .. ....... ........................
BUILDING INSPECTOR GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
.1 I tDEPI-
COMMONWEALTH 1010 MEHT OF PUBLIC SAFETY
OF 1010 COMMONWEALTH AVE.
MASSACHUSETTS BOSTON, MASS.02215 '.
EXPIRATION DATEL I C E N S E
CONSTR. SUPERVISOR
R�STRI'ION 9 93 6 EFFECTIVE DATE LIC NO.
ACNE '
02/01/1990 053099
KEVIN W MURPHY
ERGLANE 028-58-3444 6OETQWNA01833
PHOTO (BLASTING OFF .I
ONLY) FEE:
0.00
HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY 11`
STAMPED -OR SIGNATURE OF THE E COMMISSIONER
C6/29/ 1967 �.
THIS DOCUMENT MUST BE }.
CARRIED ON THE PERSON OF SIG ATURE OF L NSE
THE HOLDER WHEN ENGAO- • 4 i�' ( '•
OTHERS -RIGHT THUMB PRINT THE
H iEll$ OCCUPATION G/ • �1.///�� •
MMISSIONER n
200M-2.87.81429 � 7Y'V •
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- 04E Tummunwealo of flaaaf4usef#s Permit No.
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19epartment of Public tafetg Occupancy,& Fee Checked k
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BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CPR :0 s
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date "
00& or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perfor the e e trical rk described below.
Location (Street & Number) I � �e- 6
Owner or Tenant is4-le S&Y)
Owner's Address �!t AAt
Is this permit in conff ction wi h a but Idin permit: Yes ❑ No (Check Appropriate Box)
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Purpose of Building e 51 Utility Authorization No.
Existing Service Amps _J Volts Overhead ❑ 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 Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalMunicipal ❑Other
❑ Connection
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 requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I
have submitted valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by
checking the appropriate box.
INSURANCE/ __BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start Inspection Date Requested: Rough Final
Signed under the Pe alties o per' ry:
FIRM NAME LIC. NO.
Licensee Signature AfvLIC. NO.
Bus. Tel. No.
Address Alt. Tel. No.
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. Owner Agent
(Please check one) /�
Telephone No. PERMIT FEE $ `-'
(Signature of Owner or Agent)
x•6565
;iT
_ Date...... f...........
l.I...
NOR711
"`° '•�"� TOWN OF NORTH ANDOVER
o , PERMIT FOR WIRING
SAcmUSEt
1
This certifies that ............... . I.. . • . . -
. .............................................
has permission to perform ..f r:.Jf.......`..............1'...'.:................ .....'.......
wiring in the building of...... ..................................................
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at....... ...<.... ....1..:..:.... �.'.t../�f.:. �.1.................. .North Andover,Mass. a
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Fee.. d.0Lic.No.............. ...............................................................
ELECTRICAL INSPECTOR
ll
aiiLiis5 09:03 5 ((�� pptt
WHITE: Applicant CAfJ y: Retying Dept. PINK:Treasurer GOLD: File
36 r 11
Date...... ..../,-� .........
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
'*Ar.o A
,sgACHU
This certifies that ...........�).. ...............................
has permission to perform ......
�F��.......
wiOng in the building of......... 4 ............
.................................
at......... ,N
.......... _9,ff Andover Mass-;,
R. ..............
-W.. Lic.No.../I(I/-Zv�....
Fee...
Check 4
_ l..,ommonwea[k o�///a�aac�tic�elEt Official Use Only
c� �7 Permit No.
�1
2eparinteni of,}ira �ervicas
BOARD OF FIRE PREVENTION REGULATIONS [ROccupancy and Fee Checked
ev. 11/99] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to he performed in accordance with the Massachusetts Glrcirical Code(rpt •C,527 CIhIR 12.00
(PLE:ISE PRINT IN INK OR TYI'1s,,1 LL GV 01W-1770N) Date:
City or Town of: Z
13y this application the undersigned>;'vc ttcc of his or he lute, tion to eTo the Inspector of, ire
p rnt the electrical work described below.
Location (Street �C Number) �•
Owner or Tenant
Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No
rV
(Check Appropriate Box)
Pul-pose of Building Utility Authorization No.
Existing el Service Amps / Volts Overhead ❑ Undgrd
❑ No.of Meters
New Service ,amps ! Volts Overhead ❑ Undobrd ❑
No. of lleters
Number of Feeders and Anipacity
Location and Nature of Proposed Electrical Work: tC jIre,
�
Contnletion ol'the rollouill table may be x•aived by the lns cctor of t tires.
No.of Recessed Fixtures No.of Ceii.Susp.(Paddle)Fans TNo.of Total
Transformers KVA
No.of Liglttittg Outlets No. of Ilot Tubs Generators K11A
No.of Lighting Futures Above -In- , EBa7titery
mer enc} io tang !
ISttiimmittg Pool acrid• ❑ ornd. Units b b
No.-of Receptacle Outlets No.of Oil Burners FIRE ALARtI•IS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No. of Ranges 'No.of Air Coud. total
Tons No.oCAlertiva Devices t
No.of Waste llisposers (Heat Pump !dumber I'I'ons !K_1V No. of Self-Contained
Totals: I I DetectiottlAlertino Devices
No. of Dishwashers (Space/Area Heating Kti�' Local ❑ ttiluuicipal ❑ Other I
Connection ,
No. of Dryers Heating Appliancesh1:,, Security Systems: i
No•of Devices or Equivalent
allo. of NaterINo. of ,fin, of .,,
IIeatcrs KY Data rririno:
Sins Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs INo. of Motors Total IIP 1'elecommunications Wiring:
No.of Devices or Eauivalent
OTHER:
fttacn additional detail if desired, or as required by the Inspector of Wires.
INSUR.-a.:NCE COVERAGE: Unless waived bytho•.vtter. no oermit for the performance of electrical w'or'k may issue unless
the licensee provides proof of liability insurance inclidin.g "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is ih force,,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSUR.ANCE Z BOND ❑ 'PTIIER ❑ (Snecify:)
�f (Expiration Date)
Estimated value of Etccirical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance Nvith MEC Rule 10,and upon completion.
I certif}•, Inldel.the hall and penalties of perjtlrt•, that the information oil this application is true and complete.
hI1 NI NAME: ,. 7-,0/L �; 1 L LIC.NO.:
Licensee: S /'�j. T �;, /` Signature
(If applicable. enter "esannt"in tic license nuntcer line.)
�
�1 S Bus.Tel.No.
4K
Address: S `� l iso �r i`//Yc? fc 'dt? />i��'��12 D/�� Alt. Tel.No.:
OWNERS INSLIZ'ANCE V,AIS ER: I am aware that the Lice,,-see does not have the liability insurance coverage normally
required by law. 1:3y :ny signature below. I hereby waive this requirement. I am the(cheek one) ❑ owner ❑ ow'ner's agent
Owner/Arycnt
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Signature Telephone Nu. PI:RJ11TFEL•: S