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HomeMy WebLinkAboutMiscellaneous - 119 LIBERTY STREET 4/30/2018 (2) 119 LIBERTY STREET 210/09006-0060-0000.0 J - RECEIVED � Commonwealth of Massachusetts JUN u 5 zu12 City/Town of TOWN OF NORTH ANDOVER System Pumping Record HEALTH DEPARTMENT Form 4 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use.The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information 1. System Location: Left/Right front of house, Le hf rear of hous , Left/right side of house, Left/ Right side of building, Left/Right front of building, Left/Right rear of building, Under deck Address City/Town ` \ "l State Zip Code 2. System Owner. r Name Address(if different from location) Cityrrown State Ziff C � o e a -`?o �7 Telephone Number B. Pumping Record 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? es ❑ No If yes,was it cleaned? s No 5. Condition of System: 6. System Pumped By: Neil Bateson F5821 Name Vehicle License Number Bateson Enterprises Inc Company 7. Lo WIMe contents were disposed: Lowell Waste Water Signitufe Haule Date t5form4.doc•06/03 System Pumping Record-.Page 1 of 1 Location .�Q �,t i3�:Q.T�{ Sir No. ?55 Date 4, TOWN OF NORTH ANDOVER p, 3? e. 0 a V p Certificate of Occupancy $ * > Building/Frame Permit Fee $ �,SSACMUSEt Foundation Permit Fee $ Other Permit Fee&1Q� `' — Sewer Connection Fee $ Water Connection Fee $ TOTAL $ t Building Inspector o •,- $ Div. Public Works PERMIT NO. 35.5_ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. PAGE 1 MAP KJO. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE a 'ZONE SUB DIV. LOT NO. �I LOCATION tlg LA/2r URPOSE OF BUILDING � n nye a� Popes.,1 fGN� �p j . OWNER'S NAME .scall �1�pY NO. OF STORIES Q/F'CIYCIJSIZEP-l0.[I 1 �I ( /iYl�/"�/� `�.j� I Utl a� VV���� l['q V� 12'1(15'. P�1 I1 OWNER'S ADDRESS *�`4p GtGEQ41 -/ �� �n1(�.�, '.�® A. BASEMENT OR SLAB � ry�p 1 T l "'I c"•'g Jt FP"�W �W(r 0MGMT ARCHITECT'S NAME E' /��p�t\. SIZE OF FLOOR TIMBERS IST 21j)(51( 2ND 3RD BUILDER'S NAME ?Sc� yLA f== SPAN V2' A 15'rr --' DISTANCE TO NEAREST BUILDING jQr,)FI �/^ DIMENSIONS OF SILLS DISTANCE FROM STREET 1 bO V'¢1 1 POSTS �](1/`J DISTANCE FROM LOT LINES-SIDES /'_ r REAR�.� 1 GIRDERS �I �l AREA OF LOT 3 AOy Ac, I �J FRONTAGE iCj �'I" HEIGHT OF FOUNDATIONU'A ��( JV 7 I�THICKNESS Al h IS BUILDING NEW "0 7 1 SIZE OF FOOTING toll X (� IS BUILDING ADDITION I eSC grjaCtf MATERIAL OF CHIMNEY A`. IS BUILDING ALTERATION Y�j IP 960 J f IS BUILDING ON SOLID OR FILLED LAND /V i ICV �I'7 1.. WILL BUILDING CONFORM TOR QUIREMENTS OF ODES IS BUILDING CONNECTED TO TOWN WATER fir/A BOARD OF APPEALS ACTION. IF ANY 'v�1 O � IS BUILDING CONNECTED TO TOWN SEWER WA NATAAT IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION t LAND COST a SEE BOTH SIDES � �QaWI { 5���� - j EST. BLDG. COST Nf -7L1 jam]—— PAGE 1 FILL OUT SECTIONS 1 - 3 t'Z�1; Sc ,vim G. EST. BLDG. COST PER BO. FTt/'1 P� I-.yc . ( , y EST. BLDG. COST PER ROOM i4'^�,(Whi 1� PAGE 2 FILL OUT SECTIONS 1 - 12 7L 91 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 HdZ7:� DATE FILED ■ ILDIN ■P6=TOR SIGNATURE OF OWNER R AUTHORIZED AGENT F E E OWNER TEL.# PERMIT GRANTED CONTR.TEL.# 2 19 CONTR.LIC.# H.I.C.# U AfFp �C�� rvLw�GLA, 3q I I I JUL�}1995 --- BUILDING RECORD 1 OCCUPANCY 12 INGLE 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 I 8 INTERIOR FINISH `JOE P PLOT Pl hN Al�A-e(-'f1ey\r CONCRETE B 1 2 13 CONCRETE BL K. PINE CZ_ BRICK OR STONE HARDW'D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B'M'T' AREA _ 114 1/2 1/1 FIN. ATTIC AREA _ NO 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 HARDVJ'D I_ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME x BRICK ON MASONVY_ ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. ' STONE ON MASONRY WIRING ' STONE ON FRAME _ SUPERIOR IJ POOR _ ADEQUATE I NONE 5 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 MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 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 _ ELECTRIC 1st 13rd NO HEATING �1 � L 1: ORT ; fTownof - Andover . No: o ', 355, Oki dover, Mass., 21 19 ' k T ° t LAKE €` �A Co C HICHEWICK\y f' �y E BOARD OF HEALTH j t. IT Food/Kitchen Septic System T D . P BUILDING INSPECTOR ...k�A1�L1 k. ° .THIS CERTIFIES'TNAT':.�c .:. ....................................................................................................... � � � Foundation � has permission to erecQl...!� ?� .,. buildings on...�..� ...... � ..... Rough ' to be occupied as..,11'k. i.o.... .....%ar.....`....'....Izx A.g.....Sr.aew...�6�� Chimney provided that the person accepting thli permit shall in evhry 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 r Final o .OFR4 PERMIT EXP MONTHS1 ELECTRICAL INSPECTOR • UNLESS CONS S S Rough .. Service ! BUILDIN SPECTOR • Final 1 I Occupancy Permit Required to Occupy Building GAS INSPECTOR I Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT p Burner PLANNING FINAL -CONSERVATION FINAL street N°• Smoke Det. SEWER WATER FINAL DRIVEWAY ENTRY PERMIT GG w 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�lIGty I Ifillls out this section***********.************ PLICANT: I r�UQ tUl ► Phone 6p,�_�`._ LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) t.- street (�-I Lilt- Lst �(� , f^GfY _�P1f St. Number ************************Official Use Only************************ 7RECOMMENDATI N OFVWNGENTS: / (4 Date Approved b 22f/s Conservation Administrator Date Rejected Comments — ------ Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected A 1 Date Approved Septic Inspector-Health Date Rejected Comments C G k Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date c� i f o �- G�S j- EX t5 TSA/L Fou NORTToPJ 100 , 7 L;r &r7.00 - CER7IFIED PLOT PLAN - --- - --- --- �r+e-e�asUwc rouaTwM is as sr+ow� aro sorrows To'Tre" T- W& OF LANG IN or Ire qmrTovm or NOS AuoOJ Ex. emlf� -QP,-TH ANOOVER M4. AS DRAWN FOR IPS�IICH SAVINGS (3A�Jl� SCALE r vo L O C A T l O N -Y UEEO BOOK PAGE AREA Of 1 O T -if !' LIBERTY I ^r n T`, 1�(�D Er.� �tM � G PLAN : Aomf ��� NORTH A N (),O V E R, MA P. 3 ASSESSOR MAP &JOF f8 N0. ?2159 V ULy ) 99 &Q & BLOCK ��+sg� R.A.M. ENGINEERING u+�5 - 160 MAIN STREET LOT qHAVERHILL. MA. ' 508-372-0449 TOWN of NORTH ANDOVER AFFIDAVIT time kRmwe it Gstrac cr im anAo ant to llemLt t%hcatim M�c. 142 A regAres that the ' alteatim, rewwtirn, rqxdr, ®dendzaHm. oa sirn, in¢weamt, rauml, dm litim, or oawtnraim of an adiiticn to any pre- eadstirg aamr-o=Fled hnld- irg orntairnrg at least are bit not - ffialfar dellirg uuts...or to sUmbres 4dch are adjawnt to arh resi or h ldirg"be doe by reostered catmrt=, nth certain moons, alag iuth office rewiramts- Type of Work:-S,- �G't i'C�t ,� / � 1?7.Est. Cost- Address ostAddress of Work i �S Owner Name- Date of Permit Application: 7 I hereby certify that: Registration is not required for the following reason(s): Far office Use Only Work excluded by law FenaLt ND. Job under $1,000 Date Building not owner-occupied =Owner pulling own permit Other (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DFAIMC WITH UNREGISTERED CONIRACIORS_- FOR APPLICABIE HOME DffWVIIMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed uider paial.ties of perjury: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above proper -y. Date Owner Name Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE `��aZI1� 5 rt JOB LOCATION Number Street Address Section of town 10 )E�) �v 7 7 7-3)00 "HOMEOWNER" 7T � I'lCi1GL— ✓G?t/ Namej Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip code The current exemption for "homeowners" was extended to include owner -occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided that the owner acts as supervisor . (State Building Code , Section 109 . 1 . 1) DEFINITION OF HOL-IEOWNER: Person(s ) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . A person who constructs more than one home in a two-year period shall not be considered a homeowner . . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/.she shall be responsible for all such work performed under the building permit. (Section 109 . 1 . 1 ) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of :forth Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements . _ HOH= NER' S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note : Three family dwellings 355 ,000 cubic feet , or larger, will be required to comply with State Building Code Section 127 .0, Construction. Control . Pcr July 12, 1995 Description of Work to be done for basement remodeling at 119 Liberty St. ,N. Andover. The work consists of constructing a play room of approximately 13' x 24',and a laundry room of approximately 10' x 12'. Specifics of the remodeling are as follows: Play Room Walls 2"x 4"Lumber 16"0.C.Insulated with R11 insulation. Covered with 1/2"dry wall.To be taped sanded and painted. Finish Work Molding to be 3.5" Colonial finger joint,baseboard and door jambs. Flooring Wall to wall carpet with padding underneath. Ceiling 2' x 2'tile suspended ceiling with white grid work. Csiling to be in main room and closet. Electrical Three 2' x 2'florescent lights controlled by three-way switch, 1 florescent light in closet on single switch. Standard outlets to code. Doors 2'6"x 6'8"6 panel door into playroom. 4' x 6'8"bi-fold door for closet. Heating C—LVECTVAC 6k5G ar3PAD Wfnk WALLr.,Y�--tj -rR0t 05rli-T $49,11ts)gs Laundry Room Walls 2"x 4"Lumber 16"O.C. Insulated with R1.1 insulation. Covered with 1/2"dry wall. To be taped sanded and painted. In area were existing laundry connections exist there will be no finished wall Finish Work Molding to be 3.5" Colonial finger joint,baseboard and door jambs. Flooring Sheet Vinyl Ceiling 2' x 2'tile suspended ceiling with white grid work. In area were existing laundry connections exist there will be no finished ceiling. Electrical One 4' x 2'florescent light controlled on single switch, 1 florescent light in closet on single switch. Standard outlets to code. Doors 3' x 6'8"6 panel door into playroom. 4' x 6'8"bi-fold door for closet. Plumbing 1 laundry sink with Hot and Cold water faucet. Heating Electrical Base board with wall mounted thermostat. _( s 2 U n4xa -- � c ®NN rev ; S OZ 8t 9t bt a OL 8 9 b Z - - , - r , 0 1 I ' Y� .. • I 1 : • ri I ': I � i ! _I_._.l ! !. 1. �._..:. � !_ � �--_- I- { ..r.- --* _-�_"_ _•_.�—. __.t.. Y �...�i __� Z 1 � L :fl?11M • 1 � I : : 1 M 9� a I ' lba 1 a 'l��'-_ ; ;al�X 9x- z/�1.� � ; 1 �i`� .. ! r �wi'E► i i i i { ljr,bd '9 1 4i+ ' 6 { i � i.. !! I I i 3 I { I ICY ' 1 , 1 1 ; : ( 1 I PAA I E {M i OL Hy i �ry i • _ I : 1V • r I : Nle i � I t I Ln 1n0-71itlM r. 1 r , 1 I , , 11 ' r a r, >o 'f WMVZ)svomwv S b 'lot B •,• VW �a noo N+ 'M x.15 tiia,� l 1 i 3v\,40-H '9 ;fyt15)x-3 j a h/+l!jdQ)Uv 1NOVI)3sva 1 PG 3�6 July 12, 1995 Description of Work to be done for screened porch at 119 Liberty St,N. Andover. . The work consists of constructing a screened in porch approximatly 12' x 15'. Specifics of the porch are as follows: The porch will be attached to the existing house with 3/8 x 6"lag bolts.There will be seven(7)concrete footers made to support the porch.These footers will be 10 inches in diameter and 48" in depth. The porch will be supported from these footings with pressure treated 4 x 4 pressure treated posts. The floor of the porch will be constructed of 2 x 8 pressure treated lumber.The rim joists of the floor will have double 2 x 8 pressure treated lumber fastened together. There will be no unsupported span in the porch more than 7 '. The floor will be constructed from 5/4 pressure treated decking material that is screwed to the floor joists. The walls of the porch will be constructed from 2 x 4 pressure treated lumber.The walls will be covered with cedar siding for approximately 36 inches from the floor. The rest of the walls will have openings for screening. The openings for the screens and the screens for the porch will be made from clear pine. The roof of the porch will be connected to the rear of the existing house using 3/8"x 6"lag bolts. The lower stringers are 2 x 6 lumber.The roof inself will be constructed with a main ridge beam that is 2 x 10 lumber.The roof rafters will be constructed from 2 x 6 lumber. The roof will be sheathed with 5/8 inch plywood and then roofed with ashphalt shingles that match the shingles on the existing house as closely as possible. The exterior of the porch will be finished with cedar clapboard siding. All trim on the porch will be constructed with clear pine. I tC2GW1-D POO-CO ftDCD rD C--AISTIN & NoME Il q E (-T• N DOV `7114 jgs AMEWAS CABff*-n4AMER- 7 14 ............T-- .............. ................... s i } ............ .................... j. IPC X-b ............ .... .......... ....... 12 Lk -Z.- .. ........ 20 a li--i tCa-.-�Tlk ee, oel ..... .......... kIIL . I -1."- I _: _ jU 9 r WL C� 10 ------ .... ..... .................... .... 1 .............. J ...... .... ..... ..... .... .. 8 ---------- f.7 w ............ ------ -iou X, Rat ............. ... ... j-(A .... ....... IT .......... .......... .................. �q TV 0111� 6 T ......................... ............... ............. li L I ................ .......... Al it -0 . ..... ....... ............ ........ ...... - 4 vil .......... .......... ------ .... T .............. ............ .... ....... ---------- . .......... ................ --------- ------- .... .. ............... ................ ......... ...... .............. S,r ........... s ....................... .. ....... ... T -EI J ............ ........... .......... .......... it 0 I—L J— JJ 2 4 6 10 12 14 16 1 \0 $ j9I AVT 20 \< ,, TI-011ma.mmom-a M�,F. M 0 1 2 3 4 5 6 7 89 10 11 12 13 14 15 16 17 18 19 S'Tl AS 12 2o0F PrTc�{ //,jA' � •' �'•� CLLR R. PINE TO s Iti6tDE -SIDI!aG( QX 00 K 10 �U�tiAD#�10N� n6(ll_EV�0CW K EX►5T,K4 wk�V c CbMU&;TrrWTl 4S � I --- ------------ Dahl Drawn B (r W 0 . 1 2 3 4 5 6 7 8 _ M1010 11 12 13 14 16 17 18 19 o �yy1`ST�1�� uSE 5 sCMP� . 6iQCWAWD TD �XtS1-1NCA! �kOMt .. i i ' 1 I:a L l 9k�ZTl ST is(DE VI EW ltZi . atoGe 3 ij iU, l l i 5 1 Cbtlf PINF6 �M ceDtt 51 616 9 - - - - - - ti Po zi Y,4Bost 7, 3 10 _f a co juerE roof"J66 y EXtSTINIe Cn(II��E 12 Date I I I I I Drawn By , Location ./P, I No. rJ Date /a /�cZ-- J. ! f TOWN OF NORTH ANDOVER p� t.ao , ,ti0 F : p Certificate of Occupancy $ �rBagbng/Frame Permit Fee $ -7OA-)Permit Fee $ l!U N�R�N P Other Permit Fee $ � Sewe onnection Fee $ War Connection Fee $ TOTAL' $ d 10 'Yee Building Inspector Div. Public Works Date '` -5�– NaRT►, TOWN OF NORTH ANDOVER I•,ho0. „ Certificate of Occupancy $ Building/Frame Permit Fee $ �cHuACHU Eta Foundation Permit Fee � Js Other Permit Fee $ RECEw ewpperyConnectioW Fee $ ----�—" atQ WI Fee $ AUG ff Allkyff$ /Z,//,Y, 111x- J / .�.r'.,T�+ T it .fid j-NQ-Andover Collector Building Inspector Div. Public Works Location No. �, C1Date1 - ,k NOR, TOWN OF NORTH ANDOVER Certificate of Occupancy $ # Building/Frame Permit Fee $ 4 }��s ^°'�t�'' Foundation Permit Fee $ /-/j D 110 s�CHusE Other Permit Fee $ 1• RECEIVED Fee $ ` JULj'r��lRnection Fee $ TOTAL $ No.Andover Collector f Building Inspector Div. Public Works 4PER1HT No. .._ __, APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1 MAP d OJi` �� LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE — ZONE I SUB DIV. LOT NN6. FI LOCATION -. - PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES 2 C�L IVNae5 KAV( � Y OWNER'S ADDRESS7,9w BASEMENT OR SLAB ARCHITECT'S NAME , Oe�w SIZE OF FLOOR TIMBER�3`(Q1ST �j �49 2ND�V �,a�R A, 2*0 BUILDER'S NAME /-"il/> /J i��t�... �J SPAN C� DISTANCE TO NEAREST BUILDING � �' - DIMENSIONS OF SILLS � � --- DISTANCEFROMSTREET ��/10 _ POSTS •��. DISTANCE FROM LOT LINES—SID/EES(4,// 6 }' REAR /;D GIRDERS a/ "e.Yo I� �/JhlA AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS aoV cYE6� IS BUILDING NEWl SIZE OF FOOTING X a .IS BUILDING ADDITION /j� MATERIAL OF CHIMNEY IS BUILDING ALTERATIONt /� IS BUILDING ON SOLID OR FILLED LAND f. WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY A i�A IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE �s v INSTRUCTIONS 3 PROPERTY INFORMATION 11 : PERMIT FOR FOUNDUM tNiLY LAND COST SEE BOTH SIDES REGULATED BY i/R L EST. BLDG. COST Y.' 0 Do 2�� PAGE 1 FILL OUT SECTIONS 1 - 3 � EST. BLDG. COST PER SQ. FT. J PAGE 2 FILL OUT SECTIONS 1 - 12 DATE fgfw L- • (J_ EST. BLDG. COST PER ROOM /IJ. i SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILD RMIT FOR fRAMUBUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS - - •PLANS MUST BE FILED AND APPROVED BY BUILOAol 18PECTog FEE PAI AID�.��� DATE FILE 6 BOARD OF HEALTH SI RE F oolrNER O A HO IZ AG l� ! OWNER T L. 7 FEE CONTR.LIC. PLANNING BOARD & PERMIT GRANTED ' I' '`! s rs BLDG. PERMIT FEE 1� N LESS FDA FEE "C1 D (� BOARD OF SELECTMEN .JUN 2 4 Io-,r) OSE FRAME PERMIT$ l B p d—1"e I�lr-' t BNLLDIIi INSPECTOR 11 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 P OT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 I3 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D _ PIERS PLASTER _ DRY WALL UNFIN. - 3 BASEMENT //{ AREA FULL FIN. B'M'T' AREA 4C, - 7, 1/2 % FIN. ATTIC AREA On NO BMT FIRE PLACES HEAD ROOM - ^' MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ CSPH VERT. SIDING ASPH.TILEwilm U'1001 201 �!� STUCCO ON MASONRY �13i/}� t �± ` ' STUCCO ON FRAME /N � -�Y� ,3 q Y8� 6�MS I fBRICK ON MASONRY ATTIC STRS. BRICK ON FRAME CONC. OR CINDER BLK. -, STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORI� POOR ADEQUATE NONE C..} " 5 ROOF 10 PLUMBING / GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET .�."-''� i���.-i .J.� �"- '•" -2t�, ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK A , SLATE NO PLUMBING 20 _ _ j Z� s �r TAR & GRAVEL STALL SHOWER , l �a 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 O"VAPOR WOOD RAFTERS _ AIR CONDITIONING �':'` ► •�� ���� f RADIANT H'T'G UNIT*HEATERS t - I 7 NO; OF ROOMS O1iS T` 5 1k1 '^� 1',i i) B'M'T 2nd I� ELECTRIC''. ^ 1st I'-3,d: ..T NO. HEATING''., ' s )AA ' 0 t- 'ft" h ndover own of No. FINATRY NNor' tjk,,-,Andover, Mass., ____'19%2, PERMIT TO��B-!r UILD BOARD OF HEALTH • THIS CERTIFIES THAT..%...r.e .......... BUILDING INSPECTOR has permission to erect ...rM....... .........b— /006 le.AW�q 041. 8-.4&W� Rough to be occupied as.... i r .....X..# ............................. Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile 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. UK mmff Jut Final ga) _AMFM VIOLATION of the Zoning-or-Building-Reguli-tions Voids this Permit FRW"Amff' PEWIT EXPIR,[7,51N 6 WOWFM ELECTRICAL INSPECTOR o S Rough S' 'CON-STRUCT"WaSTARTS Service Rough ;_ Final DA-m .2-12mmulmom ND UIL&IN G* INSPECTOR GAS INSPECTOR OccupancY, Permit Required to Occupy Building Rough Final Display in a Cons I picuous Place on th LTF?4WY�YAMUBUILDING FIRE DEPT. Do Not Remove DATE: FEE Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector r -cl LOT # y ID AC ± n 006 C) r r 0- 7 t � T 6 S / EXSSTiV6 Fou NOATloni G y �� \J 1°° j ') (pr7•0 CERTIFIED PLOT PLAN TtV OU'UNC FOUMATwn IS AS SHOWN OF LAND IN AM OOr+r004 TO Tri' zow.a Y_ WY or Tr! as Tow" or,�oRT AN 0y Ex, 114 � _NO RT B AN 00VE R flA, AS DRAWN FOR t IP5WICH SAVINGS BANK SCALE r' yp �. 0 C A� 0 N I p p UEEO 900K PAGE l o T if 4 L 16� RT Y STREET eee AREA `N Of PLAN �� Roam cy NORTH , A N D b V E R, MA P. ASSESSOR MAPM06 22159 Fe J �J' 1 y 1.(� CISTt 00 � R.A.M. ENGINEERING BLOCK l�Mas� 160 MAIN S"rREET I.OT y �� HAVERHILL, MA. 508-372-0449 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. ****************Applic nt fills out this section***************** APPLICANT: % Phone LOCATION: Assessor's/ Map Numbe Parcel Subdivision Lot(s) Street / e St. Number ************************Official Use Only************************ RE(COOMMENDATIONS OF TOWN AGENTS: \��LrDate Approved �0 Conservation Administrator Date Rejected Comments Date Approved To n PlaYlffer Date Rejected Comments ,h31 /� ( � 2� • C Date Approved Heal h Agent Date Refected Comments E I / �S IdC Public Works - sewer/water connection �� 442 driveway permiton JQ Fire Department Received b Building Inspector ' r a'_ r L _IF/ 5 Y g P Date '4 i , JUN 24 IN,2 {` c e 3EFARTMENt. F PUBLIC SAFETY COMMONWEALTH1010-COMMONWEALTH AVE. $ " OF BOSTON, MASS. 02215 __.. MASSACHUSETTS t"Yy.j_rte' ='L_I ?=�;`'} T. '•�?..I ; EXPIRATION DATE EFFECTIVE DATE LIC-NO. RESTRICTIONS y F::'x-•iJ-_r�I. ,• {-�- s i—L+.iii-'I:._..•! s PHOTO {BLASTING OPR:�ONLY) FEE: NOT VALID UNTIL SIGNED BY LICENSEE AND OF ICTALLY f HEIGHT: STAMPED - 0 - SIGNATURE OF TH COMM IONER y :k _DAB: THIS DOCUMENT MUST BE SI ATURE OF LICENSEE CARRIED ON THE PERSON OF • THE 14'JLDER WHEN ENGAG-' A • K711$SI�7N$R'..i OTHERS - RIGHT THUMB PRINT ED. IN THIS (OCCUPATION s �3 �11,�;f �� �1_{r'•. s`. I it - '' OOM-2-87-81429 a I'I : x OJ 6i,.VV�"ai�'B6��I� 'ie.J. ._��.:l� � Si.: d %AORTti Town of Anover No. loA _ 192. ` Kver, Mass., PERMIT T (r9u C H HE 777/ -—- if7BOARD OF HEALTH I LD THIS CERTIFIES THAT.4earr .......... •� BUILDING INSPECTOR �� , ••• � � has permission to erect ......................... Rough ..� �` ..• ••••••• g ..�.,�.9...I .1...�. .. rx.. .. Chimney to be occupiedas... ••••••••••••••••••.•••••••••• 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. KM F&M FU - . .. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT PERMIT EXPIR€ IN 6 IVI®N ELECTRICAL INSPECTOR fta ! -SSS CONSTRUCT ®N STARTS Rough Final DATE FEE PAIp - .. " UlLD1NG 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. 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B~ 41ar $? gyp-• M 1 v - 19 L T r� ower, Mass., Y t K � AOS` P� .Gl 9�® i BOARD OF HEALTH P. ERMI I LD THIS CERTIFIES THAT.4e 94 �j. �•� ••• _ y �•• • BUILDING INSPECTOR has permission to erect ......................... ..� �� �, �...�� � Rough E" ��'_' :.5 Chimney to be occupied as.... )try °( . Final �`� provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLU BIN I SPECTO 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. MY F n ' i VIOLATION of the Zoning or Building Regulations Voids this Permit. �/^ > /NOUN• - K� ! v MG E M� " ELECTRICAL INSPECTOR PERMIT EXPI�Z;C5:. iN 6 MOf�T ' Rough PORwwwww tMSS CONSTRUCT ON SMARTS Service ; �M. Final .. . . . . . . . . I UILDING INSPECTOR GAS INSPECTOR DATE tEE PAlo,�lcd.. Occupancy Perm-iii Required to occupy Building Rough Final a Display in a Conspicuous Place on thj!q"#&ME/BUILDING FIRE DEPT. Do Not Remove DATE: _FEE PAIS ' -� Burners ;t No Lathing to Be Done Until Inspected and Approved by Smoke ' Building Inspector l �6� CERTIFICATE OF USE & OCCUPANCY is ' Building Permit Number 296 Date DFC FM�F�22, 9A THIS CERTIFIES THAT THE BUILDING LOCATED ON 119 LIBERTY STREET (LOT #4) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. OF NORTH qti - 32 `I 1,1 CERTIFICATE ISSUED TO SCOTT & PATRICIA PAVLIK trkr A - ADDRESS 119 LIBERTY STREET 'i* 01845 *' , 11 �9SSAC(F1 US Buildigg Inspector .q •1 a,� Date... . .1.. .....t...... 2472 Ca y NORT11 W 'I 3:0 4, TOWN OF NORTH ANDOVERCL ° PERMIT FOR WIRING ,SSAGMuSES K This certifies that � .......�.... f ` z r,e3 has permission to perform .......#,�"":�.t..t..:.;:t�.f........ wiring in the building of ' at...... .. ...:. :.>... ..: '. .................... .North Andover,Mass. Fee.... Lic.No. .. ................ �,h."R.• RICAL INSP .� -:i 71 70 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File 1 w + Office Use Only _ :-- E Tram ilniuof '3caousEf s Permit No. u rz l FI� igepa tmtw of Vubltt _tfetg Occupancy,& Fee Checked 3190 (leave blank) 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 (%* or Town of NORTH ANDOV .R ! To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant l—oy// ' Owner's Address Is this permit in conjunction with a building permit: Yes "r No ❑ (Check Appropriate Box) Purpose of Building �rC Utility Authorization No. Existing Service Amps 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 Transformers Total No. of Lighting Outlets /� I No. of Hot Tubs I KVA No. of Lighting Fixtures Swimming Pool Above—- In- g 9 g grnd. I grnd. ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Ranges No. of Air Cond. Total No. of Detection and No. of Ran 9 I tons Initiating Devices, No. of Disposals INo.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Scace/Area Heating KW Detection/Sounding Devices Municipal �-; No. of Dryers Heating Devices KW Local Connection _Other No. of No. of Low Voltage No. of Water Heaters KW I Signs i Sailasts 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 Comcieted Operations Coverage or its substantial equivaient. 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 Datet Estimated Value of Electrical Work 5 Work to Start Inspection Date Recuested: Rough Final Signed under the Penalties of perjury: -� LIC. NO. FIRM NAME Licensee SignatureK LIC. 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. Own--' Agent (Please check one) Teleonone No. PERMIT FEE 3 (/ �� � (Signature of Owner or Agent) x-5565 01 Date, ?. . . Y - f:,ORTN e1tip TOWN OF NORTH ANDOVER r° t PERMIT FOR PLUMBING ,SSlCHUS� 1 . 4 A e-n This certifies that . O'A./. . . . . . . . . . . . . . . . . . . has permission to perform . . .���'d`�.L a o.. . . . , , $ w plumbing in.the buildings of . . . . . . . . . . . . ,. at /.�{ �t. .r• . r! - . . r�� . . . . . . . . . . . North Andover, Mass. Fee.rD.,.'. . Lic. No.. .7sjG 1. . . . . .� � . . . . . . . . . . o PLUMBING O WHITE:Applicant CANARY: Building Dept. PINK:Treasurer z t. - �.••� Minta Typal NORTH ANDOVER, . Mese. Osie ip L7 ~ \ q Bunding o locallon �� Pennit 3 3 J G '" ownses Name `` rS . Sco7'�vdk `"'. New 0 Renovation O� Replacement ❑ Plans Submitted: Yes[] No p FIXTUAE3 ..... w » s F I � » A � u° int s � » V J » » M s » 44 a p ° 'Win .� O w » s n » — a ix a ILH en r O s » s X » M • da • a s � uy � o � Ya1 � � • • ° � aver • ! r 1 • • o o S ! o � N i� • a► • s ! s • o a Ye—f f sI T. II Is 0 i fAetYeNT � f 1ST FLOOR SNOFLOOR M FLOOR 4TH FLOOR aTM FLOOR Mt FLOOR. ITM FLOOR ITN FLOOR q:F Now" ` Check one: Certificate Installing Company Name kl) �,X 14 Corp. Address_ 0 c ) S`� D Partnership 0 Firm/Co. Business Telephone .Name of Ucensed Plumber j� INSURANCE COVERAGE: --Mackone I have a current Ilablilty Insurance policy or Its substantial equivalent. Yes laNo 0 It you have checked yn, please Indicate the type coverage by checking the appropriate box A llablilly Insurance policy 131— Other type d Indemnity 0 Bond O OWNER'S INSURANCE WAIVE R: I am aware that the liceniee does not have the Insurance coverage required b er 0 4 y Chapter 1I2 of the Maas. General Laws, and that my signature on this permit application waives this requirement. nt. Check one: IF a urs o er a Owner s an Owner .❑ Agent Q I Mreby certify that all of the details and Informatlon 1 have submitted for entmedl in above appkaikm ars true and accurate to the bast of my krwwiedpe and that ori plumbing work and Installatlana performed under the p malt Issued IN this application wit be In a m dance with all putinan provisions of a Massachusetts State Munbkq and ch CWe aapter 142 of the rkerruat Title nor urs GtyfTown ' �a� Uoense Number AP1IMEO(OFFICE USE ONLY) Type of I'Mrrbing Uemnse:Master Journeyman ❑